Pre-payment Analytics Update

May 09, 2017

You will recall that both HB2417 and the supporting budget amendment did pass despite our efforts.  Our concern was that the focus would be narrowly directed at DD Waiver providers as the only remaining fee-for-service providers.  A recent conversation with DMAS staff has relieved a lot of anxiety; they are looking at a variety of options and will consider several approaches.

I think we have made our case that what is already in place ensures that claims are for an eligible and properly enrolled individual for services authorized based on a person-centered plan and within limits established by regulation and rates approved by the General Assembly.