prior to their furnishing Sampling: 100% review. waiver services. Percent of waiver providers Data aggregation responsible providing waiver services party: MCO. who meet licensure and Frequency of data aggregation certification requirements and analysis: Quarterly. prior to furnishing waiver services continuously. Note: The State and CMS may — want the data stratified by Percent of waiver providers licensed, certified and atypical providing waiver services to ensure that they can pinpoint who have an active deficiencies in MCO agreement with the MCO. credentialing. The State monitors Percent of providers of waiver Data source: Training non-licensed/non-certified services who meet training verification records. providers to assure requirements Data collection responsible — adherence to waiver party: MCO. requirements. provider, training Frequency of data collection: requirements. Monthly. Sampling: 100% review. Data aggregation responsible party: DOH. Frequency of data aggregation and analysis: Quarterly. Note: New York may be able to combine PMs in this and the next However, the State and CMS may want the data stratified by licensed, certified and atypical to ensure that they can pinpoint deficiencies in MCO training.
prior to their furnishing waiver services. Percent of waiver providers providing waiver services who meet licensure and certification requirements prior to furnishing waiver services — continuously. Percent of waiver providers providing waiver services who have an active agreement with the MCO. Sampling: 100% review. Data aggregation responsible party: MCO. Frequency of data aggregation and analysis: Quarterly. Note: The State and CMS may want the data stratified by licensed, certified and atypical to ensure that they can pinpoint deficiencies in MCO credentialing. The State monitors non-licensed/non-certified providers to assure adherence to waiver requirements. Percent of providers of waiver services who meet training requirements — provider, training requirements. Data source: Training verification records. Data collection responsible party: MCO. Frequency of data collection: Monthly. Sampling: 100% review. Data aggregation responsible party: DOH. Frequency of data aggregation and analysis: Quarterly. Note: New York may be able to combine PMs in this and the next However, the State and CMS may want the data stratified by licensed, certified and atypical to ensure that they can pinpoint deficiencies in MCO training.
expedited-rest-state-rfq.docx