who were enrolled during the time period under review Providers 1 & 2. ASO Annually DHMH/MHA If a meet performance 1. % of providers who have submitted 1915(i) 1 & 2. required improvement HCBS claims who are approved as providers by Defensible plan is needed, Maryland Medicaid sampling a program strategy of director must provider files 2. % of providers who meet the initial and submit a and related ongoing requirements established by DHMH/MHA proposal within 10 The sample working days. will be drawn The final from providers performance who filed improvement claims for plan must be services submitted to provided MHA within under the 30 working HCBS benefit days of notice during the of program time period deficiencies. under review. The CSA will follow up with the program 3 months after the final
who were enrolled during the time period under review Providers meet required 1. % of providers who have submitted 1915(i) HCBS claims who are approved as providers by Maryland Medicaid 2. % of providers who meet the initial and ongoing requirements established by DHMH/MHA 1 & 2. Defensible sampling strategy of provider files and related The sample will be drawn from providers who filed claims for services provided under the HCBS benefit during the time period under review. 1 & 2. ASO Annually DHMH/MHA If a performance improvement plan is needed, a program director must submit a proposal within 10 working days. The final performance improvement plan must be submitted to MHA within 30 working days of notice of program deficiencies. The CSA will follow up with the program 3 months after the final
1915_i_SPA_CMS_Submission.docx