| |
Catch–All |
|
| 11001 |
Asset Verification System (AVS) |
In Progress |
| 11002 |
Enforce billing restriction to prevent Nurse Practitioners, Physician Assistants, and Nurse–Midwives from being paid separately for practitioner claims for services provided in (Article 28) hospitals |
Completed |
| 11003 |
HCBS Settings Statewide Transition Plan |
In Progress |
| 11004 |
Medicaid MCO Performance Opportunity Project |
In Progress |
| 11005 |
Best Practices in ER Diversion & Inpatient Discharge |
Merged w/ 11004 |
| 11006 |
Maximus Contract 3-year Extension |
In Progress |
| 11007 |
Performance-based contract restructure |
In Progress |
| 11008 |
Claims Editing Enhancements |
Cancelled |
| 11009 |
OMIG Savings Initiatives |
Completed |
| 11010 |
Additional Funding for VAPAP/VBP-QIP |
In Progress |
| 11011 |
Expand Access to Assisted Living Program Services |
In Progress |
| 11012 |
Reduce FFS/MCP Rate for Providers without VBP Contracts |
In Progress |
| 11013 |
Hepatitis C Elimination Initiatives |
In Progress |
| |
Finance and Rate Setting |
|
| 11101 |
Indigent Care Workgroup |
In Progress |
| 11102 |
Quarterly Meetings on Medicaid Managed Care Rates |
In Progress |
| 11103 |
Nursing Home 1% ATB (4 Year Payback) |
In Progress |
| 11104 |
Convert VBP-QIP / Other Supplemental programs to Essential Plan |
In Progress |
| 11105 |
Rebate Risk Assessment |
In Progress |
| 11106 |
Implements a Penalty on poor performing Nursing Homes |
Completed |
| 11107 |
Rationalize Nursing Home Case Mix Index Increases |
In Progress |
| 11108 |
Rural County Provider funding |
In Progress |
| 11109 |
Increase Current Penalities for Managed Care Plans that Fail to Meet VBP targets |
In Progress |
| 11110 |
Increased MRT / Safety Net IGT |
In Progress |
| 11111 |
Safety Net (50% Safety Net 50% CHA & SCH) |
In Progress |
| 11112 |
Enrollment Reconciliation |
In Progress |
| |
Long Term Care |
|
| 11201 |
Admin Rate Reduction / Regulation Relief on MLTC Plans |
Completed |
| 11202 |
Nursing Home Three Month Carve Out Proposal |
In Progress |
| 11203 |
Restrict LHCSA Contracts with MLTCPs |
Completed |
| 11204 |
Restrict Members from Transfering Plans for a Period of 12 Months / MLTC Lock-In Proposal |
In Progress |
| 11205 |
Require Continuous 120 Days of CBLTC |
Completed |
| 11206 |
FI Marketing Restriction |
Completed |
| 11207 |
Authorization vs. Utilization Adjustment for MLTC |
In Progress |
| 11208 |
Social Adult Day Benefit Efficiency Savings |
In Progress |
| 11209 |
LHCSA / FI Cost reports |
In Progress |
| 11210 |
Oversight and Reporting on MLTC Plan ClosuresC |
Completed |
| |
Program Development and Management |
|
| 11301 |
Congestion Surcharge for Fee-For-Service Transportation |
In Progress |
| 11302 |
Update Professional Dispensing Fee |
In Progress |
| 11303 |
Reduce Opiod Use by 20% by 2020 |
In Progress |
| 11304 |
Medication Adherence |
In Progress |
| 11305 |
Optimize Outreach Resources for High Risk Members |
In Progress |
| 11306 |
Ensure Health Home Connectivity with RHIOs |
In Progress |
| 11307 |
Health Home Performance Initiative |
In Progress |
| 11308 |
Criminal Background Checks |
In Progress |
| 11309 |
Health Home Healthy Rewards |
Completed |
| 11310 |
Health Homes - Quality Improvements |
In Progress |
| 11311 |
Increase annual PT visit limit |
In Progress |
| 11312 |
Medicaid Max for Article 28 TBI waiver |
In Progress |
| 11313 |
Reduce Overutilization of Laboratory Services |
Completed |
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