Chapter II
Page 9: Under Adverse Outcomes – it is unrealistic to expect that providers keep up with individuals who have been discharged for up to 180 days and report any serious incidents including serious complications from psychotropic meds that result in medical intervention. In addition, the treatment, payment, operation (TPO) relationship between the provider and the MCO ends when the individual is discharged and there is no further payment for services rendered.
Chapter IV
Page 1: Under Medicaid Manage Care – Please consider standardizing the authorization process/response across MCOs as different processes adds a significant burden to the providers. In addition, consistency among MCOs makes comparisons/data analysis between MCOs easier.
Page 6, Definition Section