Action | Allowing a grace period for documentation of ISPs |
Stage | Fast-Track |
Comment Period | Ended on 3/6/2019 |
We are concerned that "the 15 calendar day from the date the review is due" does not align with current DMAS regs which allows a 10 day grace period for providers and a 30 day grace period for Case Managers. The preference is for the Office of Licensing to align with the DMAS regulation to honor the above grace periods for the Case Management Review to be completed. This will allow sufficient time to recieve provider documentation, assess the information received in order to complete a quality CM review. Furthermore, if the expectation becomes that the provider and CM reviews are due on the same day (15 calendar days from the date review is due), it is likely that provider reviews will not be received until the 15th day which would not allow the CM the opportunity to review the documentation in a timely manner in order to complete their review thoroughly and remain in compliance.