CAT C: Round 3
- Category C Round 3 begin notifying providers regarding selected measures starting today.
- You will have until Friday, 5/7/21 to respond
- The process has changed to do contractual agreements between MSLC and HHSC – these changes will be identified in your email request, but are listed here as well:
- Provider submission of data elements to MSLC that support numerator and denominator
- inclusion for the rates indicated above as required by the measure specification.
- Possible follow-up information request and conference calls by MSLC. Note only one follow-up request and submission of additional information will be permitted.
- MSLC review of the submitted data and submission of preliminary findings to the provider. If significant data or methodology issues are found, MSLC may develop a corrective action plan for the provider to follow in order to make the necessary corrections.
- Time-limited period for provider submission of corrected data to address findings and issues found by MSLC. Providers will be allowed a one-time submission of corrected data during this period only. MSLC will NOT be accepting new data or corrections after this period.
- Possible request from MSLC for a sample of detailed patient charts/medical records to verify the information in the supporting data.
- Communication of final Category C verification results by MSLC to HHSC.
DSRIP 1.0 Reviews – Existing Open Reviews
- MSLC has started the review of the DSRIP 1.0 open audits (Category 1, 2, & 3) based on previously submitted data and reports. MSLC will reach out to providers by the end of the month with next steps.
- HHSC sent the list of CAT 3 open outcomes to Anchors 3/26/21, which was sent to providers.
- HHSC will send The CAT 1 & 2 List to Anchors on 4/19/21, we will forward them to you as soon as we get the list.