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COMPLIANCE MONITORING: MSLC
More Information...
• Events
• Calendar
COMPLIANCE MONITORING: MSLC
Apr
16
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.
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