California Readiness Review Document

March 29, 2013
In March 2013, the Centers for Medicare and Medicaid Services (CMS) released the state specific readiness review tool for Medicare-Medicaid Plans (MMPs) for the California dual eligible demonstration project. Topics covered include: assessment processes; care coordination; confidentiality; enrollee and provider communications; enrollee protections; monitoring of first-tier entities; organizational structure and staffing; performance and quality improvement; provider credentialing; provider network; systems; utilization management; and acronym list.
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