CMS Guidance Memorandum: Application Of Existing External Quality Review Protocols To Managed Long Term Services & Supports

October 15, 2013
On October 15, 2013, the federal Centers for Medicare & Medicaid Services (CMS) said that moving Medicaid long-term services and supports (LTSS) to managed care will require external quality review organizations (EQROs) to revise protocols from the current medical orientation to adapt to non- medical LTSS. A key change will be identifying sources of information that document compliance with Medicaid managed care regulations, and that validate performance measures reported by Medicaid managed care organizations (MCOs).
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