The rate on page one matters less than the terms that decide whether the facility can collect it. This guide to ALF Medicaid contract terms focuses on three: EVV exception and correction windows, HCBS Settings Rule status after campus or program changes, and rate-escalation language with an objective trigger. It also includes an MCO plan scorecard and a pre-renewal checklist.
https://ltcpro.us/alf-medicaid-contract-terms-evv-hcbs-rate-escalation/
The rate on page one matters less than the terms that decide whether the facility can collect it. This guide to ALF Medicaid contract terms focuses on three: EVV exception and correction windows, HCBS Settings Rule status after campus or program changes, and rate-escalation language with an objective trigger. It also includes an MCO plan scorecard and a pre-renewal checklist. https://ltcpro.us/alf-medicaid-contract-terms-evv-hcbs-rate-escalation/
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