KHA Makes Recommendations for MCO RFP
Wednesday, January 30, 2019 10:37 AM
On January 29, KHA submitted comments to the Kentucky Department for Medicaid Services (DMS) in regards to how DMS should choose Medicaid managed care organizations (MCOs).
The suggestions included requiring reviewing past performance, coding guidelines, a one-year time for claims filing and prohibiting MCOs from applying Medicare edits to outpatient claims. The Department should also require each MCO to provide EDI response to providers, provide better information on when preauthorization is needed (and limit changes to preauthorization requirements). In addition, DMS should create more prohibitions on what can be denied.
To see all the recommendations KHA submitted, please visit the Policy page of the KHA website. You must log in to view this page. Your user name is your email address and your password can be reset via the website if needed.
If you have any questions about the comments, please contact Nancy Galvagni at KHA (firstname.lastname@example.org).