Policies & Guidance

  • DRAFT Electronic Noticing Guidelines - (Web) - (PDF) 9.10.21
  • Electronic Noticing QA - (Web) - (PDF) 9.10.21
  • Prior Authorization Minimum Data Set Policy - (Web) - (PDF)
  • DRAFT Electronic Noticing Guidelines - (Web) - (PDF) 9.10.21
  • Electronic Noticing QA - (Web) - (PDF) 9.10.21
  • Managed Long Term Care Partial Capitation (MLTCP) Plan Enrollment Cap Target Setting FAQ - (Web) - (PDF) 7.8.21
  • MLTC Policy 20.02: Moratorium on Managed Long Term Care Partial Capitation Plans - (Web) - (PDF)
  • MLTC Policy 20.03: Non-emergency Transportation in the Consumer Directed Personal Assistance Program - (Web) - (PDF)
  • LTSS Default Enrollment Notice: Long Term Care Services and Supports Member Notice for default enrollment into Medicare DSNP and Medicaid dual eligible plan. - (Web) - (PDF)
  • Non-LTSS Default Enrollment Notice: Non-Long Term Care Services and Supports Member Notice for default enrollment into Medicare DSNP and Medicaid dual eligible plan. - (Web) - (PDF)
  • Prior Authorization Minimum Data Set Policy - (Web) - (PDF)

What You Should Know About: