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Viewing: Process for Reporting Compliance with Standards for Tier 2 Community Medicaid Providers (CMP+), 01-249a

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Current Status: Active PolicyStat ID: 5105693

Process for Reporting Compliance with Standards for Tier 2 Community Medicaid Providers (CMP+), 01-249a

APPLICABILITY

Community Medicaid Providers (CMPs+)

POLICY

Community Medicaid Providers (CMP+) are evaluated on their compliance with the CMP Standards outlined in Community Medicaid Provider (CMP) Standards for Georgia's Tier 2 Behavioral Health Services, 01-230 on a scheduled basis.

PROCESS FOR REPORTING COMPLIANCE

Previously, providers received audit scores based on audits performed by DBHDD's Administrative Services Organization (ASO). The evaluation will now incorporate elements from the CMP+ Tier 2 Standards along with the ASO audits to derive a total score. This total score will be used to determine the CMP+'s level of compliance, yielding a comprehensive view of performance.

  1. Going forward, this evaluation will occur annually according to the following schedule:
    Due Date for Evaluation Period of Time Included in the Evaluation
    August 31 July 1 through June 30
  2. Method for Reporting Data
    1. CMP+s will submit their data for the monitoring process online via the DBHDD Performance Monitoring Report (PMR) application, also known as the Portal. The PMR Portal is accessible at: https://dbhddapps.dbhdd.ga.gov/PPMR/.
    2. Detailed instructions for how to complete the PMR are detailed in the Portal application. A summary is provided in Attachment A—Performance Monitoring Report (PMR) Instructions.
    3. All other forms needed for PMR completion are found in the Portal application.

RELATED POLICIES

Community Medicaid Provider (CMP) Standards for Georgia's Tier 2 Behavioral Health Services, 01-230

Attachments:

Approval Signatures

Approver Date
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Robert Dorr: Division Director, Accountability & Compliance 6/28/2018
Kenneth Ward: Director, Internal Audit & Risk Management 6/26/2018
Anne Akili, Psy.D.: Director, Policy Management 6/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/25/2018
Older Version Approval Signatures
Approver Date
Anne Akili, Psy.D.: Director, Policy Management 6/28/2018
Robert Dorr: Division Director, Accountability & Compliance 6/28/2018
Kenneth Ward: Director, Internal Audit & Risk Management 6/26/2018
Anne Akili, Psy.D.: Director, Policy Management 6/25/2018
Keisha Blackwell, LMSW, MBA: Policy Coordinator 6/25/2018
Older Version Approval Signatures
Anne Akili, Psy.D.: Director, Policy Management 8/14/2017
Robert Dorr: Division Director, Accountability & Compliance 8/14/2017
Anne Akili, Psy.D.: Director, Policy Management 8/8/2017
Keisha Blackwell, LMSW, MBA: Policy Coordinator 8/8/2017
Anne Akili, Psy.D.: Policy Director 10/3/2016
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 10/3/2016
Anne Akili, Psy.D.: Policy Director 9/28/2016
Joetta Prost, Ph.D.: DBHDD Policy Director 5/18/2015
Monica Johnson, MA, LPC: Director, Division of Behavioral Health 5/17/2015
Joetta Prost, Ph.D.: DBHDD Policy Director 4/13/2015