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Frequently Asked Questions

Frequently Asked Questions are used to provide additional information and/or statutory guidance not found in State Medicaid Director Letters, State Health Official Letters, or CMCS Informational Bulletins. The different sets of FAQs as originally released can be accessed below.

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Must the Managed Long Term Services and Supports (MLTSS) LTSS Comprehensive Assessment and Update measure assessment take place in the home?

Yes, the assessment for the LTSS Comprehensive Assessment and Update measure is required to take place in the member’s home as a face-to-face discussion unless certain exceptions are met. These exceptions include circumstances in which:

  • The member was offered an in-home assessment and refused the in-home assessment (either refused to allow the care manager into the home or requested a telephone assessment instead of an in-home assessment).
  • The member is residing in an acute or post-acute care facility (hospital, skilled nursing facility, other post-acute care facility) during the assessment time period.
  • The state policy, regulation, or other state guidance excludes the member from a requirement for in-home assessment.

FAQ ID:89086

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What if a Managed Long Term Services and Supports (MLTSS) member refuses an LTSS Comprehensive Assessment and Update measure assessment?

There must be documentation of the refusal, which would result in exclusion from the measure. The rate of exclusion due to a member refusing to participate should also be reported along with the measure performance rate.

FAQ ID:89101

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What if a Managed Long Term Services and Supports (MLTSS) member could not be reached for an LTSS Comprehensive Assessment and Update measure assessment?

There must be documentation that at least three attempts were made to reach the member, and that the member could not be reached, which would result in exclusion from the measure. The rate of exclusion due to inability to reach a member should also be reported along with the measure performance rate.

FAQ ID:89106

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This table indicates what reports are available to CMS Users. These can be found under the "Reports" tab.

Report Name

Description

Available For

Clock Status Report

View the regulatory clock statuses

CPOC, CMS Disapproval Coordinator, SRT Admin CMS Report Admin,

State Agency Profile Report

Overview of a State's Medicaid Plan including the prior 12 months' submission package history

CPOC, CMS Disapproval Coordinator, SRT Admin, CMS Report Admin, CSA, SRT

Submission Detail Report

View details on packages by date

CPOC, CMS Disapproval Coordinator, SRT Admin, CMS Report Admin, SME, PA, PD,SRRVW, SRT

Submission Statistics Detail Report

View all Submission Packages currently in review

CPOC, CMS Disapproval Coordinator, SRT Admin, CMS Report Admin, SME, PA, PD, SRRVW, SRT

Submission Statistics Summary Report

View summary of Submission Packages in a specific review status within a specified date range.

CPOC, CMS Disapproval Coordinator, SRT Admin, CMS Report Admin, SME, PA, PD,SRRVW, SRT

Submission Summary Report

Overview of submitted packages by date

CPOC, CMS Disapproval Coordinator, SRT Admin, CMS Report Admin, SME, PA, PD,SRRVW, SRT

Staff Workload Report

View the number of Submission Packages assigned to each CPOC and SRT member, as of the report run date.

CMS Disapproval Coordinator, SRT Admin, CMS Report Admin, CSA

FAQ ID:92871

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What is the Review Tool Report?

The Review Tool Report is a feature CPOCs, SRTs, Senior Reviewers, Package Approvers, Package Disapprovers, and CMS Report Admins can utilize to see Package Reviewable Units, Reviewers, Reviewable Unit Assessment Values, and Notes.

Log in as CMS Point of Contact or Submission Review Team member. Under the "Records" tab, select "Submission Packages". Then select the link to the submission package. In the left panel, select "Review Tool Report". You may sort the reviews of all Review Team members by Package Reviewable Unit, Reviewer, Reviewable Unit Assessment Value, or Note/Assessments by utilizing the drop-down boxes. You also have the ability to export this report to Excel by selecting "Export to Excel."

FAQ ID:92876

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What is the purpose of each Analyst Note Type?

Analyst Notes are a form of brief internal communication for the CMS Review Team. These notes are a part of the official record; however, State users are not able to see these notes. Analyst Notes are part of the Review Tool for each Reviewable Unit and the SRT or CPOC may view the notes from other Review Team members (depending on the type of note) within the Review Tool, and add his/her own notes.


The CMS Point of Contact or Submission Review Team members may add Analysts Notes through the Review Tool. The types of notes available are referenced in a table below. You will start by logging in as the CMS Point of Contact or Submission Review Team member, then going to the "Records" tab. Under the "Records" tab select "Submission Packages" and then select the link to the package. In the left panel select "Analyst Notes". You will then have the ability to search notes entered by Review Team Members.

Analyst Note Type Description Visible By
Note to self Private note for self only Self
For POC (Formal Review) Indicates information that should be included in disposition CPOC
For Review Team For other Review Team members CPOC and SRT
For RAI Indicates something that requires RAI CPOC and SRT
For Correspondence Log Indicates information that should be communicated to the SPOC CPOC and SRT
Non SRT-User Note on behalf of a CMS participant outside of the Review Team CPOC and SRT
General Note A note that doesn't fall into another category All
Justification Provides bases for a recommended disposition POC Admin, CPOC and SRT
Post-Recommendation Included by other CMS users during the package disposition review POC Admin, CPOC and SRT

FAQ ID:92881

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Certain fields within the reviewable units seem misaligned, how do I fix this issue?

If certain fields are misaligned you may need to adjust your compatibility settings. Click the Tools button in the upper right side of your screen, and then click Compatibility View settings. Next click the Add button. The website is added to your Compatibility View and the screen will realign. You can always remove the website by clicking on the website in the list and clicking the Remove button. If an issue persists, please email the MACPro Help Desk at MACPro_HelpDesk@cms.hhs.gov

FAQ ID:92886

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How do I withdraw a submission package?

A State may withdraw a submission package once it has been submitted to CMS. Withdrawing a submission package takes it out of contention and the submission package cannot be edited or resubmitted. Log in as State Point of Contact, and select the "Records" tab. Then select "Submission Packages" for your State. Next, select the link to the submission package you wish to withdraw. In the left panel, select "Related Actions". Next, select "Withdraw Submission Package". Then select the green button labeled "Withdraw Submission Package". A box will pop up, select "Yes". Once the submission package is withdrawn, you will be redirected to the Records screen. A yellow notification will appear briefly at the top of the page indicating "Action Completed Successfully".

FAQ ID:92891

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How do I allow CMS to view my submission package prior to submitting?

After the State Editor has forwarded the submission package to the State Point of Contact for Reviewing, the State Point of contact should log into MACPro. Then go to the "Records" tab and select "Submission Packages" for your state. Select the submission package you wish for CMS to view. In the left panel, select "Related Actions". Next, select "Allow CMS to View Screen". On the Allow CMS to View Screen page, select "Yes" under Visibility Setting, and then select the green "Update Visibility" button in the bottom right corner.

Note: Selecting this option will permit the CMS review team to see the screens in this submission package as they are now. It does not cause the package to be submitted as Draft or Official, and does not start a CMS review clock. Validation of the screens is not required. Notify your CMS contact that viewing is available and who you wish to see it; MACPro does not notify CMS staff. You can deselect this option at any time.

FAQ ID:92896

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What functions can my role perform?

Refer to the table below.

Role Actions
State Editor (SE)
  • Responsible for creating SPA submission packages
State Point of Contact (SPOC)
  • Responsible for reviewing and submitting the SPA submission package to CMS
  • Responds to Requests for Additional Information (RAIs) from CMS
  • Documents and reviews Correspondence Log
State Director (State Director)
  • Reviews and certifies SPA submission packages
State System Administrator (SSA)
  • Creates/maintains State Profile

FAQ ID:92901

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