The plan amendment implements a payment improvement initiative which provides positive incentive adjustments in the form of gain sharing to reward providers who succeed in delivering higher, quality, patient-centered, and cost-effective care for designated episo9des of care and requires providers who do not meet the cost of care and or quality thresholds to make risk-sharing payments back to the Medicaid agency.
State
Approval Date
Effective Date
File 1 - Approval Document Media
File 3 - Attachment Media
File 2 - Companion Letter Media
File 4 - Form CMS-179 Media