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​Community HealthChoices
Operations Memoranda

2023

​Ops Memo Number(s)
​Title
​Date Issued
​CHC-MCO
2023-01
​2023 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template Revisions
​January 10, 2023
​CHC-MCO
2023-02
​Opioid Centers of Excellence (COE)
​January 12, 2023
​CHC-MC0
2023-03
​Consumer Assessment of Healthcare Providers and Systems Home and Community-Based Services (HCBS CAHPS®) Survey
​May 12, 2023
​CHC-MCO
2023-04
​Issuing the Notice of Functional Ineligibility at Nursing Facility (NF) Application
​May 19, 2023

2022

​Ops Memo Number(s)
​Title
​Date Issued
​CHC-MCO
2022-01
​2022 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template Revision
​February 9, 2022
​CHC-MCO
2022-03
​Enterprise Incident Management (EIM) Reporting System Changes due to the August 2022 EIM Quarterly Release
​August 8, 2022

2021

​Ops Memo Number(s)
​Title
​Date Issued
​CHC-MC0
2021-01
​Updates to Prior Authorization Requirements for Certain Services during the COVID-19 Public Health Emergency
​July 15, 2021
​CHC-MCO
2021-03
​Participant Transitions between Living Independence for the Elderly (LIFE) and Community HealthChoices (CHC) Long-Term Services and Supports (LTSS) (REVISED January 21, 2022)
​November 15, 2021
​CHC-MCO 
2021-04
​Financial Management Services (FMS) Reporting Requirements
​December 16, 2021

2020

​Ops Memo Number(s)
​Title
​Date Issued
​CHC-MCO
2020-01
​Need for Comprehensive Needs Reassessment Following a Lapse in Medical (MA) Long-Term Care (LTC) Eligibility (REVISED May 4, 2023)
​January 14, 2020

​CHC-MCO
2020-02
​Participant Transfer from CHC to Office of Developmental Programs (ODP) Waiver, ODP Base (MRX) Services of Facility
​March 2, 2020
​CHC-MCO
2020-03
​Compliance with Medical Assistance (MA) Long-Term Services and Supports (LTSS) Penalty Period Requirements
​July 14, 2020
​CHC-MCO
2020-04
​Housing Supports for CHC Participants
​August 5, 2020
​CHC-MCO
2020-06
​Type, Scope, Amount, Duration, and Frequency of Services
​November 13, 2020
​CHC-MCO
2020-07
​Electronic Visit Verification (EVV) Compliance Procedures for the Participant-Directed Model
​December 7, 2020

2019

​Ops Memo Number(s)
​Title
​Date Issued
​CHC-MCO 
2019-02
​Process for Notification to the Independent Enrollment Broker (IEB) of a Nursing Facility Ineligible (NFI) Dual Eligible Participant Who May Be Nursing Facility Clinically Eligible (NFCE) and Need Home and  Community-Based Services (HCBS)  

​July 29, 2019
​CHC-MCO
2019-03
​Provider Fee Assignment
​September 9, 2019
​CHC-MCO
2019-04
​Nursing Home Transition (NHT) and new Nursing Facility (NF) to Home and Community-Based Services (HCBS) transition procedures
​October 29, 2019
​CHC-MCO
2019-05
​Circumstances When CHC-Managed Care Organizations (MCO) Must Transmit the Home and Community-Based Services (HCBS) 

Eligibility/Ineligibility/Change Form (PA 1768)


​November 20, 2019
​CHC-MCO
2019-06
​Continuity of Services for Participants Transitioning to the CHC Waiver from other Home and Community-Based Services (HCBS) Programs
​December 11, 2019
​CHC-MCO
2019-07
​2020 CHC Agreement Participant Template Revisions 
​December 16, 2019

2018

​Ops Memo Number(s)
​Title
​Date Issued
​CHC-MCO
2018-01
​Nursing Facility Services - Hospital Reserved Bed Days
​April 6, 2018
​CHC-MCO
2018-02
​The Provision of Services in Personal Care Homes (PCH), Assisted Living Residences (ALR) and Domiciliary Care (Dom Care) Homes 
​April 6, 2018
​CHC-MCO
2018-03
​Nursing Facility (NF) Claims - Other Medical Expenses (OME)
​May 14, 2018
​CHC-MCO
2018-04
​Exceptional Medical Equipment for Nursing Facility (NF) Residents

​May 14, 2018
​CHC-MCO
2018-05
​When Nursing Facilities (NF) Should Bill a CHC-Mangaed Care Organization (MCO), a Healthc\Choices (HC)-MCO, the Fee-for Service (FFS) Program, or a Hospice Provider 
​June 25, 2018






Obsolete Memos

​Ops Memo Number(s)
​Title
​Issue Date
​CHC-MCO
2020-05
​2020 HCBS CAHPS Survey  (OBSOLETE September 14, 2021)
​September 8, 2020

​CHC-MCO
2019-01
​2019 HCBS CAHPS Survey (OBSOLETE September 8, 2020)
​November 13, 2019
​CHC-MCO
2021-02
​2021 HCBS CAHPS Survey (OBSOLETE May 4, 2022)
​September 14, 2021
CHC-MCO
2022-02
​Consumer Assessment of Healthcare Providers and Systems Home and Community-Based Services (HCBS CAHPS®) Survey (OBSOLETE May 12, 2023)
​May 4, 2022