RD604 - Medicaid Appeals Workgroup Report – December 1, 2017


Executive Summary:

Status report of the Workgroup convened to develop a plan to avoid or adjust retractions or for non-material breaches of the Provider Participation Agreement when the provider has substantially complied with the Provider Participation Agreement, including an assessment of any administrative financial impact that implementation of such plan would have on the Department of Medical Assistance Services (DMAS) and an analysis of any implications for DMAS's efforts to combat fraud, waste, and abuse.