Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-62 - REGIONAL CARE ORGANIZATIONS
Section 560-X-62-.22 - Readiness Assessment Requirements
Current through Register Vol. 43, No. 02, November 27, 2024
(1) Each organization that intends to enter into a risk contract with the Medicaid Agency shall be subject to a readiness assessment period. The readiness assessment period shall commence on January 1, 2015 and shall conclude with the Medicaid Agency's award or denial of full regional care organization certification to the organization.
(2) The Medicaid Agency will provide draft(s) of a risk contract to any organization seeking full regional care organization certification. Upon the Medicaid Agency's request, the organization will have forty-five (45) days to submit a written plan and other necessary documentation describing the organization's readiness to satisfy requirements of the Medicaid Agency in the areas set forth below and as may otherwise be required by Section 22-6-150, et seq. and rules promulgated thereunder:
(3) Upon the Medicaid Agency's approval of the organization's written plan, the Medicaid Agency will provide a readiness assessment tool detailing the requirements necessary to demonstrate the organization's readiness to fulfill the obligations of a risk contract. The Medicaid Agency will conduct a readiness review which will include desk and onsite reviews of information submitted by the organization.
(4) All requested documentation, information and/or demonstrations must be submitted or conducted as specified by the Medicaid Agency. The Medicaid Agency may require additional documentation or updates to submissions throughout the readiness assessment period.
(5) The organization shall produce or provide timely, convenient, and free access at reasonable business hours at the offices of the organization to all books, records, accounts, papers, documents, and electronic and other recordings in its possession or control relating to the matter related to the readiness assessment, including as applicable the property, assets, business and affairs of the organization.
(6) The organization shall make private office space available to the Medicaid Agency and its contractors for the duration of any onsite review without cost to the Medicaid Agency or its contractors.
(7) The organization's final submission of the readiness assessment tool and all required documents will serve as the organization's submission of the report required by Rule No. 560-X-62-.06(5)(c).
Author: Sharon Weaver, Administrator, Administrative Procedures Office
Statutory Authority: Code of Ala. 1975, §§ 22-6-150 et seq.