AE Public Comments for Requirement Documents

Please note that the original draft document is provided for each of the documents shared by EOHHS. A comparison document is included, when applicable, to document EOHHS document modification. Resource documents submitted by EOHHS can be found here.

Program Year 3 Guidance Documents 

Responses to Comments: PY3 Guidance Documents Draft 12/13/2019 

• BHDDH - Comments 
• Tufts Health Plan - Comments 
• United Healthcare Plan - Comments 
• Integrated Healthcare Partners - Comments 
• Neighborhood Health Plan of RI - Comments 
• Coastal Medical - Coming Soon 
• PCHC - Comments 
• Integra- Comments 
• PHSRI - Comments 
• Lifespan - Comments 
• RIPIN - Comments 

TCOC Tech Guidance Response to Public Comments 2/03/2020

AE Roadmap

Responses to Comments: AE Roadmap Draft 10/30/2019 

AE Roadmap-Draft 8/30/19 

• Tufts Health Plan - Comment 
• United Healthcare Plan - Comment 
• Integrated Healthcare Partners-Comment 
• Neighborhood Health Plan of RI- Comment 
• Coastal Medical - Comment 
• PCHC - Comment 
• Integra- Comment 
• PHSRI - Comment 

DRAFT CMS AE Requirements Documents Technical Correction

Responses to Comments: PY 2 Requirements-Summary of Technical Corrections Memo 6/14/19 

• BVCHC- Comment 
• RIPIN- Comment 
• Integrated Healthcare Partners-Comment 
• Neighborhood Health Plan of RI- Comment 
• PHSRI- Comment 
• UHCCP- Comment 
• Integra- Comment 
• PCHC- Comment 

RI Medicaid Managed Care Organization Policies

RI Medicaid MCO and AE Risk Adjustment Policy Statement 4/19/19 

RI Medicaid MCO Delegation to AEs Policy Statement 4/19/19 

RI Medicaid MCO Member Assignment Related to AEs Policy Statement 4/19/19 

• Bailit- Comment 
• BVCHC- Comment 
• Coastal- Comment
• CTC RI- Comment 
• Integrated Healthcare Partners- Comment 
• Integra- Comment 
• Lifespan- Comment 
• The Economic Progress Institute- Comment 
• Manatt- Comment 
• Neighborhood Health Plan of RI- Comment 
• PCHC- Comment 
• Prospect Health Services RI, Inc.- Comment 
• RI Kids Count- Comment 
• RIPIN- Comment 
• Tufts Health Plan- Comment 
• UnitedHealthcare Community Plan- Comment 

Program Year 2 Public Comments

• Integrated Healthcare Partners- TCOC, Attribution, Incentives
• Neighborhood Health Plan of RI- Comments
• Prospect Health Services RI, Inc.- Comments
• Tufts Health Plan- Comments
• BHDDH Attribution, Incentives
• Economic Progress Institute- Comments
• BVCHC- Comments
• UnitedHealthcare Community Plan- Comments

Total Cost of Care Guidance

_{Draft Document 8/18/2017 Comparison Document 9/29/2017}

• Blackstone Valley Community Health Care
• Coastal
• Integra
• NHPRI-Comprehensive NHPRI-Specialized LTSS
• Prospect Health Services, Inc.-Comprehensive Prospect Health Services, Inc.-Specialized LTSS
• Questicare
• Rhode Island Parent Information Network-Comprehensive RIPIN-Specialized LTSS
• UHC(1) UHC (2)

Quality Framework

_{Draft Document 8/28/2017}

Comparison document for Quality framework can be found in the Total Cost of care document.

• Blackstone Valley Community Health Care
• CHC ACO
• NHPRI-Comprehensive , NHPRI-Specialized LTSS Response
• Senior Agenda Coalition of RI

Incentive Guidance

_{Draft Document 8/18/2017 Comparison Document 9/29/2017}

• Blackstone Valley Community Health Care
• CHC ACO
• Integra
• Prospect Health Services, Inc.
• UHC

Attribution

_{Draft Document 8/14/2017 Comparison Document 9/29/2017}

• Blackstone Valley Community Health Care
• Carelink-Inclusive of TCOC and Incentive Comments
• CHC ACO
• Integra
• NHP
• UHC

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