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Contract Year (CY) 2017 Draft Program Audit Protocols for Medicare-Medicaid Plans (MMPs)

Guidance for providing MMPs an opportunity to comment on the attached 2017 Draft Audit Protocols for MMPs. Specifically for: Medicare-Medicaid Plan Care Coordination & Quality Improvement Program Effectiveness Program Area and Medicare-Medicaid Plan Service Authorization Requests, Appeals and Grievances Program Area.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 23, 2017

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.