Statutes, codes, and regulations
Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-64 - INTEGRATED CARE NETWORKS
Section 560-X-64-.19 - Readiness Assessment Requirements

Ala. Admin. Code r. 560-X-64-.19

Download
PDF
Current through Register Vol. 43, No. 1, October 31, 2024
Section 560-X-64-.19 - Readiness Assessment Requirements
(1) The Integrated Care Network (ICN) shall be subject to a readiness assessment period before it may begin providing services to enrollees.
(2) The ICN must demonstrate readiness, to the Medicaid Agency's satisfaction, as specified in the risk contract.
(3) The Medicaid Agency will provide a readiness assessment tool detailing the requirements necessary to demonstrate an ICN's readiness. The Medicaid Agency will conduct a readiness review which will include desk and onsite reviews of information submitted by the ICN.
(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 ICN shall produce or provide timely, convenient, and free access at reasonable business hours at the office(s) of the ICN 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 ICN.
(6) The ICN shall make private office space available to the Medicaid Agency and/or its designee for the duration of any onsite review without cost to the Medicaid Agency and/or its designee.
(7) Only after an ICN has demonstrated, in the Medicaid Agency's sole discretion, readiness may it begin providing services pursuant to its contract with the State to enrollees.

Ala. Admin. Code r. 560-X-64-.19

Amended by Alabama Administrative Monthly Volume XXXVI, Issue No. 01, October 31, 2017, eff. 11/28/2017.
Amended by Alabama Administrative Monthly Volume XXXVI, Issue No. 10, July 31, 2018, eff. 8/26/2018.

Author: Stephanie Lindsay, Administrator, Administrative Procedures Office

Statutory Authority:Code of Ala. 1975, §§ 22-6-220 et seq.