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This notice confirms Miracle Works's eligibility for provisioning supports coordination services through various waivers from January 1, 2026, to June 30, 2027, following a satisfactory performance evaluation by the Office of Developmental Programs.
Effective Date
Jan 1, 2026
Expires
Effective: Jan 1, 2026
This notice confirms Miracle Works's eligibility for provisioning supports coordination services through various waivers from January 1, 2026, to June 30, 2027, following a satisfactory performance evaluation by the Office of Developmental Programs.
ActiveThis document is a final determination letter from the Department of Human Services, Office of Developmental Programs (ODP) to Quality Progressions regarding their Performance-Based Contracting (PBC) evaluation. ODP reviewed Quality Progressions' submission for the PBC Resolution Process and determined that measure SC-QI.02.1 was met, but SC-WF.03.2 was not. Despite unmet measures, Quality Progressions remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, through June 30, 2027. ODP recommends implementing Quality Management Plans for unmet standards and notes that measure QDI.01.6 will not be part of the PBC evaluation for this cycle.
Effective Date
Jan 1, 2026
Expires
Effective: Jan 1, 2026
This document is a final determination letter from the Department of Human Services, Office of Developmental Programs (ODP) to Quality Progressions regarding their Performance-Based Contracting (PBC) evaluation. ODP reviewed Quality Progressions' submission for the PBC Resolution Process and determined that measure SC-QI.02.1 was met, but SC-WF.03.2 was not. Despite unmet measures, Quality Progressions remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, through June 30, 2027. ODP recommends implementing Quality Management Plans for unmet standards and notes that measure QDI.01.6 will not be part of the PBC evaluation for this cycle.
ActiveThis contract outlines the agreement between the Pennsylvania Department of Human Services and a Dual-Eligible Special Needs Plan (D-SNP) to coordinate Medicare and Medicaid benefits for dually eligible individuals in Pennsylvania. It details the D-SNP's responsibilities, including financial obligations for Medicaid benefits, beneficiary categories, cost-sharing protections, information sharing, eligibility verification, reporting requirements, and integration mandates, especially for companion D-SNPs aligned with Community Health Choices Managed Care Organizations. The contract is effective from January 1, 2026, through December 31, 2026, with provisions for automatic renewal and termination.
Effective Date
Jan 1, 2026
Expires
Effective: Jan 1, 2026
This contract outlines the agreement between the Pennsylvania Department of Human Services and a Dual-Eligible Special Needs Plan (D-SNP) to coordinate Medicare and Medicaid benefits for dually eligible individuals in Pennsylvania. It details the D-SNP's responsibilities, including financial obligations for Medicaid benefits, beneficiary categories, cost-sharing protections, information sharing, eligibility verification, reporting requirements, and integration mandates, especially for companion D-SNPs aligned with Community Health Choices Managed Care Organizations. The contract is effective from January 1, 2026, through December 31, 2026, with provisions for automatic renewal and termination.
ActiveThis document from the Commonwealth of Pennsylvania Department of Human Services notifies CMU of the final determination for their Performance-Based Contracting (PBC) evaluation. Despite some unmet performance measures (SC-PCP.01.2), CMU remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, to June 30, 2027, under various waivers. CMU is required to develop Quality Management Plans to address the unmet standards. Additionally, the QDI.01.6 measure will not be part of the PBC evaluation for this contract period, although process improvement is recommended.
Effective Date
Jan 1, 2026
Expires
Effective: Jan 1, 2026
This document from the Commonwealth of Pennsylvania Department of Human Services notifies CMU of the final determination for their Performance-Based Contracting (PBC) evaluation. Despite some unmet performance measures (SC-PCP.01.2), CMU remains eligible to provide supports coordination services for the contract cycle from January 1, 2026, to June 30, 2027, under various waivers. CMU is required to develop Quality Management Plans to address the unmet standards. Additionally, the QDI.01.6 measure will not be part of the PBC evaluation for this contract period, although process improvement is recommended.
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