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2026
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO-2026-01 | 2026 CHC Agreement Complaint, Grievance, Fair Hearings, and Denial Notices Template Revisions | January 5, 2026 |
| CHC-MCO-2026-02 | Limited English Proficiency (LEP) and Nondiscrimination | February 3, 2026 |
| CHC-MCO-2026-03 | Coverage of Services Rendered via Asynchronous Telemedicine | February 9, 2026 |
| CHC-MCO-2026-04 | Circumstances When CHC-Managed Care Organizations (MCOs) Must Transmit the Home and Community-Based Services (HCBS)Eligibility/Ineligibility/Change Form (PA 1768) | March 20, 2026 |
| CHC-MCO-2026-05 | Consumer Assessment of Healthcare Providers and Systems Home and Community-Based Services (CHC HCBS CAHPS) Survey | May 4, 2026 |
2025
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO-2025-01 | 2025 CHC Agreement Complaint, Grievance, Fair Hearings, and Denial Notices Template | January 3, 2025 |
| CHC-MCO 2025-02 | Use of Fidelity Guidelines to Oversee Opioid Use Disorder Centers of Excellence (OUD-COE) Operations | January 9, 2025 |
| CHC-MCO 2025-03 | 2025 Pay for Performance Program (P4P) (REVISED July 29, 2025) | January 24, 2025 |
| CHC-MCO 2025-04 | Denial Notices - Previously Authorized Services (REVISED March 28, 2025) | February 12, 2025 |
| CHC-MCO 2025-07 | Denial Notices and Complaint and Grievance Reviews | May 22, 2025 |
| CHC-MCO 2025-08 | Participant Access to Documents Relevant to a Complaint or Grievance Review (REVISED March 3, 2026) | September 29, 2025 |
| CHC-MCO 2025-09 | Prior Authorization Metrics and Patient Access Application Programming Interfaces (APIs) Compliance Monitoring and Reporting | December 29, 2025 |
2024
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO 2024-01 | 2024 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template Revisions | January 4, 2024 |
| 2024 CHC MCO 2024-02 | Participant Renewal of Medical Assistance Financial Eligibility | April 25, 2024 |
| CHC-MCO 2024-04 | 2024 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template Revisions (REVISED August 2, 2024) | June 4, 2024 |
| CHC-MCO-2024-05 | 2024 Pay for Performance Program (P4P) | Nov. 14, 2024 |
2023
2022
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO 2022-01 | 2022 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template Revision | February 9, 2022 |
| CHC-MCO 2022-03 | Enterprise Incident Management (EIM) Reporting System Changes due to the August 2022 EIM Quarterly Release | August 8, 2022 |
2021
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MC0 2021-01 | Updates to Prior Authorization Requirements for Certain Services during the COVID-19 Public Health Emergency | July 15, 2021 |
| CHC-MCO 2021-03 | Participant Transitions between Living Independence for the Elderly (LIFE) and Community HealthChoices (CHC) Long-Term Services and Supports (LTSS) (REVISED January 21, 2022) | November 15, 2021 |
| CHC-MCO 2021-04 | Financial Management Services (FMS) Reporting Requirements | December 16, 2021 |
2020
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO 2020-01 | Need for Comprehensive Needs Reassessment Following a Lapse in Medical (MA) Long-Term Care (LTC) Eligibility (REVISED May 4, 2023) | January 14, 2020 |
| CHC-MCO 2020-02 | Participant Transfer from CHC to Office of Developmental Programs (ODP) Waiver, ODP Base (MRX) Services of Facility ( REVISED November 14, 2024) | March 2, 2020 |
| CHC-MCO 2020-03 | Compliance with Medical Assistance (MA) Long-Term Services and Supports (LTSS) Penalty Period Requirements | July 14, 2020 |
| CHC-MCO 2020-04 | Housing Supports for CHC Participants | August 5, 2020 |
| CHC-MCO 2020-06 | Type, Scope, Amount, Duration, and Frequency of Services | November 13, 2020 |
| CHC-MCO 2020-07 | Electronic Visit Verification (EVV) Compliance Procedures for the Participant-Directed Model | December 7, 2020 |
2019
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO 2019-02 | Process for Notification to the Independent Enrollment Broker (IEB) of a Nursing Facility Ineligible (NFI) Dual Eligible Participant Who May Be Nursing Facility Clinically Eligible (NFCE) and Need Home and Community-Based Services (HCBS) | July 29, 2019 |
| CHC-MCO 2019-03 | Provider Fee Assignment | September 9, 2019 |
| CHC-MCO 2019-04 | Nursing Home Transition (NHT) and new Nursing Facility (NF) to Home and Community-Based Services (HCBS) transition procedures (REVISED December 29, 2023) | October 29, 2019 |
| CHC-MCO 2019-06 | Continuity of Services for Participants Transitioning to the CHC Waiver from other Home and Community-Based Services (HCBS) Programs | December 11, 2019 |
| CHC-MCO 2019-07 | 2020 CHC Agreement Participant Template Revisions (REVISED September 15, 2023) | December 16, 2019 |
2018
| Ops Memo Number(s) | Title | Date Issued |
|---|---|---|
| CHC-MCO 2018-01 | Nursing Facility Services - Hospital Reserved Bed Days | April 6, 2018 |
| CHC-MCO 2018-02 | The Provision of Services in Personal Care Homes (PCH), Assisted Living Residences (ALR) and Domiciliary Care (Dom Care) Homes | April 6, 2018 |
| CHC-MCO 2018-03 | Nursing Facility (NF) Claims - Other Medical Expenses (OME) | May 14, 2018 |
| CHC-MCO 2018-04 | Exceptional Medical Equipment for Nursing Facility (NF) Residents | May 14, 2018 |
| CHC-MCO 2018-05 | When Nursing Facilities (NF) Should Bill a CHC-Mangaed Care Organization (MCO), a Healthc\Choices (HC)-MCO, the Fee-for Service (FFS) Program, or a Hospice Provider | June 25, 2018 |