2024

Ops Memo Number(s)TitleDate Issued
2024 CHC MCO 2024-02​Participant Renewal of Medical Assistance Financial Eligibility​April 25, 2024
CHC-MCO 2024-012024 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template RevisionsJanuary 4, 2024

2023

Ops Memo Number(s)TitleDate Issued
CHC-MCO 2023-012023 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template RevisionsJanuary 10, 2023
CHC-MCO 2023-02Opioid Centers of Excellence (COE)January 12, 2023
CHC-MC0 2023-03Consumer Assessment of Healthcare Providers and Systems Home and Community-Based Services (HCBS CAHPS®) SurveyMay 12, 2023
CHC-MCO 2023-04Issuing the Notice of Functional Ineligibility at Nursing Facility (NF) ApplicationMay 19, 2023
CHC-MC0 2023-05Level of Care Redetermination ProcessJuly 11, 2023
CHC-MC0 2023-06Home and Community-Based Settings Final Rule (REVISED January 25, 2024)October 13, 2023
CHC-MCO 2023-07Home Accessibility Durable Medical Equipment (HADME)October 13, 2023
CHC-MCO 2023-08Street MedicineNovember 15, 2023
CHC-MCO 2023-09Community HealthChoices (CHC) Home and Community-Based Services (HCBS) to Act 150 transfersNovember 15, 2023
CHC-MCO 2023-10When a New Functional Eligibility Determination (FED) is needed for a Home and Community-Based Services (HCBS) waiver applicationNovember 30, 2023
CHC-MC0 2023-11In Lieu of Services (ILOS) Development and Request ProceduresNovember 30, 2023

2022

Ops Memo Number(s)TitleDate Issued
CHC-MCO 2022-012022 CHC Agreement Complaint, Grievance, Fair Hearing, and Denial Notices Template RevisionFebruary 9, 2022
CHC-MCO 2022-03Enterprise Incident Management (EIM) Reporting System Changes due to the August 2022 EIM Quarterly ReleaseAugust 8, 2022

2021

Ops Memo Number(s)TitleDate Issued
CHC-MC0 2021-01Updates to Prior Authorization Requirements for Certain Services during the COVID-19 Public Health EmergencyJuly 15, 2021
CHC-MCO 2021-03Participant 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  2021-04Financial Management Services (FMS) Reporting RequirementsDecember 16, 2021

2020

Ops Memo Number(s)TitleDate Issued
CHC-MCO 2020-01Need for Comprehensive Needs Reassessment Following a Lapse in Medical (MA) Long-Term Care (LTC) Eligibility (REVISED May 4, 2023)January 14, 2020
CHC-MCO 2020-02Participant Transfer from CHC to Office of Developmental Programs (ODP) Waiver, ODP Base (MRX) Services of FacilityMarch 2, 2020
CHC-MCO 2020-03Compliance with Medical Assistance (MA) Long-Term Services and Supports (LTSS) Penalty Period RequirementsJuly 14, 2020
CHC-MCO 2020-04Housing Supports for CHC ParticipantsAugust 5, 2020
CHC-MCO 2020-06Type, Scope, Amount, Duration, and Frequency of ServicesNovember 13, 2020
CHC-MCO 2020-07Electronic Visit Verification (EVV) Compliance Procedures for the Participant-Directed ModelDecember 7, 2020

2019

Ops Memo Number(s)TitleDate Issued
CHC-MCO  2019-02Process 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 2019-03Provider Fee AssignmentSeptember 9, 2019
CHC-MCO 2019-04Nursing 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 2019-05Circumstances When CHC-Managed Care Organizations (MCO) Must Transmit the Home and Community-Based Services (HCBS) 

Eligibility/Ineligibility/Change Form(PA 1768) (REVISED December 29, 2023)

November 20, 2019
CHC-MCO 2019-06Continuity of Services for Participants Transitioning to the CHC Waiver from other Home and Community-Based Services (HCBS) ProgramsDecember 11, 2019
CHC-MCO 2019-072020 CHC Agreement Participant Template Revisions  (REVISED September 15, 2023)December 16, 2019

2018

Ops Memo Number(s)TitleDate Issued
CHC-MCO 2018-01Nursing Facility Services - Hospital Reserved Bed DaysApril 6, 2018
CHC-MCO 2018-02The Provision of Services in Personal Care Homes (PCH), Assisted Living Residences (ALR) and Domiciliary Care (Dom Care) Homes April 6, 2018
CHC-MCO 2018-03Nursing Facility (NF) Claims - Other Medical Expenses (OME)May 14, 2018
CHC-MCO 2018-04Exceptional Medical Equipment for Nursing Facility (NF) ResidentsMay 14, 2018
CHC-MCO 2018-05When 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

Obsolete Memos

Ops Memo Number(s)TitleIssue Date
CHC-MCO 2020-052020 HCBS CAHPS Survey  (OBSOLETE September 14, 2021)September 8, 2020
CHC-MCO 2019-012019 HCBS CAHPS Survey (OBSOLETE September 8, 2020)November 13, 2019
CHC-MCO 2021-022021 HCBS CAHPS Survey (OBSOLETE May 4, 2022)September 14, 2021
CHC-MCO 2022-02Consumer Assessment of Healthcare Providers and Systems Home and Community-Based Services (HCBS CAHPS®) Survey (OBSOLETE May 12, 2023)May 4, 2022