Pillars and Planning - Potential Impacts

Summary

Summary

4 Pillars

  • Send All Services
  • Benefit system ready
    • Ensure cost share as expected
  • Test Users
    • Will slow down issue research
  • Test Scenarios
    • Will slow down issue research

 

Planning: 6 Action Items

  • Identify Team Members
    • Ensure right folks are here
  • Disclosure/Disclaimer Messaging
    • Confirm no update necessary or applied
  • Cost Data Analysis Review
    • Ensure alignment on definitions of all services
  • Block List & EQ Overrides (your choice)
    • Block List - May need to iterate and update in 2024
    • EQ overrides - Prioritize as could impact cost share results (MOP)
  • Service to Specialty Mapping Overrides (your choice)
    • May need to iterate and update in 2024