equal-access-payment-practices

Reason(s) for non-compliance: • The Lead Agency does not pay all provider types prospectively or alternatively does not demonstrate that it is not a generally-accepted practice for all provider types, as required by 98.45(m)(1). (Plan Question 4.4.1a). Please note the Lead Agency has an approved waiver for this requirement through August 1, 2026. • The Lead Agency does not pay based on enrollment or alternatively does not provide justification that this is impracticable or is not a generally-accepted practice, as required by 98.45(m)(2). (Plan Question 4.4.1b). Please note the Lead Agency has an approved waiver for this requirement through August 1, 2026. Overall Target Completion Date: 07/17/2026 Action Step Number Action Step Description Target Completion Date 1 The Lead Agency does not pay all provider types prospectively or alternatively does not demonstrate that it is not a generally-accepted practice for all provider types, as required by 98.45(m)(1). (Plan Question 4.4.1a). Please note the Lead Agency has an approved waiver for this requirement through August 1, 2026. 07/17/2026 2 Collaborate with information management systems to discuss options. 12/31/2024 3 Develop new procedures to pay all provider types prospectively 12/31/2024 4 Communicate the changes and procedures to impacted entities. 07/01/2025 5 Implement the new procedures. 07/17/2026 6 The Lead Agency does not pay based on enrollment or alternatively does not provide justification that this is impracticable or is not a 07/17/2026 generally-accepted practice, as required by 98.45(m)(2). (Plan Question 4.4.1b). Please note the Lead Agency has an approved waiver for this requirement through August 1, 2026. 7 Collaborate with information management systems to discuss options. 12/31/2024 8 Draft new procedures to pay based on enrollment. 12/31/2024 9 Communicate the changes and procedures to impacted entities. 07/01/2025 10 Implement the new procedures. 07/17/2026