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DHS reports faster Medicaid provider enrollment, begins rate 'rebasing' studies that could raise some fees
Summary
DHS told the committee provider application turnaround for complete submissions is now under 30 days and that four of five Medicaid rate reviews were recommended for 'rebasing' — an actuarial step that could lead to higher rates and will require CMS review and potential budget decisions.
DHS officials including Jerry Kelly, Janet Mann and Deputy Director Dawn Staley briefed the committee on provider enrollment and rate reviews. They reported 805 applications were in process, about 255 site visits were completed recently, and the average processing time for a complete application has fallen to under 30 days. Staff said the department is improving portal usability, call-center consistency and provider education to reduce incomplete submissions that…
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