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OCA outlines spending-target enforcement path: technical assistance, optional public testimony and PIPs; waivers deferred
Summary
OCA described its progressive enforcement workflow for cost-growth targets: notice and 45-day response window, mandatory technical-assistance letters, optional directed public testimony, and, when warranted, required performance improvement plans (PIPs) with board input; OCA will not implement a separate waiver program now, instead using enforcement considerations case-by-case.
OCA staff presented a step-by-step enforcement framework for the state's health care cost-growth targets. The process begins with data submission and OCA analysis; if an entity exceeds its applicable target, the office notifies the entity and provides 45 days to submit additional information. OCA will then assess performance and provide mandatory technical assistance letters that outline research, models and tailored descriptive statistics showing drivers of excess spending.
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