NC IAE update

DMA announced in the February 2010 Medicaid Bulletin that the IAE (CCME) has finished the reviews of the PACT forms submitted by the January 8, 2010 deadline, and that the mailing of prior authorization and hours determination letters is being “voluntarily delayed” pending the outcome of the AHHC lawsuit.

Furthermore, DMA plans to begin performing the IAE reassessments in March 2010: “Implementation of independent assessment of all individuals applying for PCS and PCS-Plus and all reassessments and change of status reviews is scheduled for March 2010.”