LTSS8
CMS-Required Outcome
CMS-required outcome
LTSS system collects and saves prior authorizations to exchange with MMIS as needed to prevent the provision of unnecessary or inappropriate services and supports.
Default metrics
- Pass/Fail for the following:
- Verify the capability to save and track prior authorization information on LTSS beneficiaries.
- Verify capability to send/exchange prior authorization data to required interfaces.
Regulatory sources