CMS maintains an extensive list of Conditions of Participation (CoP). What are these?
Explain the role of waivers with CMS. How do these contribute to the development of State Medicaid Plans
(SPA’s)?
Who certifies providers’ compliance with CoPs? Explain “Deemed Status.” Is The Joint Commission a
regulatory agency?Medicaid and Medicare 50 years: https://www.youtube.com/watch?v=JK4nBk2-_Wo
Accountable Care Organizations (ACOs): General Information https://innovation.cms.gov/initiatives/ACO
Medicare and You Video: https://youtu.be/tG6uuaAWiao?list=PLaV7m2-zFKpjt7jXQYFjiy6fZ9qstPlxJ.
(Watch first video. You may wish to review any or all of the 40 videos at this link.)
Review:
Medicaid State Plan Amendments: https://www.medicaid.gov/state-resource-center/medicaid-state-
planamendments/medicaid-state-plan-amendments.html
State Medicaid Plans and Waivers: https://www.cms.gov/Outreach-and-Education/American-Indian-
AlaskaNative/AIAN/LTSS-TA-Center/info/state-medicaid-policies.html
Health Care Compliance Association: https://www.hcca-info.org/
National Council on Disability: Chapter 1. An Overview of Medicaid Managed Care | NCD.g
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