Commonwealth Coordinated Care - Virginia's Dual Demonstration

Earlier this week we sent out an email to nursing facility administrators and corporate offices announcing the availability of a side-by-side comparison of key provisions and observations related to each of the managed care contract templates approved by the Department of Medical Assistance Services for the three MCOs that have been selected to participate in the Commonwealth Coordinated Care program (CCC).

Members are encouraged to review the document. We hope that it serves as an educational resource in connection with your evaluation and decision to contract with an MCO for purposes of participation in the CCC program.

VHCA also continues to encourage our members to consider delaying the execution of contracts with MCOs for now in light of the fact that the "three-way contract", the core agreement between the Centers for Medicare and Medicaid Services (CMS), DMAS and each of the MCOs, has not been finalized and Medicare and Medicaid blended payments to MCOs have not been formally established.  A key element that we understand will be addressed in the three-way contracts is the provision for prompt payment as it relates to MCO payments to providers.  While there are no guarantees, we anticipate that the three-way contracts may be finalized over the next two to three weeks.