Common use of MSSP PROGRAM OPERATIONS Clause in Contracts

MSSP PROGRAM OPERATIONS. (Continued) 6. Submit to CDA, by the 5th working day of the month (unless otherwise specified by CDA), the Wait List of Participants as of the last day of the previous month. “Wait List” means a list of potential MSSP Participants, established, and maintained by the Contractor, when the Contractor has reached its capacity. To ensure compliance with MSSP Waiver requirements and Centers for Medicare and Medicaid Services (CMS) direction, MSSP sites must develop and implement a wait list policy and procedure. The policy and procedure must include provisions for: prescreening individuals to determine eligibility; managing applicants’ placement on and removal from the wait list; periodically reviewing the eligibility and identified needs of applicants on the wait list; and assigning priority for enrollment based on identified needs and level of risk. The Contractor determines the priority of enrollment into the MSSP in accordance with CDA and CMS requirements.