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Optima Community Health Plan


Case ID Date Points Issue Type Description
20207 2/14/2022 10 Care Coordination Inappropriate CCC Plus Waiver enrollment.
20074 11/17/2021 5 Other MCO granted approval for their Fiscal/Employer Agent (F/EA) to change Department of Social Services (DSS) Criminal Background Process without prior approval by Department of Medical Assistance Services (DMAS).
20072 11/17/2021 10 Other Migration of online web portal and website platform without approval by DMAS.
20071 11/17/2021 10 Financial Error in FICA tax processes by MCO's Fiscal/Employer Agent (F/EA) vendor.
19987 9/16/2021 5 Other Inaccurate Level of Care (LOC) portal entry and inappropriate CCC Plus Waiver enrollment.
19687 4/30/2021 10 Care Coordination Inappropriate CCC Plus Waiver enrollment.

 

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