This module will describe how to update the MC Contract Carved Out Reference Groups by using a simulation.
Adding Carved Out Reference Groups
This module will first explain what is meant by a carved out reference group, and then describe how to add the details of carved out reference groups by using a simulation. The module will also include a simulation on how to submit an MC Program.
Reference Information Overview
In this module you will learn how the reference information is used by other subsystems to enforce State policy. You will also understand the source, mode of update, and update frequency for reference information. This module also explains the associations between the code sets and other attributes required for managing the reference information.
Assessment: Reference Information Overview
Assessment
Committee Review
In this module you will learn how to complete the:
Case information form
Committee meeting
Assistant bureau director review
bureau director review
assistant division director review
special pricing
reference file update