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This call is at 2:30 PM ET, 1:30 PM CT, 12:30 PM MT, 11:30 AM PT

Join using: https://leavittpartners.zoom.us/j/461256971Meeting ID: 461 256 971

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Meeting ID: 461 256 971


  Agenda Outline

Agenda Item

  • Encounter Data
  • Example Binding Strength
  • Block Vote 2






                                                                                                                                                                                                                                                    


Recap

Encounter Data

  • CMS explained that:
    • Encounter data means the information or data relating to the receipt of any item(s) or service(s) by an enrollee under a contract between a State and a managed care plan.   Encounter data are conceptually equivalent to the paid claims records that state Medicaid agencies create when they pay providers on a FFS basis. So, in this context, encounter data and claims data really are essentially the same kinds of information just different terminology for different programs.


CARIN BB IG Medicaid guidance

  • Reaching out to the State Medicaid vendors to talk about Medicaid specific items that could be developed related to Medicaid and develop some guidance to include in the CARIN BB IG.


Example Binding Strength


Block-Vote-2

  • These items have been discussed at length during our Monday Ballot Reconciliation calls and will be submitted today, to be added to the Monday 6/30 FM WG agenda.
  • A Block-Vote-3 will be discussed next Monday for addition to the FM WG agenda on 7/7.






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