Following up on the Commission’s discussion at the December 2021 public meeting, this presentation reviewed a package of five proposed recommendations related to:
- improving the transparency of existing directed payment approval documents, rate certifications, and evaluations;
- collecting new provider-level data on directed payment spending;
- further clarifying directed payment goals and their relationship to network adequacy requirements;
- providing guidance for more meaningful, multi-year assessments of directed payments; and
- improving the coordination of reviews of directed payments and managed care rate setting.
The Commission is expected to vote on these recommendations at its April 2022 meeting.