Acute Care Contractors

2021 June Encounter Final Letter

2020 September Final Sanction Letter

2020 June Final Sanction Letter

2020 March Final Encounter Sanction Letter

2019 December Preliminary Sanction Letter

• 08/21/2012 Performance Measures

• 07/26/2011 Performance Measures

• 2021 June Encounter Final Letter
• 03/30/2021 CYE18 Data Validation Final Findings – Sanctions”
• 06/03/2020 CYE17 Data Validation Final Findings – Sanctions
• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions”
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 2020 September Final Sanction Letter
• 2020 June Final Sanction Letter
• 2020 March Final Encounter Sanction Letter
• 2019 December Preliminary Sanction Letter
• 2018 September Final Care 1st Sanction
• 2018 June Final Sanction Letter
• 2018 March Final Encounter Sanctions
• 2017 December Final Encounter Sanctions
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 2017 March Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Encounter Sanctions
• 05/22/2015 Encounter Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 02/25/2015 Encounter Sanctions
• 12/11/2014 Encounter Sanctions | Rich Text Version
• 10/15/2014 Performance Measures Sanctions | Rich Text Version
• 09/05/2014 Encounter Sanctions
• 08/14/2014 Encounter Sanctions
• 01/22/2014 Encounter Sanctions
• 11/23/2011 Encounter Sanctions
• 08/16/2011 Encounter Sanction
• 03/10/2011 Encounter Sanction

• 05/30/2018 Release from CAP for Low Volume of Adjudicated Encounters
• 12/05/2017 Low Volume to Adjudicated Encounters

• 02/03/2016 Provider Concerns
• 10/17/2016 Release from Provider Concerns Notice to Cure

• 2021 June Encounter Final Letter
• 03/30/2021 CYE18 Data Validation Final Findings – Sanctions
• 06/03/2020 CYE17 Data Validation Final Findings – Sanctions
• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions”
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 2020 September Final Sanction Letter
• 2020 June Final Sanction Letter
• 2020 March Final Encounter Sanction Letter
• 2018 September Final Health Choice Sanction
• 2018 June Final Sanction Letter
• 2018 October Compliance Action - Notice of Sanction
• 2018 March Final Encounter Sanctions
• 2018 September Compliance Action - Notice of Sanction
• 2018 May Compliance Action - Notice of Sanction
• 2017 December Final Sanction
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 2017 March Final Encounter Sanctions
• 01/29/2018 Performance Measure – CAHPS Survey Results
• 01/29/2018 Deliverable Accuracy
• 2017 March Final Encounter Sanctions
• 2016 December Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Encounter Sanctions
• 05/22/2015 Encounter Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 2/25/15 Encounter Sanctions
• 12/11/2014 Encounter Sanctions | Rich Text Version
• 10/15/2014 Performance Measures Sanctions | Rich Text Version
• 09/05/2014 Encounter Sanctions
• 08/14/2014 Encounter Sanctions
• 01/22/2014 Encounter Sanctions
• 08/21/2012 Performance Measures
• 11/23/2011 Encounter Sanctions
• 08/16/2011 Encounter Sanction
• 03/10/2011 Encounter Sanction
• 07/26/2011 Performance Measures

• 08/14/2014 Release from CAP for Low Volume of Adjudicated Encounters
• 03/06/2013 Low Volume to Adjudicated Encounters

• 04/25/2018 Release from Claims Processing
• 12/09/2016 Claims Processing
• 07/26/2011 Performance Measures

• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 2018 December Compliance Action – Notice of Sanction
• 2018 March Final Encounter Sanctions
• 2017 December Final Encounter Sanctions
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 2017 March Final Encounter Sanctions
• 2016 December Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 September 2015 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Encounter Sanctions
• 05/22/2015 Encounter Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 02/25/2015 Encounter Sanctions
• 12/11/14 Encounter Sanctions | Rich Text Version
• 10/15/2014 Performance Measures Sanctions | Rich Text Version
• 09/05/2014 Encounter Sanctions
• 08/14/2014 Encounter Sanctions
• 01/22/2014 Encounter Sanctions
• 08/21/2012 Performance Measures
• 11/23/2011 Encounter Sanctions

• 10/16/2014 CAP for Quarterly Financial Reporting Inaccuracies
• 08/21/2012 Performance Measures

• 06/03/2015 Release from NTC NEMT Services/Appointment Standards and Timeliness of Service
• 02/13/2015 NEMT Services/Appointment Standards/Timeliness of Service
• 07/26/2011 Performance Measures

• 2021 June Encounter Final Letter
• 03/30/2021 CYE18 Data Validation Final Findings – Sanctions
• 06/03/2020 CYE17 Data Validation Final Findings – Sanctions
• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions”
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 2020 September Final Sanction Letter
• 2020 June Final Sanction Letter
• 2020 March Final Encounter Sanction Letter
• 2019 December Preliminary Sanction Letter
• 2018 September Final Mercy Care Sanction
• 2018 June Final Sanction Letter
• 2018 December Compliance Action – Notice of Sanction
• 11/08/2018 Notice of Compliance Action - Sanction for Incorrect Encounter Submissions
• 2018 March Final Encounter Sanctions
• 2017 December Final Encounter Sanctions
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 2017 March Final Encounter Sanctions
• 2016 December Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 September 2015 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Encounter Sanctions
• 05/22/2015 Encounter Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 04/28/2015 Notice of Compliance Action – Sanction for NEMT, Appointment Standards and Timeliness of Service
• 02/25/2015 Encounter Sanctions
• 12/11/2014 Encounter Sanctions | Rich Text Version
• 09/5/2014 Encounter Sanctions
• 08/14/2014 Encounter Sanctions
• 01/22/2014 Encounter Sanctions
• 11/23/2011 Encounter Sanctions
• 08/16/2011 Encounter Sanction
• 03/10/2011 Encounter Sanction

• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions”
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 2018 June Final Sanction Letter
• 2018 March Final Encounter Sanctions
• 2017 December Final Encounter Sanctions
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 2017 March Final Encounter Sanctions
• 2016 December Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 September 2015 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Encounter Sanctions
• 05/22/2015 Encounter Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 02/25/2015 Encounter Sanctions
• 12/11/2014 Encounter Sanctions
• 09/05/2014 Encounter Sanctions
• 06/20/2014 Encounter Sanctions
• 12/20/2013 Encounter Sanctions
• 08/21/2012 Performance Measures
• 11/23/2011 Encounter Sanctions
• 07/26/2011 Performance Measures

• 03/06/2015 Encounters
• 09/08/2015 Release from Notice to Cure
• 09/03/2014 Provider Concerns
• 11/23/2015 Release from Notice to Cure

• 2021 June Encounter Final Letter
• 03/30/2021 CYE18 Data Validation Final Findings – Sanctions
• 06/03/2020 CYE17 Data Validation Final Findings – Sanctions
• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 2020 September Final Sanction Letter
• 2020 June Final Sanction Letter
• 2020 March Final Encounter Sanction Letter
• 2019 December Preliminary Sanction Letter
• 2018 September Final UHC Acute Sanction
• 2018 June Final Sanction Letter
• 2018 December Compliance Action – Notice of Sanction
• 2018 March Final Encounter Sanctions
• 2017 December Final Encounter Sanctions
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 2017 March Final Encounter Sanctions
• 2016 December Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 September 2015 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Encounter Sanctions
• 05/22/2015 Encounter Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 02/25/2015 Encounter Sanctions
• 12/11/2014 Encounter Sanctions | Rich Text Version
• 10/15/2014 Performance Measures Sanctions | Rich Text Version
• 09/05/2014 Encounter Sanctions
• 08/14/2014 Encounter Sanctions
• 07/25/2014 Failure to Identify and Report a Material Change
• 01/22/2014 Encounter Sanctions
• 08/21/2012 Performance Measures
• 11/23/2011 Encounter Sanctions
• 08/16/2011 Encounter Sanction
• 07/26/2011 Performance Measures
• 03/10/2011 Encounter Sanction

• 07/25/2018 Release from CAP for Low Volume of Adjudicated Encounters
• 08/14/2014 Release from CAP for Low Volume of Adjudicated Encounters
• 03/06/2013 Low Volume to Adjudicated Encounters

• 06/30/2017 Release from Claims Processing
• 12/09/2016 Claims Processing

• 03/30/2021 CYE18 Data Validation Final Findings – Sanctions
• 06/03/2020 CYE17 Data Validation Final Findings – Sanctions
• 03/01/2018 CYE15 Data Validation Final Findings – Sanctions
• 11/23/2016 CYE13/14 Data Validation Final Findings – Sanctions
• 07/26/2019 Amendment to 2018 December Compliance Action - Notice of Sanction
• 2018 September Final University Family Care Sanction
• 2018 June Final Sanction Letter
• 2018 December Compliance Action – Notice of Sanction
• 2018 March Final Encounter Sanctions
• 2017 December Final Encounter Sanctions
• 2017 September Final Encounter Sanctions
• 2017 June Final Encounter Sanctions
• 02/20/2018 Equity Per Member Sanctions
• 2017 March Final Encounter Sanctions
• 2016 December Final Encounter Sanctions
• 04/06/2017 Encounter Sanctions
• Final Results of Sanctionable Pended Encounters December 2015
• 02/11/2016 September 2015 Encounter Sanctions
• 02/03/2016 June 2015 Pended Aged Encounter Sanctions
• 08/07/2015 Sanctions
• 04/24/2015 CYE12 Data Validation Sanctions
• 02/25/2015 Encounter Sanctions
• 12/11/2014 Encounter Sanctions | Rich Text Version
• 10/15/2014 Performance Measures Sanctions | Rich Text Version
• 09/05/2014 Encounter Sanctions
• 08/14/2014 Encounter Sanctions
• 01/22/2014 Encounter Sanctions
• 10/10/2013 Regulatory Sanction - Failure to Comply - DSNP Contract Provision
• Reinstatement of DSNP
• 08/21/2012 Performance Measures
• 11/23/2011 Encounter Sanctions
• 08/16/2011 Encounter Sanction
• 03/10/2011 Encounter Sanction
• 07/26/2011 Performance Measures