CFA&P Resources for Prepaid Inpatient Health Plans

PIHP REQUIREMENTS:

PIHPs will be required to:

1. Ensure that the contracted entities that develop person-centered service plans or conduct the eligibility assessment do not provide direct services without direct approval from the state.
2. Maintain and publish a complete provider directory, including independent facilitators, in hard copy and web-based formats. Information must be updated on an ongoing basis to maintain accuracy.
3. Provide full disclosure to beneficiaries and assurance that beneficiaries are supported in exercising their right to free choice of providers and are provided information about the full range of waiver services, not just the services furnished by the entity that is responsible for the service plan development.