Optima Community Health Plan
Case ID | Date | Points | Issue Type | Description |
20207 | 2/14/2022 | 10 | Care Coordination | Inappropriate CCC Plus Waiver enrollment. |
20074 | 11/17/2021 | 5 | Other | MCO granted approval for their Fiscal/Employer Agent (F/EA) to change Department of Social Services (DSS) Criminal Background Process without prior approval by Department of Medical Assistance Services (DMAS). |
20072 | 11/17/2021 | 10 | Other | Migration of online web portal and website platform without approval by DMAS. |
20071 | 11/17/2021 | 10 | Financial | Error in FICA tax processes by MCO's Fiscal/Employer Agent (F/EA) vendor. |
19987 | 9/16/2021 | 5 | Other | Inaccurate Level of Care (LOC) portal entry and inappropriate CCC Plus Waiver enrollment. |
19687 | 4/30/2021 | 10 | Care Coordination | Inappropriate CCC Plus Waiver enrollment. |