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AETNA Better Health of Virginia (Aetna)

Case ID Date Points Issue Type Description
20467 8/4/2022 0 Care Coordination No Valid Screening Prior to NF admission. (APPEALED - CAP Rescinded)
20348 5/20/2022 1 Other Use of inaccurate Level of Care (LOC) benefit information resulting in capitation overpayments.
20078 9/21/2021 10 Financial Error in FICA tax processes by MCO's Fiscal/Employer Agent (F/EA) vendor.
20077 9/21/2021 10 Other Migration of online web portal and website platform without approval by Department of Medical Assistance Services (DMAS).
20076 9/21/2021 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).
19947 8/31/2021 5 Reporting Aetna submitted four (4) SA Medical files to CRMS Production without approval from DMAS. This incident will again lead to inaccurate data in the production environment and delays to critical projects for DMAS while the error is addressed.
19927 7/16/2021 5 Other System issues impacting CRMS SA data submission.
19588 2/23/2021 1 Care Coordination Inaccurate Level of Care (LOC) assessment.


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