Transcript
Collette Waddell (00:00) bye. Oh, I can’t hear you. Hold on.
Dreama Hembree (00:06) Sorry, I was on mute. I don’t know why it mutes you whenever you first joined.
Collette Waddell (00:11) Well, it’s a setting on my end because people would always join and they’re not muted.
Dreama Hembree (00:17) Oh, yeah. You’re still showing as the host. So I don’t it said I needed the key and that’s when I sent you that little note last night, but, sorry?
Collette Waddell (00:28) I, yeah, and I didn’t send, I didn’t respond until just.
Dreama Hembree (00:31) Oh, no. It was the middle of the night. You were fine. I was working late, so I was trying to do some of this stuff, so.
Collette Waddell (00:36) Let me, I’m gonna go ahead and let them in but I’m gonna try to like quickly do a few updates like while we’re like saying our hellos?
Dreama Hembree (00:45) Yeah, yeah. Yeah.
Dreama Hembree (01:04) Good morning. Morning. Good morning. How’s everyone? Well, we’re good. Did you say? Cold? Oh my gosh. I’m jealous. It is not cold here. We have been running the AC for a good, solid month already.
Lynn Kiter (01:22) Oh, I’d rather, I think I’d rather have that than the cold.
Dreama Hembree (01:27) How cold is it there? Yeah.
Collette Waddell (01:29) How cold is it?
Lynn Kiter (01:31) It really isn’t probably that bad. What is it? Amy?
Dreama Hembree (01:35) Mine says not.
Lynn Kiter (01:37) Like wintertime 20.
Dreama Hembree (01:38) Nine, no, 20 nine’s cold. Yeah, 20 nine’s cold, but I mean, that’s just because like Monday, it was like 75, and then it just went back down. Oh, we’re doing like the fake winter spring thing. Yeah. Okay. Yeah. Oh, well, sorry, I’m sure. By this point, you guys are ready, for some summer weather?
Lynn Kiter (02:03) We are had a cold winter.
Dreama Hembree (02:07) What part of Michigan are you in?
Lynn Kiter (02:11) I’m in, we’re all geographically located all throughout Michigan, but I think we’re all kind of in mid Michigan area. Okay? All of our company though is remote. So, the requirement is to be in Michigan, but we’re all throughout Michigan. Well.
Dreama Hembree (02:33) At least you can freeze in your own home, right? You don’t have to go out to a workplace to.
Lynn Kiter (02:37) Freeze. Yeah, true.
Dreama Hembree (02:40) We are all remote too. So that’s nice. Okay. I think we are ready to get started. Let me go ahead and share my screen. Okay? I did get your email, Lynn, and we kind of adjusted the agenda accordingly, so we’ll go over some of those things. Let me know when you can see that.
Lynn Kiter (03:04) There it goes. Okay. All right.
Dreama Hembree (03:08) So we’ll start out with the PE things. I’m going to address those. So I did a deep dive on the traverse humana group issue. So I saw those letters that you uploaded. I also saw that we have requested that location be reinstated and to add behavioral health several different times. And they’ve come back and asked us for additional information, given us some additional forms here and there. So where I landed at is because I think halfway through us and I don’t know the dates right off the top of my head, but I think sometime in February when we were checking status or maybe early March, you uploaded that denial letter from humana. And I think that threw the rep off thinking, that it had been denied when previously we had already addressed their additional request for information. So what I landed on last night is I am going to call humana today and, I’m gonna investigate. So I know exactly where we’re at, what the, what’s happening, what’s processing, what’s needed? All of the above. And then I’ll relay that to the PE team. And I think that will put us back on track. Not that we’re completely off track, but I want to make sure that everything is processing, as needed. So my question to you because I didn’t know, are we linking all the providers to that location? I assume, yes, but I didn’t want to.
Lynn Kiter (04:38) Right? What we had begun, we were attempting to link all of them and a portion of them did. But then it got relayed back that the behavioral health providers couldn’t be linked to the existing group agreement because it didn’t contain the behavioral health, right?
Dreama Hembree (05:00) Yeah.
Lynn Kiter (05:01) And then that’s when it began to kind of fray a little bit like a couple of denial letters came. And I know, I believe that I can’t remember now if it’s the first or second group enrollment that they did. They indicated that they were in urgent care when they’re not. And I didn’t know if that had anything to do with like the denial. But then what happened, you know, while that was going on, a couple of the medical providers then were unable to be linked. And it was because apparently that group… the original group agreement got decredentialed. So we are attempting though to link every.
Dreama Hembree (05:52) Provider. Okay. So I just want to make sure that I understood what the intent was there. So link every provider. So I can, once I get the status from humana directly, I can take that back to the team and say here’s the ask, this is what I want to make sure that we’re on track for everything. So I will give you an update later on this afternoon, if not first thing tomorrow morning on that one after I call humana myself.
Lynn Kiter (06:19) Okay. Boy, if you get through humana on the phone, I’m going to give you a big congratulation they normally require.
Dreama Hembree (06:28) you?
Lynn Kiter (06:28) To go through email?
Dreama Hembree (06:29) Yeah, usually they do. But if you can track down a provider reps information, I’ll dig around in there and see, but, that’s my hope anyway.
Lynn Kiter (06:39) Okay. And I wish you luck on that.
Dreama Hembree (06:42) It can be a challenge. Yes, I, they don’t make it easy for you to get through to them at all unfortunately?
Lynn Kiter (06:49) So, okay. Well, I appreciate that.
Dreama Hembree (06:52) And then moving on to the address change for the carefree location, I sent you that, any questions on those instructions not?
Lynn Kiter (06:58) Currently?
Dreama Hembree (06:59) Okay. I got those straight from Naomi because I wanted to make sure we were tackling it the best way. So, any additional questions I’ll pull her in. Okay, she and I looked at it kind of strategically and she, that’s what she recommended. So.
Lynn Kiter (07:12) All right, for.
Dreama Hembree (07:14) Celaya, I’m not so sure. I’m saying that, right? Miles for medicare enrollment request. I sent that to the team yesterday to expedite. So I’m waiting for a response back today. So I have my eye on that one. I’ll get, I owe you some additional information on that as soon as I get that back from them today. So, okay. And I think Colette, you sent Lynn an email with the information I have here with the expanded operational information, correct? Did you get that one?
Collette Waddell (07:44) That one?
Dreama Hembree (07:45) Oh, I misunderstood you. You did get a notification about.
Lynn Kiter (07:48) The change in email for?
Dreama Hembree (07:50) Support? Oh, okay. Okay. I misunderstood what was included in your email. So I didn’t want to go over it and be redundant if you had already gotten it. No, no, no. So last week, we talked about the additional work, adding the additional instances and enrollment work. And you had some questions and concerns about medallion’s handling of past enrollment. So, Colette and I did meet with Amy, our manager and we put together these kind of facts that are going on within medallion just to kind of relay that back to you. Because I know in the past, you’ve been told we’re working on things behind the scenes and we’re working to kind of correct things and get things back on track. And so overall, they’ve expanded operational leadership. We have Nate Rosenthal, who’s our new coo, he just joined and Lawrence the VP of operations, and then we have a director of pay enrollment and then a new manager of payer enrollment. So all operational leaderships, you know, they kind of layered in those additional folks, quality assurance and quality control team. They are reviewing pre, app and post app quality. Lots of reports are being reviewed daily across all operations leaders, you know, establishing enhanced sops and improvement processes. So, lots of things going on where we are layering in that support to try to address those issues that, you know, you’ve seen in the past. So, and that is again straight from our manager to let you all know just to kind of a behind the scenes kind of view of what we’re doing because we do take that stuff seriously. We do want to correct it and we don’t want to have it to continue. Any questions on that or additional comments?
Lynn Kiter (09:42) No, but thank you. Okay.
Dreama Hembree (09:45) And then we just, I think Colette just took off of your email under the other section there about the stuff that was still kind of pending from the past. Colette, do you want to go over those? Yeah. So.
Collette Waddell (09:58) The template, we can just use that existing import file.
Lynn Kiter (10:03) From the may template didn’t change then, right? Yeah, the may of, okay.
Collette Waddell (10:08) Those core pieces.
Dreama Hembree (10:12) And.
Collette Waddell (10:13) we did confirm last week that we’ll just import the provider like the shell and then we’re going to trigger the like the caqh to pull in and populate their data, right? Or no?
Lynn Kiter (10:26) Well, we will try to do that. Yeah, there may be times that we have to manually enter it though too, but yeah, you’re on the right path there. Okay?
Dreama Hembree (10:38) Okay. And.
Collette Waddell (10:39) And so we’ll just, we’ll get those added for you as we get them.
Lynn Kiter (10:44) Okay. And.
Collette Waddell (10:46) Then, thank you for finalizing those. Let me make sure I did.
Dreama Hembree (10:53) See that. Centene.
Collette Waddell (10:55) Email those followers.
Lynn Kiter (10:57) And the delegation? Yeah.
Lynn Kiter (11:18) Perfect. Yes.
Collette Waddell (11:20) Thank you. Yeah, it was the one with the green font, and then… the gender affirmation treatment. So, you said that you just saw one for independence blue cross. We?
Lynn Kiter (11:38) Got a I’m trying to recall. Now, did we get an email or it came up as an alert within medallion? Do you remember now, Amy? Well.
Amy Reyes (11:50) I think hold on. Let me see. I think it got, let’s see. I want to say it was an alert.
Lynn Kiter (11:57) That’s what I think, what I recall it came up as like a general alert within medallion… like when you?
Collette Waddell (12:07) Log in like a little message.
Lynn Kiter (12:09) Right. Huh. Like that little banner up above type of thing?
Lynn Kiter (12:19) I’m trying to remember what day that came up three?
Amy Reyes (12:23) 26, I think is when we talked about it in our group?
Lynn Kiter (12:26) Chat. Yeah, it must have been after our meeting with you. Yeah.
Collette Waddell (12:35) And do you recall if that banner was?
Collette Waddell (12:43) Did it specifically call out independence blue?
Lynn Kiter (12:46) Cross, it did, it said?
Amy Reyes (12:47) Anthem and independence blue cross, so.
Collette Waddell (12:49) They may have identified, I guess a second payer that required it, we’ll confirm.
Lynn Kiter (12:57) Yeah, I’m thinking that would probably be true. And then with that, I mean, I’m hoping that if any other payer were involved in the future, would there be an alert like that?
Collette Waddell (13:10) We will confirm. I also let me get back to, we were, I did flag the concern of this as it relates to your organization the,
Lynn Kiter (13:25) federal funding. Yeah.
Collette Waddell (13:27) Yeah, so.
Lynn Kiter (13:28) We can’t answer that. No.
Collette Waddell (13:31) And so, Dreama, and I will go back because I don’t know if maybe there’s something on the engineering side that could be done to where it’s just permanently like an optional field that or I.
Lynn Kiter (13:42) Don’t know if we can remove.
Collette Waddell (13:43) It, but like, right? So we’ll confirm there because we, I did note that back to the product manager, letting them know that for this.
Lynn Kiter (13:53) Customer.
Collette Waddell (13:54) you know, it’s really imperative that not be requested or asked of or forced, I guess. Yeah. Okay. Now, question about it still being there but being optional any, I mean.
Lynn Kiter (14:08) I think that our CEO was, you know, okay with, that it could remain optional, but to have it be a requirement will be a problem. Okay. Well, we haven’t had a problem yet and I, you know, we don’t have heavy, we haven’t had the need to do an anthem enrollment and I don’t really think we will on the independence either. But, okay.
Collette Waddell (14:37) So, I’m just going to add a note here.
Lynn Kiter (14:45) So hopefully it’ll be, you know, a non issue in the future.
Collette Waddell (14:59) So, two things we’ll a confirm if we’ll get that little alert if they’ve identified others. And additionally if there… is a way to set that as optional for all of mdagen regardless of payor request. Okay? So we’ll do those two things we’ll ask about, you know, the continued banner message. And then secondly, we’ll see if engineering if there’s anything they can do just system wide for a year configuration.
Collette Waddell (15:42) And… don’t have an update yet regarding the ongoing monitoring from January and I will dive back deeper into that to see.
Lynn Kiter (15:55) Okay. And Colette, all I wanted to be prepared if with the ongoing meridian audit, if they lift that up because we had to provide, you know, all of the ongoing monitoring logs that we get from you. And I wanted to be prepared with an answer. They haven’t questioned anything yet.
Collette Waddell (16:21) Okay. On that note, remember when we were, you were pulling all the in platform monitoring data and we were having to do it individually. I did put a request out to our reporting team about adding that like roll up report into the main instance. And I got an alert that it was completed. Oh.
Lynn Kiter (16:47) I don’t know if you’ve Dreama.
Collette Waddell (16:50) Do you have it? Well, I can just do quick screen share. Let me just take over real quick. Yeah, hold on.
Collette Waddell (17:12) Thank you. Oh, it could not be moving any slower. I’m so sorry?
Lynn Kiter (17:26) Are you thinking then the monthly email that we get from you would be incorporated in the platform for everything not there?
Collette Waddell (17:36) Yet that unfortunately not it’s for the medicare PDB… and Sam, oig, those four things that are usually in that analytics ongoing monitoring tab. They still have not resolved the additional external report that has that medicaid exclusions, the death master and the CMS preclusions listed on it, that is still for now going to be that separate report sent. But I recall.
Lynn Kiter (18:26) What were the four that would be incorporated?
Collette Waddell (18:33) Yeah. Sorry, I’m trying to, it is the, what is usually under the analytics ongoing monitoring tab? It includes Sam, and.
Collette Waddell (18:50) And what did I just medicare opt out? Oh, okay. Yeah, yeah, sorry.
Lynn Kiter (18:55) What was the fourth one?
Collette Waddell (18:56) Medicare opt out? Okay. And so, and when you were working on that audit a few weeks back, maybe it’s probably maybe been a month or two now. We were having to go through.
Lynn Kiter (19:10) Oh, right to each one. And then, right? Okay. I’m with you now, yeah.
Collette Waddell (19:15) You have said like it’d be great if we could add a roll up one. And so I had immediately submitted that request. I had just gotten an update that it was here and now available. So it’s under, you know, your main Michigan.
Lynn Kiter (19:29) Okay. And,
Collette Waddell (19:31) then it’s going to be, you know, kind of over here. It’s custom ojm report. And again, there’s a little bit of a lag right now for me, but this is basically going to be that same kind of roll up report where it’s going to include a column for which instance, and then the provider’s name. So, in the future, you only have to come here to grab.
Lynn Kiter (19:55) Okay.
Collette Waddell (19:56) Okay. Wonderful. Individually to the 21 different got.
Lynn Kiter (20:01) It. Okay. Right. And,
Collette Waddell (20:03) yeah, this is, it’s well, you can see it down the table down below is actually populating faster. So, this is exactly. So in the future, you don’t yeah, one time one report?
Lynn Kiter (20:17) So, okay.
Collette Waddell (20:19) All right. And that was the one thing about the ongoing monitoring. And then we just got an alert at the end of the day yesterday that the April monitoring reports are available for us engagement managers to grab for, our customers. So, Dreama and I will work on sending you the April data for that, you know, external report. Okay. I’m gonna just go ahead and stop screen sharing because it’s taking too long to load, Dreama, if you don’t mind maybe putting, yes, thank you so much. We’ll be right back,
Collette Waddell (21:06) And then.
Collette Waddell (21:14) And so, I think the next item on here was, the ask about removing that caqh provider attestation. Yes, that for providers that are not being enrolled in caqh management, Dreama, do you want to speak on?
Dreama Hembree (21:30) This, yeah. So I took that to the team and they came back and said we can, but we also use that for the permission to update and access caqh profiles for those providers that have PE services. So, it’s kind of it’s used for a consent form to update their profile. If we’re doing that. So, I guess the ask is, are there providers that don’t have PE services or that wouldn’t in the future, that you could identify that we could go in and remove those for?
Lynn Kiter (22:11) Right. Okay.
Collette Waddell (22:16) And I, and this is a similar thought that dream and I had as we were kind of learning this and then brainstorming a little bit on this piece was similar… to making that gender treatment question optional, asking our engineering team if it’s possible to also make that attestation form in the, you know, agreement section for that one document optional, which it wouldn’t you know, force providers to sign and acknowledge. But I think if we did that, it would be optional for every provider for that instance. And so if in the future, a payer enrollment application were submitted or, you know, initiated to, for us to process, and the provider hadn’t signed it, then it might just cause a delay on the front end until.
Lynn Kiter (23:11) They, right, it would, Okay. Well, I’ll relay that information back and I’m not really a fan of removing it, given that, but, yeah.
Dreama Hembree (23:24) Yeah, if.
Lynn Kiter (23:24) we have providers that are gonna push back, then maybe we’re gonna need to, you know, come we’re gonna need to have an agreement with them of what we’re gonna do. But, okay.
Collette Waddell (23:38) So, I think just maybe take that back internally. And then if you come back and, you know, maybe you want to explore like let’s find out if our engineering team can just make the form optional like that would be applicable to all the providers, you know, for that center, then we can do that. I feel like.
Lynn Kiter (24:00) The other pushback that I can give or relay back to them. If they don’t provide their username and password, you’re not going to be able to, you know, log into their account anyway, right? I mean, that would be another protection.
Collette Waddell (24:16) Yeah. Why?
Lynn Kiter (24:17) Don’t I try that avenue before we, completely before we, you know, go any further with your engineering team. Okay? Because truthfully the center kind of pushing back on that they are going to have enrollment.
Collette Waddell (24:33) Right, right. And in that example, Lynn about, you know, if a provider, you know, doesn’t provide their login information in their profile, signs the agreement. And then in the future we start a PE application for them, they’ll probably be well, the team will probably task them saying we need your caqh so we can go in and get, you know, get the stuff for your enrollment… but that would only, they would only be notified if we were actually doing an enrollment.
Lynn Kiter (25:05) Right. Yeah.
Collette Waddell (25:06) Yeah.
Lynn Kiter (25:06) Okay. Yeah. Okay. I appreciate that feedback. Yeah.
Collette Waddell (25:11) We can just kind of keep it as a maybe a standing item until, you know, yeah, until a decision is made on how to move forward. There. The other two things here, the deafmaster and then the CMS preclusions. So both of those were submitted to engineering. We had originally, you know, asked the engineering team about adding that deafmaster in. And so we sent a follow up message to them asking if they could go ahead and, you know, while they’re doing the work on that, can they go ahead and add in the preclusions as well? So that’s being, I got confirmation that they received the request from us. And so they’re working on that… and I went ahead and asked them. They asked for clarification as to whether or not this should be displayed in both the initial and the recredentialing files. And I went ahead and just said, yes, because I can’t imagine there’s any reason not to show it in a future.
Lynn Kiter (26:12) Recred file. So.
Collette Waddell (26:13) I figured, and if you would rather not, I can go back and let them know.
Lynn Kiter (26:18) No, I think, I, yeah, I agree. Yeah, I don’t know how important and it might be to review the dmf file at a recredentialing, but maybe it would be definitely… preclusion. Yeah, I know that, yeah, if.
Collette Waddell (26:39) It was like, I figured since it’s already the data’s already captured, huh, I figured it, you know, rather than a year from now going back to engineering and saying, hey, now, can you add the, this into the recred packet? So I mean, happy to have them do that, but I figured it probably wouldn’t hurt.
Lynn Kiter (27:02) No, no, I think that’s a great idea.
Collette Waddell (27:05) Yeah, yeah. Because the data’s in the file in the profile, right? So.
Lynn Kiter (27:09) Yeah. And that probably didn’t get lifted up because we haven’t done any recredentialing yet. They’re only looking at initial credit files, right?
Collette Waddell (27:18) Right, exactly. But.
Lynn Kiter (27:20) We will be at recredentialing in a few in a couple years. I think we have a three year cycle, but we’ve had a few credentialed for a year now.
Collette Waddell (27:32) That’s wild last summer. Yeah, last spring last.
Lynn Kiter (27:36) Summer, I think we began in may of 25 for our initial go round.
Collette Waddell (27:42) It’s crazy it.
Lynn Kiter (27:43) Is crazy.
Collette Waddell (27:46) And then before we jump to ongoing license expiration, I’m just going to skip ahead to just confirm that Dreama and I had updated all of the settings for that service based requirements. We had disabled all of the instances since you need that additional information for when we’re adding in those vba providers, right? Any follow… up questions or concerns as it relates to that?
Lynn Kiter (28:17) Not that I have yet. Okay. Hopefully I won’t have any, but I mean, it did, of course, and we knew it would open up more required fields, right? But I knew that would happen.
Collette Waddell (28:32) Yeah, yeah, exactly. And in that scenario… like credentialing could probably, you know, it depends on what, you know, the provider hasn’t completed yet, the percentage of their profile completion, you know, usually goes down in that example. But it doesn’t mean that a credentialing application still couldn’t be processed with what’s in there already. So… and then you had it noted about revisiting ongoing license expirations.
Lynn Kiter (29:10) Right. Yeah. I’m worried that… what we’re currently doing may not be what the delegation agreements want. And I know I wanted to recap again within the medallion dashboard. You’re turning on a function currently at the time of credentialing, and then… you know, a verification of it like a license at the time of credentialing. And then, did you tell me 30 days or it might have even been more prior to a renewal?
Collette Waddell (30:07) Okay. Let me, Dreama. I am going to actually steal the screen back yep.
Collette Waddell (30:21) And I know we’re not currently, I’m still in… a view of just the main instance. And I know that we’re not actively adding to this instance, right? Just for the sake of a demonstration. So we have it turned on for license monitoring… sanction like actions against state licenses, that kind of.
Lynn Kiter (30:55) Component, what they’re wanting is expiration date monitoring monthly.
Collette Waddell (31:00) Yeah. So this is the platform is monitoring the expiration dates and the team… providers get notices as do admins about upcoming licenses. And… have you noticed those do come through on like weekly admin reports, right? Have you ever noticed? Okay. All right. So that is being performed. And then as the record nears expiration, there are some automation, I guess queries, web crawlers that go out there and try.
Lynn Kiter (31:43) Yep. That’s the part that I’m trying to clarify on automation. Okay. Let.
Collette Waddell (31:51) Me get.
Lynn Kiter (31:56) And the alerts that we’re getting are based upon the expiration date entered within the provider profile, correct? It isn’t really verifying like with Laura, right? Would that be true?
Collette Waddell (32:17) It is right. It’s the data that’s in the platform.
Lynn Kiter (32:20) Right. Yes.
Collette Waddell (32:23) So, if a… provider, you know, notifies you like I’ve already updated or I’ve already renewed this license.
Lynn Kiter (32:34) Yeah, we’re monitoring it kind of internally. Yeah. And if we haven’t obtained, you know, notification, we’re going right out to Laura and pulling a new, you know, verifying that they’ve renewed. We’ve been doing that.
Collette Waddell (32:50) Okay. So to just… I guess I’ll just go ahead and explain kind of how the platform works. So, let’s say, let’s just use, this… Christine Hawkins. Okay. Right. Pretend that this is a, you know, maybe going to expire next month. If you know that she’s already renewed it and you go in and you edit her record and you update the expiration date and you click save as soon as you click save with the new expiration date, then that will automatically trigger the platform to try to run an automated like verification to pull a PSV from the source. And if, for whether it’s because that website, we actually have to go in and manually PDF, it will either return the automated PSV and, or if it can’t do it automatically, it then immediately moves it into this pending manual verification. And that by that record that like line of the license, then kind of moves into our licensing team’s view where they’re working through having to manually verify it. So, but.
Lynn Kiter (34:13) They’re only manually verifying though at the time of initial credentialing or re credentialing correct? They’re not monitoring is okay. Okay. So, let.
Collette Waddell (34:26) me see. Just, I had a little blurb on my notes over here about this.
Collette Waddell (34:48) Okay. So, I’m going to read this, but I’m going to elaborate at the end. Okay? So medallion platform is set to monitor all license expirations monitoring of expiring licenses is provided two weeks ahead of the actual expiration date, one week before the expiration on the expiration date, and one week after expiration findings are reported in real time. If the provider’s license is not valid or it’s not current, the platform notates this. The client can view each record by navigating to the related verification record in the platform. Now, let me elaborate what that means. Monitoring of expiring records is provided two weeks, one week on. That means the system is going to like do like a web, like it’s going to try to call like do a web query if you will and, or, you know, if it requires a manual, then it kind of moves into, a bucket for the team to manually verify. But this doesn’t this also occurs if, for going back to the example, if there’s any like data change to a record that automatically triggers a new PSV to run. So, if anything in this table, if it were to update or change and you click save, then the platform is seeing, okay, there’s something different than what we’ve previously had. So it’s going to trigger a verification request if that makes sense.
Lynn Kiter (36:31) Okay. Does that help at all? Yeah. And then I think the last question for the moment, do we have the ability to provide the PSV query logs to the delegate or to the health plan? I mean, so, yeah.
Collette Waddell (36:52) So, if you click on any license record, you can always see all of the historical like verifications that were. Yeah.
Lynn Kiter (37:01) Do we have the ability though to pull it all and do a report to give them?
Collette Waddell (37:10) Ooh, like every verification.
Lynn Kiter (37:13) Yeah. They’re wanting all of the 20 25, let me pull that up.
Lynn Kiter (37:24) Just a minute here.
Collette Waddell (38:05) So, they’re looking for a report that lists all of the licenses and then all of the dates associated with that license that a verification was run.
Lynn Kiter (38:17) Right. I’m… trying to find the latest communication. Not that one.
Lynn Kiter (39:11) Yeah. The state license expiration report log… and… I believe they were looking for all of them that were done in 20 25.
Collette Waddell (39:32) So.
Lynn Kiter (39:36) They want.
Lynn Kiter (39:41) Yeah, the ongoing monitoring logs were appropriate documentation from January of 25 through December of 25 that would show the state license expiration report log. And then there’s a requirement to do ongoing monitoring in the ncqa guidelines monthly of that, which we’ve been, you know, pulling a report out of medallion of any that are upcoming until, and then we’re tracking them until we have verification within Lara that the provider updated, and we’re tracking that. And I don’t know if that’ll be like enough, but we don’t really have the ability to show a report for each month.
Collette Waddell (40:35) Well, I was gonna say that’s I don’t know like I’m trying to just think like how that could even be because it’s like lie ongoing live data that’s constantly being updated, you know, and it should because you don’t want a license to reflect, you know, inactive in the platform when it’s current and we have verification file. Let me take that back and do a little, I mean, cause.
Lynn Kiter (41:09) Maybe they’re being, maybe they’re I,
Collette Waddell (41:12) I was gonna say like we, you know, we do support a good many customers with, you know.
Lynn Kiter (41:18) And,
Collette Waddell (41:19) ncqa and I don’t know that I’ve heard.
Lynn Kiter (41:25) Of an issue with that.
Collette Waddell (41:27) That specific like they’re looking for like a historical snapshot for a period of time, but if you have a soft… a platform where it’s just, it’s automatically being updated with real time data like it almost kind of like I’m trying to comprehend like… yeah, let me do a little digging. I don’t know if, would you find just sharing just the blurb that they shared with you?
Lynn Kiter (42:06) Yeah, I mean, it was in the original email that, yeah, the forward but I can.
Collette Waddell (42:12) No, I can find it.
Lynn Kiter (42:14) Okay.
Collette Waddell (42:18) I’ll get back to that and dig further. I just, I… hope we can.
Lynn Kiter (42:28) And again, we’ve provided, you know, what we could to them and they haven’t we haven’t heard back either way, but I just wanted to be prepared to.
Collette Waddell (42:40) Know, yeah, exactly. No. Well, and I’ll pull in because I know our director has provided responses to, you know, questions as it relates to this similarly, you know, and we’ve also confirmed she’s also like verified with our own ncqa consultants about, you know, what we’re doing? Meeting ncqa requirements… and it hasn’t been an issue. So,
Lynn Kiter (43:09) right. Well, maybe it’ll be a matter of showing, you know, maybe we can even show them within the platform, what is happening and I, yeah, I think and kind of push back, but… I.
Collette Waddell (43:24) mean, and the emails for example that you get weekly that you’re getting the notice that shows you a license tied to a provider. And when it’s about to expire like that’s a right weekly notification, correct?
Lynn Kiter (43:38) Every Monday, you?
Collette Waddell (43:39) Know. So it’s not like you don’t have the data, you know, on an ongoing like, so maybe just, yeah, sometimes I think like the ncqa standards sometimes can be interpreted. Some of them can be interpreted different ways. It’s a bit challenging. I’ll be more digging to see, but yeah, if there’s anything that might help them have maybe a more clear understanding of, you know, how the platform works and stuff like that please?
Lynn Kiter (44:17) Let us know. Okay, yeah.
Collette Waddell (44:20) Sorry about that.
Lynn Kiter (44:22) No, I appreciate that. Anything else that we didn’t get, not on my end?
Collette Waddell (44:39) Well, I won’t be on next week’s, call, but I believe Dreama will still be available to meet with the team here. Yes, but I’ll be back following, okay kids to Florida for spring break. So, going… to some even warmer weather. Hopefully. Good.
Lynn Kiter (45:00) We’ll have a great time away. Thank you all.
Collette Waddell (45:04) Right. Well, I hope you all have a good rest of your day and weekend, yeah.
Lynn Kiter (45:10) Thank you. Bye now, bye.