This crosswalk provides citations to these authorities--1915(c), 1915(i), 1915(j), 1915(k), 1115, 1905(a), BIP, MFP, Health Homes, PACE—for these COI questions/elements:
- Applicable law, applicable rule, and other technical guidance
- Can the entity responsible for establishing functional eligibility overlap with the entity responsible for case management?
- Can the entity responsible for establishing functional eligibility overlap with the entity that provides services?
- Can the entity responsible for case management overlap with an entity that provides services?
- In order to permit overlap, is there a requirement that the eligibility or case management entity be the only willing and qualified provider?
- Managed care provisions
- Are firewalls between functions permissible?
- Grievance process; dispute resolution for COI issues
- State oversight: Specific to COI and/or general requirements that would include COI
Crosswalk Matrix Document37.94 KB