regarding Policy Guidance. All newly hired staff who have direct contact with Enrollees must be trained no later than thirty (30) calendar days from the date of hire. Upon completion of the training, employees must sign an acknowledgement of their understanding of their duty to report. The STAR+PLUS MMP must retain records of the training, including copies of all training materials, during the employment of the staff member and for ten (10) years thereafter. LTSS Provider Training – In addition to the above training for all Providers, the STAR+PLUS MMP must train all Nursing Facility Providers and/or Community Long-term Services and Supports Providers, as appropriate, regarding: Covered Services and the Provider’s responsibilities for providing services to Enrollees and billing the STAR+PLUS MMP for the services. The STAR+PLUS MMP must place special emphasis on Nursing Facility Services and requirements, policies, and procedures that vary from FFS and commercial coverage rules, including payment policies and procedures. The transition period of up to six months for the continuation of Nursing Facility services for Enrollees receiving those services at the time of Enrollment including Provider billing practices for these services and who to contact at the STAR+PLUS MMP for assistance with this process; and Processes for making referrals and coordinating Services. Provider Advisory Groups The STAR+PLUS MMP must establish and conduct quarterly meetings with Network Providers. Membership in the Provider Advisory Group(s) must include, at a minimum, acute, Community-Based LTSS , and pharmacy Providers. The STAR+PLUS MMP must maintain a record of Provider Advisory Group meetings, including agendas and minutes, for at least three years. Provider Relations The STAR+PLUS MMP must maintain a Provider relations presence and be available to meet with Providers in each Service Area. The STAR+PLUS MMPs must assign a Provider Relations Specialist to each Network Nursing Facility. The assigned Provider Relations Specialist may be assigned to more than one Nursing Facility in a Service Area. The specialist must be proficient in Nursing Facility billing and able to resolve Provider billing and payment inquiries. The STAR+PLUS MMP must notify the Nursing Facility within ten (10) days of any change to the assigned Provider Relations Specialist. Provider Manual The STAR+PLUS MMP must prepare and issue Provider Manual(s) to all Network Providers, including any necessary specialty manuals (e.g., behavi...
