Interoperability for HCBS and LTSS Providers: Building Data Exchange Workflows That Hold Up in Audits
Providers are being asked to exchange information faster than their contracts, tools, and frontline workflows were designed for. Interoperability is no longer an “IT project” — it is an operational control that affects authorizations, hospital discharge coordination, incident response, and payment integrity. This article explains how to build exchange workflows that are defensible day to day, including minimum dataset rules, role-based handoffs, and what to evidence when funders ask “how do you know this data is complete?” It connects interoperability practice to data quality operations and commissioner oversight expectations.
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