The comments focused on the lack of clarity surrounding the State's vision for the future of integrated managed care for dual eligibles.

Grants will support the development of a rural PACE program or the expansion of an existing program into rural areas.

The draft proposed rule includes new guardrails for prior authorization and utilization management and clarifies the administration and use of debit cards as supplemental benefits.

Comments are due Oct. 6th. 

The draft regulations contain a unified licensure process for PACE programs. Existing programs would be subject to specified requirements.

DOH has released deadlines for the submission of applications to the State to establish new Medicare Advantage plans and expand Medicare Advantage plan service areas for Medicare Coverage Year 2026.

Updates for PACE include reminder of upcoming Medicare recoupment, clarification on changes to FI administrative cost reimbursement.

CMS hosted a webinar on the new Interoperability and Prior Authorization Final Rule. The new Rule is intended to improve health information exchange to facilitate access to health records for patients, health care providers, and payers and streamline prior authorization processes implemented by government-funded payers.