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.

The March 26^th webinar will provide information to providers, patients, and plans about the new data sharing and prior authorization rule.

CMS updated instructions and systems to facilitate the submission of data on supplemental benefits in the Medicare Advantage Encounter Data System on Feb. 21^st.

The Advance Notice makes methodology changes and proposes CY 2025 payment levels for Medicare Advantage plans.

The update incorporates the impact of minimum wage increases and other State policy changes into April 2023 rates.

The Interoperability and Prior Authorization Rule is intended to improve health information sharing among payers, providers, and patients, and improve prior authorization turnaround times for Medicare Advantage, Medicaid fee-for-service, and Medicaid managed care. The Request for Information seeks input into the collection and publication of Medicare Advantage data.