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PACE, MAP, and Medicare Advantage

PACE, MAP, and Medicare Advantage

CMS Releases PACE Application Deadlines

Announcement provides application windows and due dates for each quarter in 2023.

January 24, 2023

PACE, MAP, and Medicare Advantage

CMS Releases PACE Final Audit Protocol

The new protocol will be used for audits beginning in 2023.

November 15, 2022

PACE, MAP, and Medicare Advantage

Report Outlines Recommendations for PACE Growth

The Bipartisan Policy Center lays out a series of federal policy reforms aimed at facilitating the spread and scale of PACE across the states.

October 18, 2022

PACE, MAP, and Medicare Advantage

MAP Behavioral Health Guidance Also Issued as MLTC Policy 22.03

Policy 22.03 echoes guidance provided in May to MAP plans regarding the carve-in of behavioral health services into the benefit package.

September 6, 2022

PACE, MAP, and Medicare Advantage

PHHPC Discusses PACE Expansion, Renews COVID-19 Emergency Regulations

Former Medicaid Director Brett Friedman presented to the PHHPC on PACE expansion and potential governance models that would allow for-profit ownership of PACE programs in New York State. The PHHPC also acted to extend several COVID-19-related regulations.

June 7, 2022

PACE, MAP, and Medicare Advantage

CMS Collecting Comments on Medicare Advantage and Part C and D Payment Policies

Comments on the Advance Notice due by March 4th.

March 1, 2022

PACE, MAP, and Medicare Advantage

Deloitte and DOH Review PACE Rate Development

April 2021 rate developed using a similar methodology as prior year with a few tweaks.

December 21, 2021

PACE, MAP, and Medicare Advantage

Carve-In of Behavioral Health Benefit for MAP Plans Delayed

DOH announced on Aug. 30th that the behavioral health benefit carve-in for Medicaid Advantage Plus plans will be delayed from Jan. 1, 2022 until Jan. 1, 2023.

August 31, 2021

PACE, MAP, and Medicare Advantage

MAP Behavioral Health Carve-In Discussed in Policy & Planning Meeting: Readiness Documents Distributed

MAP behavioral health carve-in readiness documents were distributed via email after discussion at August Policy & Planning meeting.  Links to the documents are provided.

August 13, 2021

PACE, MAP, and Medicare Advantage

MLTC Plans Reminded to Complete COBA Attachment

Managed care plans will now be included in the State's Coordination of Benefits Agreement crossover claims process for dually-eligible beneficiaries.  MLTC partially-capitated plans and MAP plans must submit their COBA attachments by June 15.

June 8, 2021
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