PACE, MAP, and Medicare Advantage
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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
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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
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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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PACE, MAP, and Medicare Advantage
DOH Posts MLTC VBP Measures 2021 VBP Quality Measure Sets for MAP and PACE are now available in the VBP Resource Library.
- May 18, 2021
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PACE, MAP, and Medicare Advantage
DOH Updates MLTC Clinical Advisory Group MLTC VBP arrangements encouraged to continue on a voluntary basis.
- December 1, 2020
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PACE, MAP, and Medicare Advantage
CMS Updates Medicare Part D Low-Income Subsidy Standards Information issued to Medicare Advantage and PACE organizations.
- March 3, 2020
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PACE, MAP, and Medicare Advantage
CMS Releases Proposed Medicare Advantage and PACE Regulations and Rate-Setting Updates On Feb. 5th, CMS released two important notices signaling its approach to rate-setting for MA plans and PACE programs for CY 2021 and 2022 and codifying in regulations various requirements pertaining to plan finances, benefits, quality measurement, and beneficiary rights.
- February 10, 2020
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PACE, MAP, and Medicare Advantage
Reminder for PACE and Medicare Advantage Organizations Annual name and parent organization verifications due March 16th; risk adjustment user group presentation on Feb. 20th; PACE audit protocol now final.
- February 10, 2020
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PACE, MAP, and Medicare Advantage
DOH Outlines Plans for Medicaid-Medicare Managed Care In a meeting with managed care plans, the Department discussed strategies underway to expand enrollment in integrated Medicaid-Medicare managed care products.
- August 16, 2019
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PACE, MAP, and Medicare Advantage
DOH Releases Draft FIDA Phase-Out Plan for Comment DOH has asked CMS to allow it to transition beneficiaries enrolled in FIDA plans to the MAP plan and MAP-participating Medicare Advantage D-SNP offered by the organization that administers their FIDA plan.
- June 25, 2019
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