PACE, MAP, and Medicare Advantage

PACE, MAP, and Medicare Advantage Medicaid Managed Care Beneficiaries to Be Enrolled in Affiliated Medicare Advantage Plans at Age 65: DOH announced plans for Medicare Advantage default enrollment, the transition of FIDA members as the FIDA program winds down, and strengthening the Medicare and Medicaid integration of MAP plans.
March 4, 2019

PACE, MAP, and Medicare Advantage CMS Updates PACE Audit Process: Letter outlines changes that include revised ICAR/CAR definitions, submission timeline streamlining, and training for audit teams.
February 22, 2019

PACE, MAP, and Medicare Advantage DOH Reviews PACE Rates: Staff outlines rate setting methodology used to develop April 2018 draft rates that were distributed in January and addresses participant questions.
February 15, 2019

PACE, MAP, and Medicare Advantage CMS Provides States with Strategies to Strengthen Medicare-Medicaid Integration: In a Dec. 19^th letter to State Medicaid Directors, CMS outlined 10 opportunities for improving integration between Medicare and Medicaid services for dual eligibles, including expansion of enrollment in D-SNPs, inclusion of certain provisions in state contracts with D-SNPs, expansion of PACE programs, sharing of Medicare data, and simplifying enrollment in the Medicare Savings Program.
January 8, 2019

PACE, MAP, and Medicare Advantage DOH Proposes Default Enrollment in Medicare Advantage Plans for Medicaid Managed Care Enrollees: The Department has proposed implementing "default enrollment" of mainstream Medicaid managed care enrollees in Medicare Advantage plans when they reach age 65 and become eligible for Medicare.
December 18, 2018

PACE, MAP, and Medicare Advantage CMS Issues FIDA Model Materials: Updated materials are to be used for Contract Year 2019.
July 9, 2018

PACE, MAP, and Medicare Advantage FIDA Part D Transition Policies: FIDA plans should ensure that their CY 2019 Plan Benefit Packages and transition policies, due to CMS on June 4, 2018, reflect revised regulations.
May 14, 2018

PACE, MAP, and Medicare Advantage PACE Medicare Risk Adjustment: CMS has announced risk adjustment data submission deadlines for PACE and other Medicare organizations.
May 7, 2018

PACE, MAP, and Medicare Advantage Changes to PACE Federal Quality Reporting: CMS has posted a guidance document and FAQs detailing new requirements.
April 8, 2018

PACE, MAP, and Medicare Advantage Registration for CMS Medicare Advantage Spring Conference Opens: 2018 Medicare Advantage & Prescription Drug Plan Spring Conference & Webcast is scheduled for May 9^th.
March 12, 2018