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PACE, FIDA, and MAP

PACE, FIDA, and MAP

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, FIDA, and MAP

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, FIDA, and MAP

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

PACE, FIDA, and MAP

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

PACE, FIDA, and MAP

DOH Updates MLTC Clinical Advisory Group

MLTC VBP arrangements encouraged to continue on a voluntary basis.

December 1, 2020

PACE, FIDA, and MAP

CMS Updates Medicare Part D Low-Income Subsidy Standards

Information issued to Medicare Advantage and PACE organizations.

March 3, 2020

PACE, FIDA, and MAP

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

PACE, FIDA, and MAP

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

PACE, FIDA, and MAP

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

PACE, FIDA, and MAP

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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