PACE, MAP, and Medicare Advantage
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PACE, MAP, and Medicare Advantage
CMS Finalizes Medicare Advantage, PACE, and Part D Policy Regulations The final rule includes new provisions for MA utilization management and prior authorization, behavioral health access, and MA plan Star Ratings. For PACE programs, it includes new provisions governing CMPs, contracted specialists, oral service determination request extensions, and maintenance of records.
- April 10, 2023
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PACE, MAP, and Medicare Advantage
Distribution of eFMAP Funding to PACE Programs Detailed $40 million will be distributed to nine PACE organizations as lump sum payments for workforce, reopening and infrastructure, and expansion.
- March 7, 2023
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PACE, MAP, and Medicare Advantage
PACE Programs Authorized to Conduct Eligibility Assessments and Direct Enrollment Under a new policy, consumers seeking to enroll in PACE programs may be assessed for eligibility by the PACE program, rather than the NYIA. The assessments and enrollments are subject to verification by the NYIA.
- March 7, 2023
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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
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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
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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
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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
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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
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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
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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
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