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PACE, MAP, and Medicare Advantage

PACE, MAP, and Medicare Advantage

CMS Issues Various Memos for Medicare Advantage and PACE Plans

Plans should preview their 2024 "Medicare and You" Handbook data and verify their HPMS crosswalk data for accuracy and completeness.

August 7, 2023

PACE, MAP, and Medicare Advantage

DOH Prepares PACE Program Payments

Initiative backed by enhanced federal HCBS funding is aimed at supporting and growing PACE.

June 6, 2023

PACE, MAP, and Medicare Advantage

Updates to PACE Quality Reporting and Monitoring Forthcoming

CMS updates quality reporting requirements for PACE and Medicare Advantage for 2024 and notifies PACE organizations of upcoming changes to the Quality Monitoring module.

May 16, 2023

PACE, MAP, and Medicare Advantage

PACE Programs Encouraged to Register for April 27th CMS User Group

CMS officials to review 2024 Rate Announcement and recent HPMS Memos, demonstrate risk score calculations, and answer questions.

April 11, 2023

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

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

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

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
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