PACE, MAP, and Medicare Advantage

PACE, MAP, and Medicare Advantage CMS Releases Proposed Medicare Advantage and PACE Regulations and Rate-Setting Updates: On Feb. 5^th, 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, MAP, and Medicare Advantage Reminder for PACE and Medicare Advantage Organizations: Annual name and parent organization verifications due March 16^th; risk adjustment user group presentation on Feb. 20^th; PACE audit protocol now final.
February 10, 2020

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

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

PACE, MAP, and Medicare Advantage A Closer Look at the PACE Final Rule: LeadingAge National has prepared a detailed summary of the Final Rule governing Programs of All-Inclusive Care for the Elderly that becomes effective in early August.
June 10, 2019

PACE, MAP, and Medicare Advantage Final PACE Rule Aims for Increased Flexibility: CMS eases some requirements governing Interdisciplinary Team roles, simplifies administrative responsibilities.
June 4, 2019

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