Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
On February 5, 2019, the Centers for Medicare & Medicaid Services (CMS) posted a new notice of proposed rulemaking for Medicare Advantage and Part D (see also the accompanying fact sheet). CMS also released the Advance Notice Part II and fact sheet). This e-alert includes notable provisions of the proposed rule and advanced notice.
The Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates policies for services furnished under the Medicare Physician Fee Schedule and for Opioid Use Disorder (OUD) services in calendar year (CY) 2020 and thereafter.
The changes may have implications for states that:
CMS requests comments from, states and other stakeholders on proposed new Plan Coverage Decision Letter for use in 2021 by Dual Eligible Special Needs Plans (D-SNPs) with unified Medicare and Medicaid appeals and grievance procedures. Comments are requested by December 17, 2019.
On April 5, 2019, the Centers for Medicare & Medicaid Services (CMS) published new final rule for Medicare Advantage and Part D that implements provisions of the Bipartisan Budget Act of 2018 related to the integration of Medicare and Medicaid services and unification of Medicare and Medicaid grievance and appeals procedures by Dual Eligible Special Needs Plans (D-SNPs).
On April 1, 2019, the Centers for Medicare & Medicaid Services (CMS) published the Final Call Letter and Rate Announcement outlining guidance for the 2020 plan year for Medicare Advantage (MA) plans, including Dual Eligible Special Needs Plans (D-SNPs) and Medicare-Medicaid Plans (MMPs) under the Financial Alignment Initiative.