Events

  • May- July 2020 | Key Medicare Advantage dates

    Release of CY 2021 model templates for Final Annual Notice of Change, Evidence of Coverage, LIS rider, Part D Explanation of Benefits, formularies, transition notice, provider directory, pharmacy directory, member identification card and other MMP-specific models. Plans are able to begin uploading these documents for CMS review in July.[i]

     

    [i] To help ensure that these documents represent state policies regarding Medicare-Medicaid integration and accurately describe Medicaid benefits, states may want to review draft templates before plans submit them to CMS.

  • June, 2020 | Key Medicare Advantage dates

    CMS conducts provider network adequacy reviews for MA plans, including D-SNPs.[i]

     

    [i] These network adequacy reviews do not apply to MMPs.

  • Mid June, 2020 | Key Medicare Advantage dates

    MedPAC and MACPAC reports to Congress released.

  • July- August, 2020 | Key Medicare Advantage dates

    Release of state-specific marketing guidance for MMPs.

  • July 6, 2020 | Key Medicare Advantage dates

    D-SNP applicants must submit SMACs and contract matrix to CMS.

  • Late July, 2020 | Key Medicare Advantage dates

    Part D national average monthly bid amount (NAMBA) and the Part D regional low-income premium subsidy amounts released.

  • No later than July 29, 2020 | Key Medicare Advantage dates

    MA organizations that receive, on or before this date, a termination notice from CMS with an effective date of December 31, 2020, must issue notices to their Medicare enrollees at least 90 days prior to the effective date of the termination.  

  • Late August, 2020 | Key Medicare Advantage dates

    D-SNPs notified by CMS of final determinations of integration status and sanctions based on CY 2021 SMACs.

  • Mid- September, 2020 | Key Medicare Advantage dates

    CMS fully executes MA and PDP contracts with plans.

  • September 30, 2020 | Key Medicare Advantage dates

    Deadline for all MA, MA-PD, MMP, PDP, and cost-based plans (including those not offering Part D and those that do offer Part D) to send the standardized Annual Notice of Change (ANOC) and LIS rider to current enrollees.

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