Helping states develop integrated programs for individuals who are dually eligible for Medicare and Medicaid
This calendar of key Medicare Advantage (MA) dates was developed to assist states and health plans in the implementation of integrated care programs for people dually eligible for Medicare and Medicaid. For a complete list of MA and Part D Prescription Drug plan (PDP) dates for calendar year 2023 and early 2024, see: https://hpms.cms.gov/app/ng/home/.
Integrated Care Updates- August 2020
On September 8, CMS released the updated Manual for State Payment of Medicare Premiums (formerly called “State Buyin Manual”). The manual updates information and instructions to states on federal policy, operations, and systems concerning the payment of Medicare Parts A and B premiums (or buy-in) for individuals dually eligible for Medicare and Medicaid.
MedPAC Data Book on Medicare Spending
New ICRC Tools Help States Identify Dually Eligible Individuals and Aligned Enrollees
Want to Know More about the Dually Eligible Individuals in Your State? Request a State Data Profile
July 2020 Enrollment in Medicare-Medicaid Plans
July 2020 Enrollment in PACE Organizations
New Resources on the ICRC Website
Key Upcoming Dates
E-alert regarding the following CMS guidance and resources related to the COVID-19 Pandemic:
- Medicare Part A and Part B Enrollment Equitable Relief for the COVID-19 Pandemic
- Updated Guidance for Medicare Advantage and Part D Plans
- New CMS Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
March 2020 Update Content:
On March 9, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Patient Access final rule (CMS-9115-F), which is designed to improve patient access to their health information, improve interoperability and encourage innovation, while reducing burden on payers and providers. Two provisions will specifically affect dually eligible individuals (see Section VII, Improving the Medicare-Medicaid Dually Eligible Experience by Increasing the Frequency of Federal-State Data Exchanges, and final changes to regulatory text in Parts 406, 407, and 423).
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.
January 2020 Contents:
On November 15, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing a new opioid treatment program (OTP) benefit under Medicare Part B, starting January 1, 2020.