Friday, May 1, 2020

Medicaid Updates: 2021 Contracts between States and Medicare D-SNPs

 

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Medicaid Updates 05/01/2020

Updated CMS Processes for Reviewing 2021 Contracts between States and Medicare Dual Eligible Special Needs Plans (D-SNPs) in Response to Coronavirus Disease 2019 

The Centers for Medicare & Medicaid Services (CMS) reminds states of the upcoming submission deadline for the Contract Year (CY) 2021 contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs). The due date for D-SNPs to submit to CMS their CY 2021 contracts with the state Medicaid agencies is July 6, 2020.

CMS strongly encourages state Medicaid agencies to review the November 14, 2019 Informational Bulletin that describes new requirements for CY 2021 D-SNP contracts, which CMS finalized in rulemaking to implement new statutory provisions of the Bipartisan Budget Act (BBA) of 2018.

CMS and the Integrated Care Resource Center (ICRC) continue to provide technical assistance to states to help with the implementation of these new requirements. CMS and ICRC have a number of important resources for states regarding the new requirements for contracts with D-SNPs. Additional resources for states can be found here.

For technical assistance on the new integration requirements, please email ICRC@chcs.org. To obtain a CMS review of draft D-SNP contract language, please send to paul.precht@cms.hhs.gov. 

Due to the unique circumstances for D-SNPs and states resulting from the COVID-19 public health emergency, CMS is extending the review and approval timelines to allow D-SNPs more time to work with states on the new CY 2021 requirements. Specifically, D-SNPs will have until November 2, 2020 to resubmit revised state Medicaid agency contracts or contract amendments. For more information on this process, please see our April 13, 2020 Health Plan Management System (HPMS) memorandum.

 


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