The Centers for Medicare & Medicaid Services (CMS)releasedits Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies on Jan. 31, 2024, that would update program policies for Medicare Advantag...
Centers for Medicare & Medicaid Services (CMS) audit approach for a Medicare Advantage (MA), Medicare Advantage Prescription Drug plan (MA-PD), a standalone prescription drug plan (PDP) or a Medicare special needs plan (SNP). It states that corrective action plans issued by the organization ...
On March 31, 2023, the US Centers for Medicare & Medicaid Services (CMS) issued itsAnnouncement of Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies, otherwise known as the Rate Announcement (press release;fact sheet). T...
MMP- CCQIPE: Medicare-Medicaid Plan Care Coordination Quality Improvement Program Effectiveness ODAG: Part C Organization Determinations, Appeals, and Grievances SNP-MOC: Special Needs Plans–Model of Care Audits is one of seven modules in the OMT toolkit. Designed for CMS audit preparedness and ...
Centers for Medicare & Medicaid Services (CMS) audit approach for a Medicare Advantage (MA), Medicare Advantage Prescription Drug plan (MA-PD), a standalone prescription drug plan (PDP) or a Medicare special needs plan (SNP). It states that corrective action plans issued by the organization ...