LeadingAge also asked CMS to provide more detail on the types of benefits a MA plan may offer under the new Special Supplemental Benefits for Chronically Ill policy and clarification on how these customized, person-centered benefits will be authorized. Additional comments were offered recommending ways for CMS to reduce provider burden by: 1) ensuring automation of crossover claims for dual eligibles enrolled in MA plans (currently, available in Medicare FFS and Special Needs Plans); and 2) eliminating duplicative reporting of basic provider information(e.g., name, address, NPI and license
.The new Special Supplemental Benefits for the Chronically Ill (SSBCI) likely holds the most interest for long term services and supports, housing and home and community-based service providers but lacks the detail around the services that can be provided. In 2020, MA plans will have the new option to offer “non-primarily health-related” supplemental benefits to chronically ill enrollees. These benefits do not need to be uniform across a population (e.g. all diabetics) and can vary based on each individual enrollee’s specific medical condition and needs.
LeadingAge is reading through the details of the Advance Notice and Draft Call Letter now and will provide a more detailed summary in the coming days. For now, here are a few highlights of what we know so far:
With HUD and its funding shutdown effective December 21, 2018, HUD was not able to renew 650 contracts for its multifamily housing partners in December. Of these 650 communities with expired contracts, MSNBC spent much of the day on January 14, 2019, broadcasting live from San Jose Manor, a LeadingAge member in Jacksonville, FL with about 100 residents.
Here’s an overview of our work for you in December 2018.
The first report issued by the Long-Term Quality Alliance (LTQA) summarizes findings from interviews with seven Medicare Advantage organizations discussing how they approached the issue of whether or not to take advantage of the newly available HCBS supplemental benefits.The report notes that while the plans are enthusiastic about including these benefits that some key barriers remain to achieving that goal.
June’s FutureCAST interviews feature two experts discussing their most exciting initiatives and impressions of CAST’s impact:
CMS’s new interpretation appears to recognize the importance of these services for certain MA plan enrollees while making clear that not every enrollee in an MA plan will be eligible to receive them without a designated need. CMS identified the following list of specific services as allowable supplemental benefits meeting CMS’s new expanded definition of “primarily health related”:
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