Washington, DC (PRWEB) November 04, 2015
All 13 states participating in the Medicare-Medicaid dual eligibles demonstration have indicated that they plan to continue in the program under the terms of the two-year extension offered by the Centers for Medicare & Medicaid Services, a CMS official tells Atlantic Information Services, Inc.’s (AIS) Medicare Advantage News (MAN). But, as CMS Medicare-Medicaid Coordination Office Director Tim Engelhardt points out, the letters are nonbinding and the fate of the demo program in a few states is uncertain. MAN examines the situation in those states in its Oct. 29, 2015, issue:
- Texas asked for a host of changes in its extension-request letter, some of which are “things we need to do,” Engelhardt says.
- Under state law, according to MAN, California must give notice by the beginning of 2016 that it will pull out of the demo in 2017, unless state officials can show the demo has met its projections for cost savings, with the data that will determine that decision scheduled to be released next month.
- In a memo to stakeholders sent after the state sent in its extension acceptance letter, according to MAN, Virginia’s Department of Medical Assistance Services referred in two places to its CMS-backed duals demo ending in December 2017, which will cease to enroll new participants in June of that year.
- New York’s long-term-care-focused duals demo continues to have issues attracting enrollees and seeks to make changes in its care management systems as part of its extension. Data from AIS’s Medicare-Medicaid Dual Eligibles Database indicate that the demo has enrolled only 9,942 duals since January out of about 170,000 eligibles. Another big hurdle has been the large volume of opt-outs, Engelhardt says, adding that the demo there needs “more provider engagement and buy-in.”
Visit https://aishealth.com/archive/nman102915-05 to read the article in its entirety.
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