Letter of Support: H.R. 3253 – Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019

July 8, 2019 The National MLTSS Health Plan Association submitted a letter in support of the Empowering Beneficiaries, Ensuring Access, and Strengthening Accountability Act of 2019 (H.R. 3253) and its swift passage in the Senate. The Association is particularly supportive of the critical funding for the Money Follows the Person (MFP) program along with extending protections against spousal impoverishment for those who …

Comments on Proposed Rule: Joint Employer Status Under FLSA

June 21, 2019 The Association has submitted comments in support of the Department of Labor (DOL)’s notice of proposed rulemaking Joint Employer Status Under the Fair Labor Standards Act 29 CFR Part 791.  This proposed rule would apply a four-factor balancing test that would more clearly and consistently assess whether an employer would be considered a joint employer under the Fair …

Comment Letter: Primary Cares Initiative Direct Contracting Model

June 18, 2019 Today, the MLTSS Association submitted comments to CMMI regarding the opportunity for Medicaid Managed Care Organizations (MCOs) to participate in the Direct Contracting (DC) model for the population of individuals fully eligible for both Medicare and Medicaid, announced as part of the Primary Cares Initiative.  The Association’s members are interested in the potential this model offers to …

Fact Sheet: Impact of Integrated Plans

June 12, 2019 Roughly 12 million Americans are eligible for both Medicare and Medicaid (e.g., dual eligibles).  Dual-eligible individuals with long-term service and support (LTSS) needs often receive fragmented care, resulting in inefficiencies, unnecessary costs, and poorer outcomes. Integrated, managed Medicaid long-term services and supports (MLTSS) help states achieve greater value for beneficiaries and taxpayers, making the most of scarce …

Letter of Support: Stabilize Mediciad and CHIP Coverage Act of 2019

June 3, 2019 Last week, the MLTSS Association joined the Association For Community Affiliated Plans (ACAP) in submitting letters to leaders in both the House and Senate supporting the Stabilize Medicaid and CHIP Coverage Act of 2019 (SMCA).  The Association believes that this bill will help improve the efficiency and continuity of care for tens of millions of individuals enrolled in Medicaid and …

Proposal to Advance Integrated Care

May 17, 2019 Only 9 percent of beneficiaries who have full coverage in both Medicare and Medicaid (“full Duals”) are enrolled in managed care plans that integrate their Medicare and Medicaid coverage. The remaining “full Duals” are enrolled in separate Medicare and Medicaid coverage and must navigate a complex and confusing world of overlapping coverage and disconnected services. In 2018, …

Comments on 2020 Medicare Advantage and Part D Call Letter [CMS-2018-0154]

February 28, 2019 Today, the National MLTSS Health Plan Association submitted comments to CMS regarding the Advance Notice of Methodological Changes for Calendar Year (CY) 2020 for Medicare Advantage (MA) Capitation Rates, Part C and Part D Payment Policies and 2020 Draft Call Letter.  The Association appreciates CMS’s continued efforts to advance integration for D-SNPs and across all other integrated modalities.  …

EVV White Paper

February 27, 2019 The MLTSS Association Policy Board and Partnership Advisory Council have crafted a White Paper discussing key issues around Electronic Visit Verification (EVV) requirements and implementation.  This White Paper describes the status of EVV adoption, relevant issues and limitations, and recommended future directions for both states and managed care organizations. EVV White Paper

Comments on Medicaid and Children’s Health Insurance Plan (CHIP) Managed Care Proposed Rule CMS-2408-P

January 14, 2019 Today, the National MLTSS Health Plan Association submitted comments to CMS regarding the proposed rule Medicaid Program; Medicaid and Children’s Health Insurance Plan (CHIP) Managed Care.  The Association generally supports the additional flexibility CMS has granted states and health plans in operating managed care programs, especially as more states transition from a fee-for-service system to a managed care environment.  …

Comments on Medicare Advantage Proposed Rule CMS-4185-P

December 19, 2018 Today, the National MLTSS Health Plan Association submitted comments to CMS regarding the proposed rule Policy and Technical Changes to the Medicare Advantage, Medicare Presctiption Drug Benefit, Program of All-Inclusive Care for the Elderly (PACE), Medicaid Fee-for-Service, and Medicaid Managed Care Programs for Years 2020 and 2021.  The Association supports the SNP reauthorization and integration provisions in the BBA …