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 Plans

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.  …

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 …

Response to MMCO Request for Stakeholder Input

April 12, 2018 Today, the National MLTSS Health Plan Association submitted public comments to the Medicare-Medicaid Coordination Office (MMCO) at the Centers for Medicare & Medicaid Services (CMS) in response to a request for stakeholder input regarding implementing the Dual Eligible Special Needs Plans (D-SNPs) provisions of the Bipartisan Budget Act of 2018.  To read the Association’s full comments, click here. …

Response to CMMI Request For Information

November 20, 2017 Today, the MLTSS Association submitted comments in response to a Request for Information from the Center for Medicare and Medicaid Innovation (CMMI). Click here to read the Association’s complete comments.

NCIL Conference Roundtable

July 27, 2017 Today, the National MLTSS Association held a round table discussion titled “How Disability Advocates and the National MLTSS Health Plan Association Can Work Together to Advance Community Integration” at the annual NCIL conference in Washington, D.C.  The round table addressed policy goals shared by health plans and disability advocates, and how these stakeholders can work together to achieve …

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House Energy and Commerce Committee Testimony

July 26, 2017 This morning, the National MLTSS Health Plan Association testified before the U.S. House Energy and Commerce Subcommittee on Health regarding the extension of the statutory authority of special needs plans (SNPs). Speaking on behalf of the Association, Executive Director Larry Atkins recommended to subcommittee members to provide a permanent reauthorization of the program. Click here to read …