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Enhancements
to the Contract Year 2018 Medicare Plan Finder
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Date: 5/22/2017
Summary:
CMS is making enhancements to the data being displayed on the Medicare Plan
Finder (MPF) on Medicare.gov for 2018. The following enhancements
will be included:
• More benefit categories,
including preventive care, diagnostic procedures/lab services/imaging,
hearing services, preventive dental services, comprehensive dental
services, vision services, rehabilitation services, transportation, foot
care (podiatry services), wellness programs, and Medicare Part B drugs
• In-network vs.
out-of-network cost share information
• Authorization and referral
information
• Optional supplemental
benefits with monthly premium and deductible
• An expanded display for drug
costs and coverage
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Termination
of Coverage Gap Discount Program Agreement for New Haven Pharmaceuticals,
Inc.
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Date: 5/23/2017
Summary:
CMS is announcing that effective June 1, 2017 the Coverage Gap Discount
Program contract New Haven Pharmaceuticals, Inc. has been terminated.
Drugs with their labeler code will no longer be covered under Part D.
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Guidance
for Submitting State Medicaid Agency Contracts
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Date: 5/25/2017
Summary:
CMS is providing instructions to plans on submitting the ratified State
Medicaid contract for any D-SNP plans. These contracts are due to CMS
by 8:00 PM on July 3, 2017.
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Long-Term
Institutionalized Resident Report
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Date: 5/26/2017
Summary:
CMS released the first quarter's Long-Term Institutionalized (LTI) Resident
Report on June 1, 2017. This report includes nursing home assessments
as of April 2017 and can be used to better coordinate care and payment for
Part D drugs.
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Medicare
Advantage/Prescription Drug System (MARx) June 2017 Payment –INFORMATION
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Date: 5/26/2017
Summary:
CMS is providing information on the June 1, 2017 MARx payment, which will
include:
·
Coverage Gap Discount (CGD) Invoice Offsets
·
Incorrect Adjustments for Some Disenrollment's
·
Incorrect Community Risk Factor Used in 2017 Payments
·
Late Enrollment Penalty (LEP) Cleanup
·
Health Information Technology for Economic & Clinical
Health Act (HITECH) Bonus Payments for 2016
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Coverage
Gap Discount Program: June Participating Labeler Code Update
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Date: 5/27/2017
Summary:
CMS is providing an update to the list of participating manufacturers in
the Coverage Gap Discount Program. This update includes one new &
one deleted manufacturer and will go into effect on June 1, 2017.
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