The 2019 Program Audit Protocol

On Tuesday, December 4, 2018, the Centers for Medicare & Medicaid Services (CMS) released a Health Plan Management System (HPMS) memo addressing updates for the 2019 Program Audit Process. The biggest surprise?…

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Changes Are Ahead for C-SNPs and D-SNPs

The Centers for Medicare & Medicaid Services (CMS) announced yesterday that beginning in 2020, all current Chronic Condition Special Needs Plans (C-SNPs) must submit their Model of Care (MOC) to CMS annually…

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