Highlights from HCCA 2023 Managed Care Compliance Conference
Presentation by Anne Crawford, ATTAC Consulting Group | Sandra J. Durkin, Strategic Health Law
- MA Final Rule: D-SNP & Dual Eligible Provisions
- Improving experiences for dual-eligible individuals
- D-SNP implementation timeline
- Finalized proposals that apply MMP features to D-SNPs
- Enrollee Participation in Plan Governance
- Enrollee advisory committee
- Enrollee participation in plan governance
- Operational considerations & strategies
- Process & system considerations & strategies
- Adding Social Determinants of Health Questions on Health Risk Assessments
- Standardizing housing, food insecurity, and transportation questions on Health Risk Assessments
- Social Determinants of Health & Health Risk Assessments
- Sample questions from other Medicare contexts
- Operational considerations & strategies
- Process & system considerations & strategies
- Strategies for Operational Compliance with Model of Care Contractual Requirements
- Ensuring regulatory compliance
- Unified Appeals and Grievance Procedures
- Expanded universe subject to unified appeals & grievance procedures
- Unified appeals & grievance procedures: What’s required?
- Implementing unified appeals & grievance procedures
- New Requirements & Opportunities for Integration
- Additional pathways for integration through state contracts
- Levels of D-SNP integration
- New requirements for FIDE SNPs & HIDE SNPs for 2025
- Other changes to D-SNPs
- Medicare Advantage Proposed Rule for CY 2024 –D-SNP and Dual Eligible Provisions
- SNP proposals for CY 2024
- Improving experiences for dual-eligible individuals
- D-SNP implementation timeline
- Finalized proposals that apply MMP features to D-SNPs
