CMS Responds to VNAA Principles on Duals Demonstrations
Wednesday, April 17, 2013
by: VNAA Policy Team

Section: Public Policy and Advocacy

On March 27, Melanie Bella the Director of the Medicare-Medicaid Conditional Office at the Centers for Medicare and Medicaid Services (CMS) sent a letter to VNAA thanking members for their commitment across the Medicare and Medicaid programs and high-quality care. To review Melanie Bella’s letter, please click here.

The letter is in response to a January letter that VNAA sent to CMS outlining key principles regarding home health and hospice access for the Financial Alignment Demonstrations. VNAA built on the concerns of members as well as national and state associations to develop this letter which was approved by the Public Policy Council. To review the VNAA letter, please click here.

Here is a quick re-cap of where CMS stands right now: Twenty-five states submitted proposals to CMS on dual eligible demonstrations. Of those proposals, 17 state submitted capitated proposals for 2013 and 2014, 6 states offered Fee-For-Service plans, and 2 states proposed both a capitated and Fee-For-Service plans.
Currently the following states’ plans have been approved with signed Memorandums of Understanding with CMS:
  • Massachusetts, Capitated Financial Alignment Model, starting April 1, 2013
  • Washington, Managed Fee-for-Service Financial Alignment Model, starting  April 1, 2013
  • Ohio, Capitated Financial Alignment Model, starting September 1, 2013
  • California, Capitated Financial Alignment Model, starting no sooner than October 1, 2013
  • Illinois, Capitated Financial Alignment Model, starting October 1, 2013

More information on the dual eligibles demonstrations can be found on the CMS Medicare-Medicaid Coordination Office Website.  
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