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Advancing Integrated Care
Advancing Integrated Care for Beneficiaries Dually Eligible for Medicare and Medicaid
The National MLTSS Health Plan Association has taken a multi-pronged approach to advancing integrated care for dual eligible beneficiaries since its inception. This includes development of the Association’s proposal and policy priorities, convening and meeting with health plan association leadership and other stakeholders, and engagement with Hill staff to provide education and identify legislative champions. The goals of these activities are to increase public awareness of integration as an issue and to work towards legislative action to advance integration.
MLTSS Association Submits Comments on OMB Deregulation RFI
On May 12th, the MLTSS Association submitted comments on a Request for Information (RFI) from the Office of Management and Budget (OMB)...
May 27
MLTSS Association Sends Letter to CMS about MMCO
On April 29th, the MLTSS Association sent a letter to Abe Sutton (Director, Center for Medicare and Medicaid Innovation) and Gary Bacher...
May 6
MLTSS Association Sends Letter to Members of Congress
The MLTSS Association has submitted a letter to members of Congress that provides an overview of the Association and the populations we...
Apr 22
MLTSS Association Releases New Educational Materials
The MLTSS Association has created two new educational resources, including an overview of the MLTSS Association and a primer on MLTSS &...
Apr 10
MLTSS Association Signs-on to Coalition Letter Advocating for Medicare Advantage Supplemental Benefit Flexibilities
On March 17th, the MLTSS Association, along with the Special Needs Plan Alliance (SNP Alliance), the Association for Community Affiliated...
Mar 20
MLTSS Association and SNP Alliance Develop State Scenarios for CY 2025 MA and Part D Final Rule
The MLTSS Association and SNP Alliance have collaborated to develop state scenario slides analyzing how the CY 2025 Medicare Advantage...
Feb 13
MLTSS Association Recommendations to States to Improve State Medicaid Agency Contracts (SMACs)
The MLTSS Association has created an educational resource containing common challenges with State Medicaid Agency Contracts (SMACs) and...
Feb 6
MLTSS Association Comments on the 2026 Medicare Advantage and Part D Proposed Rule
On January 27th, 2025, the MLTSS Association submitted comments on the 2026 MA and Part D Proposed Rule. Among its provisions, this rule...
Jan 28
MLTSS Association Comments on the 2027 SMAC Application
On January 21st, 2025, the MLTSS Association submitted comments on proposed changes to the 2027 State Medicaid Agency Contract (SMAC)...
Jan 27
Breaking Down the CY 2025 Final Rule: Changes for Dually Eligible Individuals and D-SNPs
The CY 2025 Medicare Advantage and Part D final rule, published in April 2024, introduced several important changes to enrollment...
Dec 12, 2024
MLTSS Staff Presents at the Special Needs Plan (SNP) Alliance Fall Forum
MLTSS Association staff presented on "State Scenarios for New CMS Integration Requirements" at the Special Needs Plan (SNP) Alliance Fall...
Oct 30, 2024
MLTSS Assn and SNP Alliance Send Joint Letter to Congress on the DUALS Act
The MLTSS Association and SNP Alliance sent a letter to Congress with comments on the DUALS Act of 2024, which aims to improve...
Jul 30, 2024
MLTSS Assn Resources on the 2025 Medicare Advantage and Part D Final Rule
On April 4th, CMS released the Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program and the Medicare...
Apr 29, 2024
MLTSS Assn and SNP Alliance Send Joint Letter to Congress on Integrated Care Bill
The MLTSS Association and the SNP Alliance sent a letter to Congress on bipartisan integrated care legislation that proposes to advance...
Mar 13, 2024
MLTSS Association Comments on CMS 2025 Advance Notice
On January 31st, 2024, CMS published the Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA)...
Mar 4, 2024
MLTSS Assn Comments on CMS 2025 Medicare Advantage and Part D Proposed Rule
On January 5th, 2024, the MLTSS Association submitted comments on CMS’ 2025 Medicare Advantage and Part D proposed rule. Among its...
Jan 8, 2024
Updated Policy Proposals to Advance Integrated Care
Following up on our work from July 2021, the National MLTSS Health Plan Association has updated its set of policy proposals to advance...
Sep 19, 2023
Comments on Dual Eligible Discussion Draft Bill
On June 30th, the MLTSS Association submitted comments on a bipartisan discussion draft of a bill that proposes to advance integrated...
Jul 5, 2023
Congressional Briefing: What is Integrated Care?
On April 13th, Mary Kaschak facilitated a bipartisan Congressional committee educational session on behalf of the Long-Term Quality...
Apr 19, 2023
MLTSS Assn Comments on CMS 2024 Advance Notice
On February 1, 2023, CMS published the Advance Notice of Methodological Changes for Calendar Year (CY) 2024 for Medicare Advantage (MA)...
Mar 6, 2023
MLTSS Assn Comments on CMS 2024 Medicare Advantage and Part D Proposed Rule
On February 13th, 2023, the MLTSS Association submitted comments on CMS’ 2024 Medicare Advantage and Part D proposed rule. Among its...
Feb 13, 2023
MLTSS Leadership Summit: CMS Administrator Calls to Action on Health Equity and Integration
The population served by MLTSS health plans experiences stark disparities by race and ethnicity, making it critical to ensure that this...
Jan 25, 2023
Response on Senate Integrated Care RFI
A bipartisan group of Senators published a letter requesting information on how Congress can improve health care coverage and alignment...
Jan 17, 2023
Medicare Advantage RFI Response
CMS released an RFI to inform their efforts to strengthen Medicare Advantage in alignment with agency’s goals and vision for the future....
Sep 2, 2022
MLTSS Assn Endorses Bills to Advance Integrated Care Introduced by Senate Special Committee on Aging
On May 19, the Senate Special Committee on Aging held a hearing focused on senior mental health and integrated care. During the hearing,...
May 26, 2022
MLTSS Assn Brief: MLTSS Plans’ Current Sources of Medicare Data and Their Limitations
The MLTSS Association recently developed a brief summary of the Medicare data sources that MLTSS plans currently have access to and the...
Apr 29, 2022
Medicare Advantage and Part D Proposed Rule Comments
On March 7, 2022, the MLTSS Association submitted comments to CMS on the Medicare Program; Contract Year 2023 Policy and Technical...
Mar 9, 2022
Direct Contracting Letter to CMMI
On September 8, 2021 the National MLTSS Association, America’s Health Insurance Plans (AHIP), the Association for Community Affiliated...
Sep 8, 2021
Policy Proposals to Advance Integrated Care
Today less than 10 percent of “full Duals” (beneficiaries who have full coverage in both Medicare and Medicaid) are enrolled in managed...
Jul 14, 2021
MLTSS Plan Access to COVID-19 Vaccine Data for Dually Eligible Beneficiaries
On March 19, 2021 the Association for Community Affiliated Plans (ACAP), Medicaid Health Plans of America (MHPA), and the National MLTSS...
Mar 19, 2021
Value of MLTSS Health Plan Participation in CMMI DC Model
The DC model is focused on giving participants the ability to take increasing levels of risk for a patient population through flexible...
Nov 30, 2020
MACPAC June 2020 Report to Congress Response
On July 27, 2020, the Association wrote a letter to the Medicaid and CHIP Payment and Access Commission (MACPAC) Commissioners in...
Jul 27, 2020
Primary Cares Initiative DC Model Letter
In response to the Center for Medicare and Medicaid Services (CMS)’s announcement of the Primary Cares Initiative, on June 17, 2020 the...
Jun 17, 2020
Impact of Integrated Plans Fact Sheet
Roughly 12 million Americans are eligible for both Medicare and Medicaid (e.g., dual eligibles). Dualeligible individuals with long-term...
Jun 12, 2019
Advancing Integrated Care Proposal 2019
Only 9 percent of beneficiaries who have full coverage in both Medicare and Medicaid (“full Duals”) are enrolled in managed care plans...
May 17, 2019
Medicare Advantage and Part D Call Letter
On February 27, the Association wrote a letter to Administrator Seema Verma to provide comment on the Centers for Medicare and Medicaid...
Feb 27, 2019
CMS Medicare Advantage Proposed Rule Comments
On December 19, 2018 the Association wrote a letter to Administrator Seema Verma to provide comment on the Centers for Medicare and...
Dec 19, 2018
Comprehensive Care for Seniors Act of 2018
On September 26, 2018 the Association wrote a letter to Senate Finance Chairman Hatch, Ranking Member Wyden, Senator Toomey, Senator...
Sep 26, 2018
D-SNP Provisions of the Bipartisan Budget Act of 2018
On April 12, 2018 the Association wrote a letter to Director Tim Engelhardt to provide comment on the Medicare-Medicaid Coordination...
Apr 12, 2018
Special Need Plans Reauthorization Act of 2017
On October 26, 2017 the Association wrote a letter to Congressional leadership to urge the permanent reauthorization of all special needs...
Oct 26, 2017
House Energy and Commerce Committee Testimony
On July 26, 2017 the Association testified before the U.S. House Energy and Commerce Subcommittee on Health regarding the extension of...
Jul 26, 2017
Reauthorization of MA Special Needs Plans Letter
On July 10, 2017 the Association wrote a letter to Chairman Pat Tiberito and Ranking Member Sander Levin of the House Committee on Ways...
Jul 10, 2017
PACE Innovation Act Request for Information (RFI)
On February 10, 2017 the Association wrote a letter to Administrator Patrick Conway to provide comment on the Centers for Medicare &...
Feb 10, 2017
CMS Proposed Rule: PACE
On October 20, 2016 the Association wrote a letter to CMS Administrator Slavitt to comment on the Centers for Medicare & Medicaid...
Oct 20, 2016
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