CMS Reporting Requirements For Capitated Dual Eligible Demonstration Plans Emphasize Access & Monitoring Of Long Term Services & Supports

On November 25, 2013, the federal Centers for Medicare and Medicaid Services (CMS) issued reporting requirements for Medicare-Medicaid plans (MMPs) participating in the CMS dual eligible demonstration’s capitated financial alignment model. Current reporting requirements for Medicare Part C and Part D remain unchanged for MMPs, but 14 supplemental core requirements are added. In addition to these three sets of requirements, CMS notes that each MMP must meet state-specific requirements (to be issued in a state-specific appendix to this document) and outside agency requirements (such as Healthcare Effectiveness Data and Information Set (HEDIS), Medicare Health Outcome Surveys . . .