ASSOCIATION FOR COMMUNITY AFFILIATED PLANS

Medicare/Medicaid

Appropriate payment, including risk adjustment, for D-SNPs and MMPs Appropriate quality measurement for D-SNPs and MMPs "Protect Maintenance of Effort (MOE) requirements in Section 6008(b) of the Families First Coronavirus Response Act" Education, implementation, evaluation, and improvement of coordinated care programs for dual eligibles Legislative solution to address churning in Medicaid/CHIP eligibility in both programs Medicaid and Medicare reform discussions with MACPAC and MedPAC Medicaid eligibility and enrollment issues Medicaid health plans serving as qualified health plans in the Exchange Medicaid quality measurement and improvement Medicaid expansion activities Impact of Substance Use Disorder Treatment Privacy Protections on Medcare/Medicaid beneficiaries (42 CFR Part 2) Stabilize Medicaid and CHIP Coverage Act (H.R.1879/S.873) Regulatory and systematic impact of Medicaid continuous coverage SNP sustainability and improvements to MMPs RADV audits Enact risk corridors for Medicare Advantage Dual Eligible Special Needs Plans (D-SNPS) [Section 30213 of the HEROES Act Designate employees in home and community based work as essential workers for the purpose of premium pay [Section 17101 - 17104 of the House-passed HEROES Act] "Support the Coronavirus State Fiscal Relief Fund and the Coronavirus Local Fiscal Relief Fund in Title III of the HEROES Act" Medicare Special Enrollment Period Medicare Presumptive Eligibility Guidance Increase the Federal Medical Assistance Percentage (FMAP) Institute a Moratorium on the Medicaid Fiscal Accountability Regulation (MFAR) until after the PHE "Expand the availability of the FCC Lifeline program during the current COVID-19 public health emergency" H.R. 6926, the Meeting IMD Needs with Direction (MIND) Act H.R. 4996, the Helping Medicaid Offer Maternity Services (MOMS) Act Actuarial soundness for Medicaid managed care payments Impact of significant budget cuts in Medicaid Medicaid managed care best practices Medicaid managed care regulations Medicaid Provider Payments Network adequacy Risk adjustment Home and community based services Capped Medicaid Funding Proposals Impact of enhanced state flexibility in managing Medicaid programs Including Medciaid Continuous Eligibility Maintenance of Effort requirements in H.R.6201, Families First Coronavirus Response Act HR 6359 Coronavirus Medicaid Response Act Ensure adeqate Medicaid Managed Care ratesetting through Coronavirus Emergency (H.R.748) Institute moratorium on Medicaid Financial Accountability Rule through Coronavirus emergency (H.R.748) Protecting Medicaid Non-Emergency Transportation benefits through coronavirus pandemic emegency (H.R.748) Adequate ratesetting for Medicare Advantage and MMPs to account for increased COVID-19 costs (H.R.748) Suspend MA-PD audits, including RADV audits, through pendemic emergency period (H.R.748) Include COVID-19 pandemic in "Extreme and Uncontrollable Circumstances" policy for CY2021 MA STARS ratings (H.R.748) Permit MA D-SNPs and MMPs to substitute face-to-face care coordination activities with telephonic or telehealth management (H.R.748) Regulatory relief for Managed Long Term Supports and Services Plans during COVID-19 pandemic (H.R.748) Medicaid PCP rate increase HR 6800, the HEROES Act