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SCDuE Weekly Update | January 14, 2013

As of January 14, 2013, the South Carolina Department of Health and Human Services (SCDHHS) has yet to receive Centers for Medicare and Medicaid Services (CMS) approval for our proposed model, but we continue to move forward with planning activities for the 2014 implementation of the South Carolina Dual Eligible (SCDuE) Demonstration.
 

Request for Additional Information (RAI) #3, Thursday, November 15, 2012
On Sunday, November 11, 2012, the SCDuE Team received a third set of CMS questions regarding specific areas of the SCDuE Demonstration Proposal submitted to CMS on May 25, 2012.  The SCDuE Team submitted comprehensive responses to CMS on Thursday, November 15, 2012.  Although the SCDuE Demonstration Proposal is still under CMS review, our responses to these questions serve as an additional layer of detail for these specific areas in the proposed model.  All three versions of the SCDuE-RAI can be downloaded from the SCDuE website.

  1. RAI #1 Tuesday, August 14, 2012 | PDF
  2. RAI #2 Thursday, October 11, 2012 | PDF
  3. RAI #3 Thursday, November 15, 2012 | PDF

 

2014 Capitated Financial Alignment Demonstration (FAD) Timeline & CMS Webinar for the MMP Application and HPMS
On Thursday, January 9, 2013, CMS released to health plans the preliminary guidance on the 2014 Capitated Financial Alignment Demonstration (FAD) timeline document.
As stated within Section E. of this guidance document (pages 7-8), a CMS Webinar training session has been scheduled for Thursday, January 17, 2013 from 1:00 PM – 4:00 PM Eastern.  The purpose of this Webinar is to discuss the 2014 Capitated Financial Alignment Demonstration (FAD) MMP Application and use of the Health Plan Management System (HPMS) for application submissions.  For more information about the HPMS, refer to Section D., page 7 of this guidance document. 

CMS Webinar / Conference Call Training Session Information: 
Date:  Thursday, January 17, 2013
Time:  1:00 PM – 4:00 PM Eastern
Conference line (dial-in) number:  (877) 267-1577
Meeting ID number: 6865
Webinar: https://webinar.cms.hhs.gov/MMPapplicationtraining2014/
 

2014 Medicare-Medicaid Plan (MMP) Application Information
On Thursday, January 10, 2013, CMS released the 2014 Capitated Financial Alignment Application.  This application is available on the CMS Medicare-Medicaid Coordination Office (MMCO) websitefor organizations interested in participating in the capitated Financial Alignment Demonstration (FAD) for 2014.  The application deadline is Thursday, February 21, 2013 at 8:00 PM Eastern.

  • 2014 Capitated Financial Alignment Application | PDF
  • Additional Information (aka Preliminary CMS Guidance document) | PDF
  • Notice of Intent to Apply (NOIA) web tool | LINK

On Friday, January 18, 2013 from 12:30 PM – 2:00 PM Eastern, CMS will discuss the 2014 Capitated Financial Alignment Demonstration Timeline January 9, 2013 HPMS memorandum. 

CMS Conference Call Information:
Date:  Friday, January 18, 2013
Time:  12:30 PM – 2:00 PM Eastern
Conference Line (dial-in) number: (877) 267-1577
Meeting ID number: 5607
Captioning Services: http://www.fedrcc.us//Enter.aspx?EventID=2088364&CustomerID=321
 
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Contact CMS for any questions or concerns regarding the meetings, guidance, or the MMP application.  Emails can be directed to MMCOcapsmodel@cms.hhs.gov
 
Contact the SCDuE Team for more information, questions, and/or comments related to the SCDuE Demonstration by email at scdue@scdhhs.gov.
 
For additional assistance, please contact the SCDuE Program Coordinator, Teeshla Curtis by email at curtist@scdhhs.gov or by telephone at (803) 898-0070.  
 
Visit the SCDuE Website at https://msp.scdhhs.gov/scdue/
 
Visit the CMS-MMCO Website at https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/index.html

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