Termination due to a Change in Law. In addition, CMS or the State may terminate upon 30 days’ notice due to a material change in law, or with less or no notice if required by law.
Termination due to a Change in Law. In addition, CMS or the State may terminate this agreement upon 30 days’ notice due to a material change in law, or with less or no notice if required by law. If the Demonstration is terminated as set forth above, CMS shall provide the State with the opportunity to propose and implement a phase-out plan that assures notice and access to ongoing coverage for Demonstration Enrollees, and, to the extent that timing permits, adheres to the phase-out plan requirements detailed below. All Enrollees must be successfully enrolled in a Part D plan prior to termination of the Demonstration.
Termination due to a Change in Law. In addition, CMS or the Commonwealth may terminate this agreement upon 30 days’ notice due to a material change in law, or with less or no notice if required by law.
Termination due to a Change in Law. In addition, CMS or the State may terminate this MOU upon 30 days’ advance written notice due to a material change in law or with less or no notice if required by law. connecting Medicaid beneficiaries, and the Demonstration’s Medicare-Medicaid beneficiaries, to providers and for assisting beneficiaries in finding community and social services in their area. The RCCO helps providers communicate with beneficiaries and with each other to ensure that beneficiaries receive coordinated care. Integration of Benefits Proposed model ensures the provision and coordination of all necessary Medicare and Medicaid-covered services, including primary care, acute care, prescription drugs, behavioral health, and LTSS. pp. 8-12, 13-15, Xxxxxxxx H & O Care Model Proposed model offers mechanisms for person-centered coordination of care and includes robust and meaningful mechanisms for improving care transitions (e.g., between providers and/or settings) to maximize continuity of care. p. 6-10, 12-17, Appendix B, X X, Xxxxxxxx Stakeholder Engagement State can provide evidence of ongoing and meaningful stakeholder engagement during the planning phase and has incorporated such input into its proposal. This will include dates/descriptions of all meetings, workgroups, advisory committees, focus groups, etc. that were held to discuss proposed model with relevant stakeholders. Stakeholders include, but are not limited to, beneficiaries and their families, consumer organizations, beneficiary advocates, providers, and plans that are relevant to the proposed population and care model. p. 5 State has also established a plan for continuing to gather and incorporate stakeholder feedback on an ongoing basis for the duration of the Demonstration (i.e., implementation, monitoring and evaluation), including a process for informing beneficiaries (and their representatives) of the changes related to this initiative. pp. 23-24 Beneficiary Protections State has identified protections (e.g., enrollment and disenrollment procedures, grievances and appeals, process for ensuring access to and continuity of care, etc.) that would be established, modified, or maintained to ensure beneficiary health and safety and beneficiary access to high quality health and supportive services necessary to meet the beneficiary’s needs. At a minimum, States will be required to: · Establish meaningful beneficiary input processes which may include beneficiary participation in development and oversight of the model. pp. 2...
