2025 Texas Medicare-Medicaid Plans (MMPs) CAHPS Survey Reporting Requirements
Relevant to: PDP, State Medicare-Medicaid Plan Handbooks, Part D
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Introduction
The Centers for Medicare & Medicaid Services has released an important memorandum concerning 2025 additional reporting requirements for Texas Medicare-Medicaid Plans (MMPs) under the capitated financial alignment model. This memo emphasizes the necessity for MMPs to adhere to updated guidelines for the annual Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, focusing on compliance and inclusion of specific evaluator and state-identified questions.
Key Dates and Deadlines
- Memo Date: January 16, 2025
- CAHPS requirements outlined in HPMS memos: May 6, 2024 and November 8, 2024
- Enrollee Eligibility Date: July 1, 2024
PACE Compliance
This memo is relevant to PACE programs because of its implications on ensuring compliance with the additional reporting requirements for measures like the CAHPS® survey. Although this memo specifically addresses the Texas MMPs, its guidelines can be informative for PACE programs that might face similar requirements in other contexts.
PACE programs need to be aware of compliance actions related to failing to collect and submit the required supplemental items. Non-compliance with such data collection and reporting can result in consequences that impact program evaluations and alignments.
Plans should also be aware of the constraints in adding supplemental items to surveys under specific models, as seen with Texas MMPs, where plan-specific measures are limited due to evaluation requirements. Understanding these restrictions can help in better preparation and proper communication with contracted vendors to ensure compliance.
Required Actions
Texas Medicare-Medicaid Plans (MMPs) must adhere to additional reporting requirements for 2025 CAHPS® measures when operating under the capitated financial alignment model. Below are the required actions:
1. Contract with CMS-approved Medicare Advantage (MA) and Prescription Drug Plan (PDP) CAHPS survey vendors to conduct data collection for CY 2025 if you have 600 or more enrollees as of July 1, 2024.
2. Include ten additional evaluation supplemental items identified by RTI in the survey, as it is mandatory for all MMPs. Failing to do so will result in compliance action.
3. Follow up with the contracted CAHPS vendors to remove any previously submitted plan-specific supplemental questions, as Texas MMPs cannot add any new measures due to the inclusion of questions identified by the state and RTI.
FAQs
- What are the additional reporting requirements for 2025 CAHPS Measures for Texas MMPs?
- How many enrollees must a Texas MMP have to be required to contract with CMS-approved vendors?
- Why are MMPs limited in adding plan-specific supplemental items to the CAHPS survey?
- What happens if MMPs fail to collect and submit the required supplemental items?
- Who should Texas MMPs contact for questions regarding this memorandum?