Ohio Medicare-Medicaid Plans: Updated Reporting Requirements & Value Sets for 2025
Relevant to: State Medicare-Medicaid Plan Handbooks
Each week, we scan the latest CMS memos to find the most important ones that apply for PACE programs. Below is a summary of what you need to know.
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Introduction
The Centers for Medicare & Medicaid Services have released revised reporting requirements and value sets specifically for Ohio’s Medicare-Medicaid Plans. These updated documents provide important technical specifications needed for compliance. While this year’s updates are minimal, Ohio plans must adopt the new value sets by June 2, 2025, for accurate reporting.
Key Dates and Deadlines
- Memo Date: February 28, 2025
- Previous Version Date: February 29, 2024
- Compliance Implementation Date: June 2, 2025
PACE Compliance
This memo is relevant to PACE programs because it provides updated reporting requirements and value sets specific to Ohio’s Medicare-Medicaid Plans (MMPs). Although this particular memo does not mention PACE programs directly, it illustrates the importance of adhering to state-specific reporting requirements and using updated technical specifications.
Medicare-Medicaid Plans in Ohio are now required to incorporate the revised Ohio-Specific Reporting Requirements and Value Sets Workbook, especially for measure OH1.3, into their submissions. This adherence is crucial for ensuring compliance with state-specific measures.
For PACE programs that operate similarly or in conjunction with MMPs, it is essential to:
– Regularly check for updates in reporting requirements and value sets specific to the state in which they operate.
– Carefully review and incorporate any changes to technical specifications and applicable codes into their reporting to stay compliant.
Plans within Ohio must use the updated specifications and value sets for measures due on or after June 2, 2025. Timely incorporation of these updates is necessary to ensure that all reporting is accurate and meets the revised requirements.
Required Actions
1. Review the revised Ohio-Specific Reporting Requirements and Value Sets Workbook thoroughly to understand updated technical specifications and applicable codes.
2. Pay special attention to the updated value sets for measure OH1.3 as these changes need to be incorporated into your reporting.
3. Ensure that all reports due on or after June 2, 2025, use the updated specifications and value sets.
FAQs
– What are the key updates in the revised Ohio-Specific Reporting Requirements for 2025?
– When do the updated specifications and value sets for Ohio MMPs take effect?
– How should Ohio Medicare-Medicaid Plans incorporate the changes in the Value Sets Workbook?
– Who should be contacted for questions regarding Ohio-Specific Reporting Requirements?
