PACE Organizations’ Risk Adjustment Submission Resources Launched by CMS
Relevant to: PACE
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.
Disclaimer: The content provided on this site is a summary for informational purposes only, and Grane PBM, Inc. assumes no liability for any errors or omissions in the site’s content. The information does not constitute legal or regulatory advice or replace the original CMS memo. Readers are advised to consult the CMS memo in its entirety and to verify information independently before making any decisions based on this information.
Click here to read the full memo from CMS.
Introduction
The Centers for Medicare & Medicaid Services (CMS) has unveiled a new resource webpage designed to assist Program of All-Inclusive Care for the Elderly (PACE) organizations. This dedicated page, hosted on the CSSC website, offers vital technical resources to streamline the submission of encounter data and includes updates on relevant HPMS memos and technical guides. CMS is committed to regularly updating the webpage with additional resources, encouraging PACE organizations to stay informed and frequently visit for the latest information.
Key Dates and Deadlines
- Date of Memo: January 17, 2025
PACE Compliance
This memo is relevant to PACE programs because of its implications on risk adjustment data submissions. PACE organizations are required to submit encounter data to the Encounter Data System (EDS) for risk adjustment purposes.
It is important for PACE organizations to use the newly announced webpage as a central resource to ensure they have access to the most updated technical resources, HPMS memos, and guidelines pertaining to encounter data submissions.
PACE organizations should:
- Frequently visit the CSSC webpage to stay updated with the latest resources and announcements.
- Utilize the technical resources provided to facilitate accurate and compliant risk adjustment data submissions to the EDS.
- Contact the CSSC Operations Help Desk for support or inquiries regarding webpage access.
Failure to comply with these guidelines might impact the organization’s risk adjustment submissions, potentially affecting payment calculations. By keeping abreast of the updates on this resource webpage, PACE organizations can ensure compliance and accuracy in their data submissions.
Required Actions
1. Visit the CSSC webpage for Encounter Data Submission Resources for PACE Organizations to review the technical resources available.
2. Monitor the CSSC webpage regularly for updates and new resources that may be added.
3. Contact the CSSC Operations Help Desk for any assistance or issues accessing the webpage.
FAQs
- “What is the purpose of the new webpage for PACE organizations?”
- “How can PACE organizations access technical resources for encounter data submission?”
- “Where can I find updates on the resources available for PACE organizations?”
- “Who should I contact for assistance with the CSSC webpage?”
- “How do I submit questions about risk adjustment policy?”
