Revised Reporting Requirements for Rhode Island Medicare-Medicaid Plan
Relevant to: State Medicare-Medicaid Plan Handbooks
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Introduction
The Centers for Medicare & Medicaid Services has released revised reporting requirements and a value sets workbook for the Medicare-Medicaid plan in Rhode Island. These documents update the state-specific measures, with changes aimed at streamlining and clarifying reporting expectations. Rhode Island MMP should carefully review these updates, particularly for measure RI1.4, to ensure compliance for all submissions due on or after June 2, 2025.
Key Dates and Deadlines
- Revised document release date: February 28, 2025
- Use of updated specifications and value sets for measures due on or after: June 2, 2025
- Reference to previously issued updated version: February 29, 2024
PACE Compliance
This memo is relevant to PACE programs because it involves updates to reporting requirements and value sets that may also apply to PACE organizations operating in similar environments. \n
Pace organizations in Rhode Island should take note of the revised Medicare-Medicaid Capitated Financial Alignment Model Reporting Requirements and the Rhode Island-Specific Value Sets Workbook. The updates aim to streamline and clarify reporting expectations.
Plans must carefully review and incorporate these updated value sets, especially for measure RI1.4, and ensure they adhere to the new requirements for measures due on or after June 2, 2025. Non-compliance with the updated reporting requirements may have an impact on the organization’s participation in the demonstration program.
Key changes include:
- Retirement of measure RI4.2 due to changes in the Minimum Data Set (MDS) assessment tool.
- Revised criteria for identifying data elements in measure RI4.5 to align with updated specifications from the measure steward.
FAQs
- “What are the revised reporting requirements for the Rhode Island Medicare-Medicaid Plan?”
- “How do the changes in the Rhode Island-Specific Value Sets Workbook impact reporting?”
- “Why was measure RI4.2 retired from the reporting requirements?”
- “What are the updated criteria for measure RI4.5 in the reporting requirements?”
