Revised Reporting Requirements for South Carolina Medicare-Medicaid Plans
Relevant to: COB
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 Medicare-Medicaid Coordination Office has published an updated memorandum detailing revisions for the South Carolina-Specific Reporting Requirements and Value Sets Workbook. Healthcare providers participating in the South Carolina Medicare-Medicaid Plans (MMPs) should note the updated technical specifications and code changes, especially those related to measure SC2.4. These revisions are pivotal for compliance and must be applied for reports due on or after June 2, 2025.
Key Dates and Deadlines
Memo announcing revised reporting requirements and workbook.
- Date of Memorandum: February 28, 2025
- Prior Version Date: February 29, 2024
- Commencement of New Reporting Requirements: June 2, 2025
PACE Compliance
This memo is relevant to PACE programs because of its implications on reporting requirements and compliance for South Carolina Medicare-Medicaid Plans (MMPs). Ensuring that these plans are in line with updated specifications and value sets is crucial for maintaining compliance with the Medicare-Medicaid Capitated Financial Alignment Model.
South Carolina MMPs are required to adopt the revised reporting requirements and incorporate the updated value sets for measures due on or after June 2, 2025. This ensures that all reporting adheres to the demonstration’s standards.
Plans must carefully review the updated South Carolina-Specific Value Sets Workbook, especially the changes made to measure SC2.4. Failure to comply with these updated specifications could lead to non-compliant reporting, affecting the demonstration outcomes.
By adhering to these requirements, Plans ensure that their reporting is accurate and meets the necessary compliance criteria set forth by the Medicare-Medicaid Coordination Office.
Required Actions
South Carolina Medicare-Medicaid Plans (MMPs) are required to take action based on the memorandum regarding revised reporting requirements. Here are the actions:
1. Review the revised South Carolina-Specific Reporting Requirements and Value Sets Workbook thoroughly, particularly focusing on the updated value sets for measure SC2.4.
2. Implement the updated specifications and value sets for all measures that are due on or after June 2, 2025, ensuring compliance with the revised requirements.
3. If there are any questions or clarifications needed, contact the Medicare-Medicaid Coordination Office via the provided email address.
FAQs
- “What are the revised reporting requirements for South Carolina Medicare-Medicaid Plans?”
- “What changes were made to the South Carolina-Specific Value Sets Workbook?”
- “When do the updated specifications and value sets need to be used by South Carolina MMPs?”
- “Who should be contacted for questions regarding the updated reporting requirements?”
