MIPPA list serv members,
Forwarding information from ACL identifying current Medicare plan suppression and exclusion from Medicare Plan Finder. The link provided give a complete explanation of Medicare Part C and Part D enforcement actions.
Do not hesitate to reach out with any questions.
Ann Kayrish (she,her,hers)
National Council on Aging
Senior Program Manager for Medicare
571-527-3945

Generosity changes lives.
Donate today.
From: ACL-OHIC (ACL) <xxxxxx@ACL.HHS.GOV>
Sent: Wednesday, October 27, 2021 11:04 AM
To: xxxxxx@LIST.NIH.GOV
Subject: CMS: Current CY 2021 and 2022 MPF Suppressions and Exclusions - 10/25/2021
Caution. This email is EXTERNAL.
Please find the latest Medicare Plan Finder plan suppressions and exclusions. For your reference, CMS have developed a job aid to help explain the terminology used and related references within Plan Finder:
https://cmsnationaltrainingprogram.cms.gov/system/files_force/Plan%20Supression%20Job%20aidFinal508.pdf?download=1.
CY 2022:
|
Contract ID - Plan ID - Segment ID |
Contract Name |
Issue Type |
Status |
Start Date |
End Date |
|
H0169 |
UNITEDHEALTHCARE OF THE MIDWEST, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H1280 |
ETERNALHEALTH,INC. |
MA Network Issue |
Suppression |
10/01/2021 |
|
|
H1426 |
VITALITY HEALTH PLAN OF CALIFORNIA, INC. |
Sanction Issue |
Sanction |
09/01/2021 |
|
|
H2228 - 045 |
UNITEDHEALTHCARE INSURANCE COMPANY |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H2241 |
GOLDEN STATE MEDICARE HEALTH PLAN |
Sanction Issue |
Sanction |
09/01/2021 |
|
|
H2368 |
INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC |
Sanction Issue |
Sanction |
09/20/2021 |
|
|
H2694 |
ETERNALHEALTH, INC. |
MA Network Issue |
Suppression |
10/01/2021 |
|
|
H3305 - 034 |
MVP HEALTH PLAN, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H3305 - 035 |
MVP HEALTH PLAN, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H3387 - 013 |
UNITEDHEALTHCARE OF NEW YORK, INC. |
Sanction Issue |
Sanction |
09/01/2021 |
|
|
H3464 |
UNITEDHEALTHCARE OF ARKANSAS, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H4005 |
TRIPLE S ADVANTAGE, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H4739 |
SELECT HEALTH OF SOUTH CAROLINA, INC. |
Part D Drug Pricing Issue |
Suppression |
10/24/2021 |
11/07/2021 |
|
H5991 - 008 |
HEALTH INSURANCE PLAN OF GREATER NEW YORK |
Sanction Issue |
Sanction |
09/29/2021 |
|
|
H6526 |
UNITEDHEALTHCARE OF NEW MEXICO, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H9066 - 001 |
VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK |
Sanction Issue |
Sanction |
09/01/2021 |
|
|
H9306 |
ALTERWOOD ADVANTAGE, INC. |
MA Network Issue |
Suppression |
10/01/2021 |
|
|
H9828 |
APEX HEALTH, INC. |
MA Network Issue |
Suppression |
10/01/2021 |
|
CY 2021:
|
Contract ID - Plan ID - Segment ID |
Contract Name |
Issue Type |
Status |
Start Date |
End Date |
|
H1302 |
BLUE CROSS OF IDAHO CARE PLUS, INC. |
Sanction Issue |
Sanction |
09/28/2020 |
|
|
H1426 |
VITALITY HEALTH PLAN OF CALIFORNIA, INC. |
Sanction Issue |
Sanction |
09/10/2020 |
|
|
H2241 |
GOLDEN STATE MEDICARE HEALTH PLAN |
Sanction Issue |
Sanction |
05/01/2021 |
|
|
H2368 |
INNOVAGE CALIFORNIA PACE-SACRAMENTO, LLC |
Sanction Issue |
Sanction |
09/20/2021 |
|
|
H3387 - 013 |
UNITEDHEALTHCARE OF NEW YORK, INC. |
Sanction Issue |
Sanction |
01/01/2021 |
|
|
H9066 - 001 |
VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK |
Sanction Issue |
Sanction |
01/01/2021 |
|
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