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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