All,
Sharing the latest MPF suppression and exclusion list. The attached job aide provides a through explanation of Medicare plan enforcement actions including suppression, sanction, frozen enrollment and exclusion plans
Hope this information helps make plan comparisons easier.
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: Monday, November 1, 2021 5:51 PM
To: xxxxxx@LIST.NIH.GOV
Subject: CMS: Current CY 2021 and 2022 MPF Suppressions and Exclusions - 11/01/2021
Caution. This email is EXTERNAL.
Please see 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. |
Sanction Issue |
Sanction |
10/27/2021 |
|
|
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 |
|
|
H2694 |
ETERNALHEALTH, INC. |
Sanction Issue |
Sanction |
10/27/2021 |
|
|
H3305 - 034 |
MVP HEALTH PLAN, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H3305 - 035 |
MVP HEALTH PLAN, INC. |
Sanction Issue |
Sanction |
09/28/2021 |
|
|
H3344 - 005 |
INDEPENDENT HEALTH BENEFITS CORPORATION |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3344 - 010 |
INDEPENDENT HEALTH BENEFITS CORPORATION |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3362 - 017 |
INDEPENDENT HEALTH ASSOCIATION, INC. |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3362 - 020 |
INDEPENDENT HEALTH ASSOCIATION, INC. |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3362 - 033 |
INDEPENDENT HEALTH ASSOCIATION, INC. |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3362 - 038 |
INDEPENDENT HEALTH ASSOCIATION, INC. |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3362 - 039 |
INDEPENDENT HEALTH ASSOCIATION, INC. |
Plan Correction |
Suppression |
10/29/2021 |
|
|
H3362 - 040 |
INDEPENDENT HEALTH ASSOCIATION, INC. |
Plan Correction |
Suppression |
10/29/2021 |
|
|
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 |
|
Gwendolyn
Gwendolyn V. Green, MS, CHES|Integrated Communications Management Staff |Office of Communications|Centers for Medicare & Medicaid Services|7500 Security Boulevard,
S1-06-18| Baltimore, Maryland 21244|(410) 786-7812 Telephone | (410) 786-8530 Fax
|xxxxxx@cms.hhs.gov
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