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Commonwealth Coordinated Care (CCC) Phase‐Out PlanIntroductionSection III.L.4 of the CCC Memorandum of Understanding (MOU) requires that, prior to terminating thedemonstration, DMAS must submit a draft phase‐out plan to CMS. Prior to submitting the draft phase‐out plan, DMAS must publish on its website the draft phase‐out plan for a 30‐day public commentperiod. DMAS shall summarize comments received and share this summary with CMS. Once the phase‐out plan is approved by CMS, the phase‐out activities must begin within 14days.This document provides detail on the proposed phase‐out plan and transition to theCommonwealthCoordinated Care Plus (CCC Plus) program developed by CMS and DMAS. Please note that the phase‐out plan is not intended to include detailed instructions to health plans regarding closing out theiroperations (for example, reporting requirements, responsibility forpending appeals, etc.); CMS/DMASwill provide that information to the plans separately.CCC Plus OverviewDMAS, with support from the Governor and the General Assembly, is implementing a new managedlong term services and supports initiative, known as CCC Plus. CCC Plus will operate statewide across sixregions as a mandatory Medicaid managed care program, and will serve approximately 216,000individuals (adults and children) with disabilities and complex care needs. More than half of the CCC Plusparticipants are dually eligible for Medicare and Medicaid and many individuals (dual and non‐dual)receive care through nursing facilities or through one of the DMAS home and community based serviceswaivers. Individuals receiving services through the Developmental Disabilities waivers will be enrolled inCCC Plus for their non‐waiver services only at this time.CCC Plus will launch by region beginning in the Tidewater region on August 1, 2017. CCC Plus memberswill have access to an individualized, person‐centered system of care that integrates medical,behavioral, and long term care services and supports. Members will have a dedicated carecoordinatorwho will work with the member and their provider(s) to ensure timely access to high‐quality care.DMAS has statewide contracts with six (6) health plans to operate CCC Plus. These health plans are:Aetna Better Health of Virginia; Optima Health Community Care; Anthem HealthKeepers Plus;UnitedHealthcare Community Plan; Magellan Complete Care of Virginia; and, Virginia Premier HealthPlan.Individuals who are awaiting CCC Plus program assignment or who are not eligible to participate in CCCPlus (or another DMAS managed care program) will continue to be covered through the DMAS fee‐for‐service program. In addition, some services are carved‐out of the CCC Plus managed care contractandwill continue to be covered through fee‐for‐service. These are described at a high‐level in the table
below. Detailed information on CCC Plus included and excluded populations, carved‐out services, andthe CCC Plus regional implementation schedule are available on the CCC Plus webpage at:http://www.dmas.virginia.gov/Content pgs/altc-enrl.aspx.1.2.3.4.5.6.7.8.9.10.11.CCC Plus Excluded PopulationsLimited Coverage Groups (FamilyPlanning, Governor’s Access Plan,Individuals with Medicare who do nothave full Medicaid benefits, i.e., QMBonly)Intermediate Care Facilities forIndividuals with Intellectual orDevelopmental Disabilities (ICF/IID)Certain Nursing Facilities (NF), includingthe Veterans NFs, Government ownedNFs, The Virginia Home, State ownedNFs.Psychiatric Residential Treatment Level CAlzheimer's Assisted Living WaiverMoney Follows the Person (MFP)Hospice (CCC Plus enrolled individualswho elect hospice will remain in CCCPlus)PACE – coverage continues through thePACE provider.Medallion 3.0 and FAMIS MCO enrolledindividuals; coverage continues throughthe MCOIndividuals enrolled in the HealthInsurance Premium Payment Program(HIPP)CCC enrolled individuals, until the CCCdemonstration program ends.Individuals who are not eligible to participate in CCCPlus or another managed care program will continue toreceive services through fee-for-service.1.2.3.4.5.6.7.CCC Plus Carved Out ServicesDD Waiver Services, including waiverrelated transportation services, until afterthe completion of the ID/DD redesignDental care through the Smiles forChildren ProgramSchool Health Services required as partof the child’s individualized educationprogram (IEP)Community Intellectual Disability CaseManagementIndividuals and Families DevelopmentalDisability Services Support Coordination.Preadmission Screening ServicesCommunity mental health rehabilitationservices (CMHRS) until 12/31/2017Carved-out services are paid through fee-for-servicefor CCC Plus enrolled individuals. Some of theseservices may be included in CCC Plus at a later timeContent of Phase‐Out PlanA. Beneficiary Transitions –1. Medicaid beneficiary assignment and coverage options:For Medicaid coverage, members who are enrolled in a CCC health plan that has alsocontracted with the state as a CCC Plus health plans will transition from the CCC plan tothe CCC Plus plan without a break in services. These members will be notified of thetransition and their ability to select a different CCC Plus health plan roughly 30 daysprior to this transition (December 1, 2017). They will have an additional 90 days(until
March 31, 2018) from the start of their CCC Plus coverage to select a different CCCPlushealth plan. These members will have their first open enrollment period October 1,2018, which is six (6) months after their last option to switch plans.CCC members who are enrolled in a CCC health plan that is NOT also contracted withthe state as a CCC Plus health plan will be assigned to a CCC Plus health plan using anintelligent assignment algorithm. This algorithm has been designed to minimize thedisruption of services as much as possible by assigning members to MCO’s contractedwith the members ‘priority’ provider(s) (Nursing facility, Adult Day, or HCBSproviders).These members will be notified of the transition and their ability to select adifferentCCC Plus health plan 30 days prior to this transition (December 1, 2017). They will havean additional 90 days (until March 31, 2018) from the start of their CCC Plus coverage toselect a different CCC Plus health plan. These members will have their first openenrollment period October 1, 2018, which is six (6) months after their last option toswitch plans.The chart below is provided for additional clarity on the assignment and coverageoptions:Health PlanDefault MedicaidassignmentOther options forMedicaid coverageHow memberexercises choiceVA Premier CCCenrolleesVirginia Premier HealthPlan (CCC Plus)Another CCC PlusHealth PlanMember will benotified of their optionsby the State prior totransition. Member canreceive education onand assistance withselecting another planusing our enrollmentbroker.AnthemHealthKeepers CCCenrolleesAnthem HealthKeepersPlus (CCC Plus)Another CCC PlusHealth PlanHumana CCC enrolleesA CCC Plus health plancontracted with themembers ‘priorityAnother CCC PlusHealth PlanMember will benotified of theiroptions by the Stateprior to transition.Member can receiveeducation on andassistance withselecting another planusing our enrollmentbroker.Member will benotified of theiroptions by the Stateprior to transition.
Member can receiveeducation on andassistance withselecting another planusing our enrollmentbroker.providers’ to minimizedisruption in services.2. Medicare beneficiary assignment and coverage options:For Medicare coverage, CCC enrollees will have the option to enroll in a managed careplan under Medicare Advantage (MA) or elect Medicare fee‐for‐service and astandalone Part D Prescription Drug Plan (PDP). As part of CCC Plus, participatingorganizations are required within two years to operate a MA Dual‐Eligible SpecialNeeds Plan (D‐SNP), thereby offering an opportunity for dual eligible members toreceive care coordination with a corresponding MLTSS plan. Note that all but 1 CCC Plusplan will offer a D-SNP on 1/1/18.In an effort to promote continuity of care for dual‐eligible beneficiaries currentlyenrolled in the CCC demonstration, CMS may allow for certain enrollees to be passivelyenrolled from their current CCC health plan into their MA parent organization’s D‐SNPproduct, subject to certain conditions. Conditions include ensuring that the CCChealthplan and D‐SNP have substantially similar provider and facility networks; that theorganization’s D‐SNP and MLTSS plan provides substantially similar or enhancedMedicare and Medicaid benefits; that beneficiaries will not be subject to an MApremium or increases in Medicare cost‐sharing; and that the overall D‐SNP capitatedpayment rate is limited to the CY 2018 Medicare FFS risk‐adjusted county rate. Enrolleeswho are passively enrolled will have the option to enroll in alternative Medicarecoverage options, including a different MA plan or Original Medicare with a Part D plan.For individuals that are not passively enrolled, the default Medicare assignment will beOriginal Medicare with a standalone Part D plan, unless the individuals chooses anotherMedicare options (i.e., MA plan).CMS anticipates making a final determination of which CCC health plans and D‐SNPswillbe eligible for passive enrollment by early Fall 2017. Members will receive notificationabout their 2018 Medicare plan assignment and options in October 2017.GroupVA Premier andAnthemHealthkeepers CCCmembers in countiesmeeting CMS/DMASspecified passiveenrollment criteriaDefault MedicareAssignmentD‐SNP affiliated withenrollee’s CCC healthplanOther options forMedicare coverageOriginal Medicare withPart D plan or otherMedicare Advantageplan (including D‐SNPs)How memberexercises choiceMembers will benotified of theirMedicare enrollmentoptions. If members donot take action byDecember 31, 2017,they will beautomatically enrolledinto the D‐SNP
affiliated with theircurrent CCC healthplan, with coveragestarting January 1,2018.Members that want toenroll in a differentMedicare Advantageplan (including D‐SNPs)or instead enroll inOriginal Medicare cancall 1‐800‐MEDICARE(TTY users should call1‐877‐486‐2048) orvisit Medicare.gov.VA Premier andAnthemHealthkeepers CCChealth plan membersin counties NOTmeeting CMS/DMASspecified passiveenrollment criteriaOriginal Medicare withPart D plan. Those notselecting Part D prior toJan 1 will be in LINETand then assigned to aPart D Plan.Medicare AdvantageplanMembers will benotified of theirMedicare enrollmentoptions. If members donot take action byDecember 31, 2017,they will beautomatically enrolledinto Original Medicarewith a Part D plan, withcoverage startingJanuary 1, 2018.Members that want toenroll in a MedicareAdvantage plan(including D‐SNPs) cancall 1‐800‐MEDICARE(TTY users should call1‐877‐486‐2048) orvisit Medicare.gov.Humana MMPmembersOriginal Medicare withPart D plan. Those notselecting Part D prior toJan 1 will be in LINETand then assigned to aPart D Plan.Medicare AdvantageplanMembers will benotified of theirMedicare enrollmentoptions. If members donot take action byDecember 31, 2017,they will beautomatically enrolled
into Original Medicarewith a Part D plan, withcoverage startingJanuary 1, 2018.Members that want toenroll in a MedicareAdvantage plan(including D‐SNPs) cancall 1‐800‐MEDICARE(TTY users should call1‐877‐486‐2048) orvisit Medicare.gov.3. Continuity of Care:For Medicaid, all participating CCC Plus health plans are required to honor all existingservice authorizations until the authorizations end or 90 days after the beneficiary’sdate of CCC Plus enrollment, whichever is sooner. At that time, most providers will needto contract with health plans in order to serve members in the MLTSS program. This 90day continuity of care period also serves to provide additional time for providers tofinalize credentialing and contracting with the plans.Following this 90 day continuity of care period, health plans have the option oftransitioning the individual to a provider in their network, or continuing to pay out ofnetwork. For individuals who reside in a nursing facility that has not contracted with theindividual’s health plan, the individual will not have to transition to a new nursingfacilityprovider. The health plan will continue out of network reimbursement to the nursingfacility provider in these circumstances.For Medicare, all beneficiaries will have Medicare’s standard Part D continuity ofcareprotections for prescription drugs (i.e., temporary fills of non‐formulary drugs duringatransition period).B. Enrollment functions ‐1. Responsibilities:Enrollment into CCC Plus is required for eligible populations. CCC Plus enrollment will behandled by an independent enrollment broker, MAXIMUS, also known as the CCC PlusHelpline. The CCC Plus Helpline will provide information about CCC Plus to eligiblemembers and process health plan enrollment requests received via telephone, websiteand mail. The CCC Plus Helpline hours of operation are Monday through Friday 8:30amto 6pm. Members or their authorized representative may call the Helpline at 1‐844‐374‐9159. The CCC Plus enrollment website is available at: cccplusva.com. Members willbe able to enroll and disenroll via the web site 24 hours per day seven (7) days aweek.
Maximus will serve as the member’s support system for all Medicaid enrollment anddisenrollment (including from one health plan and move to another) and alsoprovideunbiased choice counseling as described in 42 CFR 438.2 and438.71.Additionally, DMAS has worked with the Virginia Insurance Counseling and AssistanceProgram (VICAP) regarding the members Medicare delivery options. VICAP will provideindividual insurance counseling assistance to individuals regarding their options whentransitioning from the CCC health plan to a D‐SNP, Original Medicare, or another MAplan. VICAP can be reached at: 1‐800‐552‐3402.Members will be able to select their Medicare coverage through the normal Medicareenrollment routes, including calling 1‐800‐MEDICARE, going to Medicare.gov, or directlycontacting plans or an insurance agent.2. Enrollment Timeline:For Medicaid, the transition from CCC to CCC Plus will occur January 1, 2018. AnthemHealthKeepers and Virginia Premier will have up to September 2017 to meet therequirements for passive enrollment. Requirements for passive enrollment aredetermined on a region‐by‐region basis, as such, plans may qualify for some, but notall,of the regions in which they currently operate as a CCC health plan. To date DMASanticipates both Anthem HealthKeepers and Virginia Premier will meet therequirements for passive enrollment.For Medicare, DMAS and CMS will finalize which plans and counties have met therequirements for passive enrollment from CCC health plans into D‐SNPs. Requirementsfor passive enrollment are determined on a county‐by‐county basis, and as such,plansmay qualify for some, but not all, of the counties in which their MMP is currently active.Plans will be informed of which counties (if any) qualify for passive enrollment and thesteps for completing both the passive enrollment notification and enrollment processbyearly Fall 2017. New Medicare coverage will take effect January 1, 2018.C. Beneficiary Communications –1. Sequence of Notices:DMAS is proposing that an initial notice be sent in September informing the memberthat their CCC coverage is ending and providing a summary of the transition plan. Webelieve this will give the member time to assess their options prior to open enrollment.The next letter informing them of the plan they’ve been assigned to would be sent atthe end of November. The final letter confirming their choice will be sent at the endofDecember. Please see the proposed timeline below and provide suggestions to the CCCmailbox ([email protected]).Timeline for Medicaid Notices
September 2017: DMAS sends an initial notice informing members about the transitionfrom CCC to CCC Plus.Late November 2017: DMAS sends members a letter containing their initial assignmentintoa CCC Plus plan. DMAS provides information about other available health plans andresources for members to learn more about CCC Plus.Late December 2017: DMAS sends a final notice confirming CCC Plus health planenrollment.January 1, 2018: Enrollment in CCC Plus health plan is effective.Timeline for Medicare Notices Mid to Late September 2017: CCC health plans send a notice informing all members thattheir current health plan will not be offered in 2018. This notice describes options forindividuals tochoose their new Medicare and Part D prescription drug coverage. Thisnotice also describes what their default Medicare enrollment will be if they do not takeaction to enroll in new Medicare coverage by December 31, 2017, including whether theywill be passively enrolled into aD‐SNP. CMS will provide two modified non-renewal noticefor CCC health plans to mail: a notice for beneficiaries who are being passively enrolledinto the D-SNP; and a notice for beneficiaries who are NOT being passively enrolled intothe D-SNP. Early October 2017: Members that will be passively enrolled into a D‐SNP will receive a60 day enrollment notice. Mid October 2017: Members that will be enrolled in Original Medicare (as theirdefault enrollment option) will receive a notice informing them of the Medicare Part DLow Income Subsidy (LIS) reassignment process and new enrollment. CMS will mail themembers a blue notice informing them of the reassignment. Early December 2017: Members that will be passively enrolled into a D‐SNP will receive a30 day reminder enrollment notice. January 1, 2018: Enrollment in new Medicare coverage is effective.2. Content of Notices:DMAS and CMS have been in communication regarding the content of the noticesto be sent to the impacted members. At a minimum the Medicaid notices sent inNovember and December will contain: the health plan comparison chart, healthplan comparison chart brochure, CCC Plus brochure, health plan assignment noticeletter and one‐page letter on D‐SNP’s. Examples of these materials can be seen ionally, in accordance with Section III.L.4.c of the CCC MOU, all notices willinclude all applicable beneficiary appeal rights under Medicaid rules, includingrights pertaining to changes in covered services that result from the transition toCCC Plus.Please review these materials and send suggestions on what content should beincluded in notices sent to members transitioning from CCC to CCC Plus to the CCCmailbox ([email protected]).3. Identification of sources of help and referrals:DMAS has worked with our partners to develop several paths for members to getassistance during the transition period: Maximus is DMAS’ contracted enrollment broker. Maximus will serve asthe member’s support system for all enrollment and disenrollment
(including from one health plan and move to another) needs. Maximus willalso provide unbiased choice counseling as described in 42 CFR 438.2 and438.71.Maximus contact information will be included in all notices tomembers. DMAS has partnered with the state ombudsman to provide unbiasedassistance to members to aid them understand their rights. TheOmbudsmen are advocates with varied areas of advocacy experience andexpertise in health and human services delivery (e.g., behavioral health,disability services, language and cultural diversity skills), promoting accessto broad range of services and supports for the beneficiary population, anda robust resource base of knowledge and expertise in problem‐solvingstrategies. DMAS has and will continue to engage the Ombudsman toensure they are aware of thetransition plan and fully equipped to continuein their role. VICAP assistance will be available to all members for their Medicarequestions. DMAS has and will continue to engage VICAP staff to ensurethey are aware of the transition plan and fully equipped to continue intheir role. VICAP contact information has been included in communicationsto all duals eligible for the MLTSS program. The CCC health plans and CCC Plus health plans have been kept aware ofthe transition plan and DMAS’ expectations for their role. It is expectedthatthe MMPs will stay in contact with their members, answer anyappropriate questions and refer them to Maximus for choice counselingand enrollment services.4. Training schedule for beneficiary supports:DMAS has developed an extensive outreach and education program for our MLTSSinitiative which includes information regarding the transition of the financial alignmentdemonstration members. This initiative includes one‐on‐one education and trainingmeetings, ad hoc email and phone Q&A, and participation in our ongoing stakeholderadvisory committee for our VICAP and Ombudsman partners. Since the transition plan isnot complete we have only introduced the topic but have committed to furthermeetings with them to ensure they can successfully support beneficiaries as theytransition.DMAS has required through our contract with our enrollment broker, Maximus, that allphone scripts, web content and other educational materials must be approved by DMASstaff prior to implementation. This includes any communications and materialsregarding the transition of members from a MMP to MLTSS MCO. To this point we havemet with Maximus on several occasions and have introduced the topic of thetransition.We have committed to further meetings with them to ensure they can successfullysupport beneficiaries as they transition.5. Customer Service Scripts:DMAS has developed a customer service script and a FAQ document for Maximus callcenter representatives to use when assisting CCC enrollees transferring to CCC Plus.These documents have been included here in Attachment A.
6. Public information strategy:The phase‐out plan is required to include an assessment of specific populationsegments that will need concentrated messaging and strategies for reaching them.Such population segments could include: people with disabilities, tribal notifications,rural areas, regions with high concentrations of affected beneficiaries, beneficiaries ininstitutions, etc.As all CCC enrollees fall into one of the groupings noted above and all are what DMASwould consider a high‐risk/high‐touch population we have developed our publicinformation strategy assuming all enrollees will require concentrated messaging. As thetransition rolls out DMAS will work with the Ombudsman and VICAP to identify anyspecific populations that may require concentrated messaging and will respondaccordingly.One exception is that DMAS is required by federal rule to send notification to allfederally recognized tribes when terminating a Medicaid program. Notification must besent at least 60 days prior to the conclusion of the program and allow for a 30 daycomment period. In accordance with this requirement DMAS will send thePaumunkeytribe notification by at least November 1, 2017.D. Stakeholder engagement –1. Strategy for ongoing stakeholder engagement –DMAS is committed to ongoing stakeholder engagement in regards to memberstransitioning from CCC to CCC Plus. Beginning in July, DMAS will host separate memberand provider conference calls. In these calls DMAS will present any new and pertinentinformation and allow ample time for Q&A from the participants. DMAS will continue tohost these call until demand runs out.Additionally, the CCC stakeholder advisory committee is transitioning to the CCC Plusadvisory committee and the majority of members have agreed to continue theirservice. These quarterly meetings provide an opportunity for DMAS to present new andpertinent information to the members, which generally are provider associations.DMAS has already introduced the topic of the transition and will continue to provideupdates as they become available. DMAS has enjoyed CMS participation in thesemeetings and welcomes continued participation to aid in the presentation of thetransitionplan.
2. Public information strategy:The phase‐out plan is required to include an assessment of specific population segmentsthat will need concentrated messaging and strategies for reaching them. Suchpopulation segments could include: people with disabilities, tribal notifications, ruralareas, regions with high concentrations of affected beneficiaries, beneficiaries ininstitutions, etc.As all CCC enrollees fall into one of the groupings noted above and all are what DMASwould consider a high‐risk/high‐touch population we have developed our publicinformation strategy assuming all enrollees will require concentrated messaging. As thetransition rolls out DMAS will work with the Ombudsman and VICAP to identify anyspecific populations that may require concentrated messaging and will respondaccordingly.One exception is that DMAS is required by federal rule to send notification to allfederally recognized tribes when terminating a Medicaid program. Notification must besent at least 60 days prior to the conclusion of the program and allow for a 30 daycomment period. In accordance with this requirement DMAS will send thePaumunkeytribe notification by at least November 1, 2017.E. Stakeholder engagement –1. Strategy for ongoing stakeholder engagement –DMAS is committed to ongoing stakeholder engagement in regards to memberstransitioning from CCC to CCC Plus. Beginning in July, DMAS will host separate memberand provider conference calls. In these calls DMAS will present any new and pertinentinformation and allow ample time for Q&A from the participants. DMAS will continue tohost these call until demand runs out.Additionally, the CCC stakeholder advisory committee is transitioning to the CCC Plusadvisory committee and the majority of members have agreed to continue their service.These quarterly meetings provide an opportunity for DMAS to present new andpertinent information to the members, which generally are provider associations.DMAShas already introduced the topic of the transition and will continue to provide updatesas they become available. DMAS has enjoyed CMS participation in these meetings andwelcomes continued participation to aid in the presentation of the transitionplan.
Attachment ATelephone Script for CCC Transitioning CallsGreetingThank you for calling the Commonwealth Coordinated Care Helpline. Myname is . May I have the Medicaid ID number for the person you arecalling for please?”(If ID# is not available you can look up record by SS# and DOB in MAXeb)Recipient Name (if not authorized Caller, individual should follow HIPAA/officeprocedures)Caller name and relationshipHIPAA VerificationUse if caller is someone other than the Casehead/Member. After reviewingthe case, I see that you’re not listed on this case as the member. May I pleasespeak with the member?If the member is unavailable at the time, the caller would need to call backwith the member.SSN/DOB (Ask for both but if no SSN, verify DOB only)*Address on file with DSS (can omit apartment number/direction i.e. NE)Telephone number(*Does not include discrepancy due to Road, Street, Drive etc.)Customer Satisfaction SurveyWould you like to participate in a brief survey at the end of this call regardingyour customer service experience today? OK, great. How can I help youtoday?If the member is calling about a letter they received from their CCC Plan .Provide the member with the information belowThe CCC Program will be ending at the end of this year. There's a newprogram called the Commonwealth Coordinated Care Plus (CCC Plus).Once you are determined eligible for this program, you will receive aletter from the Department of Medical Assistance Services towards theend of November that will tell more about the CCC Plusprogram. Commonwealth Coordinated Care Plus (CCC Plus) is a newrequired Medicaid program that provides your Medical, behavioralhealth, long term services and supports, and other Medicaid servicesthrough a health plan of your choice. Through CCC Plus, you will alsohave an assigned Care Coordinator through your health plan where theywill assist you with your different needs.If you have access to a computer you can learn more about the CCC Plusprogram at cccplusva.com.CCC Transitioning MembersUse the CCC FAQs to assist themember with additional questions
Attachment AClosingIs there anything else I can help you with today?Thank you for calling.Transfer to Survey if ApplicablePlease hold while I transfer you to the survey line.
Attachment AMAXIMUS CCC PLUSCCC Plus General Information – For CCC CallersOctober 2017CCC Members transitioning to CCC PLUSI was enrolled in CCC, why am I receiving this initial assignment letter?To introduce the implementation of a new required Medicaid Managed Care program, CommonwealthCoordinated Care Plus (CCC Plus), offered by the Department of Medical Assistance Services which willinclude all eligible Medicare and Medicaid members as well as individuals that receive long term careservices and supports through a nursing facility or through a community-based waiver.Will CCC Plus coordinate Medicare and Medicaid for the dually eligible?Yes. All health plans participating in CCC Plus will be required to coordinate care with the individual’sMedicare plan and providers. CCC Plus plans will also operate Dual Eligible Special Needs Plans, alsoknown as D-SNP’s, which are a type of Medicare Advantage plan that coordinates Medicare andMedicaid services.Will I lose my Medicare Part D after I’m enrolled in CCC Plus?No, your access to Medicare Part D will not be affected by your enrollment in CCC Plus. However, youmay want to select a new Part D plan. You can do so my calling 1-800-MEDICARE.Do I need to disenroll from Medicare to have an MCO through CCC Plus?No, enrollment in CCC Plus does not affect your access to Medicare, although you will no longerreceive Medicare services through an MMP. it enhances its benefits.(Dual Members) My provider participates with Medicare but not my Medicaid MCO. Am Iresponsible for a copay/20%?No, if you
Commonwealth Coordinated Care (CCC) Phase‐OutPlan Introduction Section III.L.4 of the CCC Memorandum of Understanding (MOU) requires that, prior to terminating the demonstration, DMAS must submit a draft phase‐out plan to CMS. Prior to submitting the draft phase ‐File Size: 968KB