Are you CMS program audit ready for 2024
Annually, open enrollment activities are a true performance test of your company’s systems and processes. Challenges faced during open enrollment can lead to significant compliance risks for your organization as it enters the CMS 2024 Program Audit time of year.
CMS releases updated Plan Communications User Guide (PCUG)
On November 30th, 2023, CMS released the updated Plan Communications User Guide (PCUG) 17.4v for Medicare Advantage and Prescription Drug Plans. Changes are minimal, but the release is always a good time for you to revisit what you're doing. Here's what you need to know and what you should be thinking about.
BeHerd promotes teen connectivity and improved mental health
Garnet River's product team is proud to announce the launch of our newest app, BeHerd—a teen-focused, teen-empowering app that makes it easier to connect, share, and listen. BeHerd is not intended to be disruptive but rather to be an added resource that reimagines how kids can seek and get support.
Bailey appointed Human Resources manager
Gloria Bailey has been appointed Human Resources manager for Garnet River, responsible for employee onboarding, recruitment assistance, benefits, policy, and compliance.
Medicaid and CHIP eligibility
On August 30, the Centers for Medicare & Medicaid Services (CMS) sent a letter to all 50 states, requiring a review of their eligibility systems. The impetus for this letter: CMS determined some states’ Medicaid and CHIP eligibility systems are incorrectly configured to automatically renew people at the family level and not the individual level. Read here how this requirement and recommendations affect health plan partners.
Part C & Part D Enrollment and Eligibility Guidance
On August 15, 2023, CMS released the updated guidance for Part C and Part D enrollment and eligibility. Included with the policy and technical changes was a new MA model enrollment request form. Read about the notable updates here, as well as access links to enrollment/disenrollment instructions and forms.
