• Photo of computer showing logo of CMS program audit

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.

CMS releases updated Plan Communications User Guide (PCUG)2023-12-21T12:42:04-05:00
  • Photo of family at doctor, showing importance of states maintaining compliance with Medicaid and CHIP eligibility

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.

Medicaid and CHIP eligibility2023-10-11T09:49:13-04:00
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