CMS Releases FAQ Memo to Medicare Advantage Plans  

Situation Report | June 7, 2021

The U.S. Centers for Medicare and Medicaid Services (CMS) released a frequently asked questions (FAQ) memo on May 27 to help states and Medicare Advantage health plans better coordinate Medicaid benefits and Medicare supplemental benefits for members of Dual Eligible Special Needs Plans (D-SNPs).  

The 10 FAQs address the scope of supplemental benefits, issues involving overlapping Medicaid and Medicare benefits, who pays first, delivery system differences between fee-for-service Medicaid and Medicare Advantage, and coverage issues between fully integrated dual eligible (FIDE) SNPs and Medicare Advantage.