101 – Integrated Appeals and Grievances: A Roadmap for D-SNPs

Learning Objectives:

• Per CMS requirements, by 2021, D-SNPs must be prepared to deliver to its beneficiaries a fully integrated (Medicaid and Medicare) appeals and grievance model. 
• State agencies have already proposed various models of integration to CMS that D-SNPs are or will be required to implement, operationalize and monitor to ensure that mandated benchmarks meet the revised regulatory standards. 
• As most integrated models are similar in scope and delivery, this presentation will offer common suggestions on how D-SNPs can update their operational models, member notifications and materials, corporate policies as well as other assurances of compliance.

Speakers:

• Sarah Swank, Counsel, Nixon Peabody 
• Justin Frazer, Director, Regulatory Compliance, Mazars USA LLP