Did You Know?
This applies only to FL
Clarion Health Plan has decided not to renew Medicare Advantage Plan contract with the Center for Medicare and Medicaid Services (CMS). As a result the contract between Best Care Partners, INC and your skilled nursing facility will be terminated April 15,2021. There will be a “run out” period from January 1,2021 through March31,2021 to ensure all claims provided through December 31,2020 will be processed as per the contract.
This applies to FL, GA, MS, SC, TX
As of October 2020 CMS has required providers to send medical records for appeals and quality of care reviews to Kepro electronically. If unable to do so there is a waiver to be completed.
Keep your contacts updated to avoid untimely communication from Kepro.
Medicare and Disability
This applies to all States
Members can attain Medicare early due to disability. Once they return to work they can keep their Medicare benefits for a certain period of time. It is important to keep this rule in mind when considering coordination of benefits.