Sec. 4. Additional improvements to the oversight and operation of Medicare Advantage Dual Special Needs Plans by the Federal Coordinated Health Care Office
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Section 2602(d) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1315b(d) ) is amended by adding at the end the following new paragraph: Serving as the dedicated point of contact within the Centers for Medicare & Medicaid Services to assist States with ongoing issues related to the administration of specialized MA plans for special needs individuals (as defined in section 1859(b)(6) of the Social Security Act) for special needs individuals who are described in subparagraph (B)(ii) of such section, including— addressing any misalignment between the contracting timelines, processes, and deadlines under title XVIII of such Act, with respect to such plans for such individuals and contracting timelines, processes, and deadlines under title XIX of such Act, with respect to such plans and individuals; and streamlining the flow of information to dual eligible individuals and establishing a single set of rules for outreach and marketing to such individuals. .
Subject to paragraph (2), the Secretary of Health and Human Services, through the Federal Coordinated Health Care Office established under section 2602 of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1315b ) and in coordination with the appropriate State Medicaid agency, may waive the application of requirements under title XVIII of the Social Security Act to promote the integration, alignment, and delivery of items and services under the Medicare program under title XVIII of such Act and the Medicaid program under title XIX of such Act, with respect to dual eligible individuals (as defined in section 2602(f) of the Patient Protection and Affordable Care Act ( 42 U.S.C. 1315b(f) ), and to ensure the seamless delivery of patient-centered services across the continuum of care with respect to such individuals.
The Secretary may not waive the application of a requirement pursuant to paragraph
(1)unless the Secretary makes such waiver publicly available (whether on the public Internet website of Department of Health and Human Services, or otherwise) at least 30 days before the effective date of such waiver.
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Sec. 4
Additional improvements to the oversight and operation of Medicare Advantage Dual Special Needs Plans by the Federal Coordinated Health Care Office
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