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ARIZONA HEALTH CARE COST CONTAINMENT SYSTEM Thomas Beach Director Douglas A. Ducey Governor801 EAST JEFFERSON STREET PHOENIX, ARIZONA 85034 MEDICARE ADVANTAGE ORGANIZATION AGREEMENT BETWEEN AHC CCS
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How to fill out mippa agreement for d-snps

01
Start by collecting all the necessary information and documentation required to fill out the MIPPA agreement for D-SNPs. This includes information about the D-SNP organization, its leadership, and its service area.
02
Review the MIPPA agreement form carefully and make sure you understand all the requirements and obligations.
03
Fill out the form accurately and completely. Provide all the requested information, including details about the D-SNP organization's structure, network providers, and service coordination activities.
04
Attach any supporting documentation as required, such as copies of licenses and certifications, proof of network provider agreements, and evidence of compliance with regulatory requirements.
05
Review the completed form and double-check for any errors or missing information.
06
Submit the filled-out MIPPA agreement form and supporting documentation to the appropriate authority or entity responsible for processing the agreements.
07
Follow up on the status of your MIPPA agreement application and address any requests for additional information or clarifications promptly.
08
Once the agreement is approved, make sure to comply with all the terms and conditions outlined in the agreement, including reporting requirements and ongoing monitoring.

Who needs mippa agreement for d-snps?

01
D-SNPs or Dual Special Needs Plans are specifically designed for individuals who are eligible for both Medicare and Medicaid.
02
As such, any organization or entity that offers D-SNPs and wants to participate in the Medicare program must have a MIPPA agreement for D-SNPs.
03
This includes insurance companies, managed care organizations, and other entities that provide health coverage through D-SNPs to eligible individuals.
04
The MIPPA agreement ensures that the D-SNP organization meets certain standards and requirements set forth by the Centers for Medicare & Medicaid Services (CMS).
05
By having a MIPPA agreement, these organizations can demonstrate their commitment to providing high-quality, coordinated care to dual eligible individuals.
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The Medicare Improvements for Patients and Providers Act (MIPPA) agreement for Dual-eligible Special Needs Plans (D-SNPs) is a contract between CMS and a D-SNP to establish compliance with certain requirements.
D-SNPs are required to file the MIPPA agreement with CMS.
The MIPPA agreement for D-SNPs can be filled out electronically through the Health Plan Management System (HPMS) provided by CMS.
The purpose of the MIPPA agreement for D-SNPs is to ensure that D-SNPs are meeting the requirements set forth by CMS to provide care for dual-eligible beneficiaries.
The MIPPA agreement for D-SNPs must include information on the plan's care coordination, quality improvement activities, provider network, and compliance with CMS regulations.
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