CMS Provides Guidance on Medicare Advantage Supplemental Benefits

Home care agencies could have an expanded role in providing services to enrollees in Medicaid Advantage (MA) Plans. CMS has issued two memos to the MA Plans instructing the plans on changes for contract year 2019. One memo relates to the expanded interpretation of the definition for “primarily health-related” supplemental benefits that plans will be permitted to offer enrollees, such as in-home support services and home-based palliative care. The second memo addresses CMS’ expectations for the MA plans regarding the new flexibility in benefit offerings. The MA plans will be permitted to provide more targeted benefits to certain enrollees beginning in 2019.