The CMS October 2020 software release announcement on August 25, included changes effective for AEP 2021.
Santa Ana, CA – October 12, 2020 – Dynamic Healthcare Systems, a leading provider of enterprise-wide solutions to health plans participating in Medicare Advantage, Managed Medicaid, and Marketplace programs, has recently updated its SaaS solution. In response to the October CMS Medicare Advantage Prescription Drug (MAPD) program software changes, Dynamic enhanced its solution to deliver the required features ahead of the 2021 plan year Annual Enrollment Period deadlines.
The CMS “Announcement of the October 2020 Software release – Enrollment Transaction” published on August 25, 2020, included the following changes:
CMS revised the standard (“long”) model form used for Medicare Advantage (MA) and Prescription Drug Plan (PDP) enrollment to a new “shortened” form, OMB 0938-1378 (CMS-10718).
The MARx system was enhanced to include the new data fields on the enrollment transaction:
- Preferred Language other than English (Spanish or Other), and
- Accessible Format (Braille, Large Print, or Audio CD).
MA organizations and Part D sponsors are expected to include these new data fields for the 2021 plan year Annual Enrollment Period (AEP), which begins on October 15, 2020.
“Dynamic’s team of experts and solution are nimble enough to quickly accommodate CMS’ constantly evolving requirements,” states Justin Witkowski, Vice President, Professional Services at Dynamic. “Our ability to help ensure our clients’ data is submitted in a clean and compliant way, even on tight deadlines, is just one of the reasons our clients rely on Dynamic. It is Dynamic’s pleasure to demonstrate our expertise with health plans and health systems in need,” Witkowski added.
Dynamic’s robust suite of integrated solutions provides health plans and provider groups with an enterprise-wide platform that enables a strong risk adjustment strategy ensuring maximum and accurate risk-adjusted payments. Dynamic’s integrated software solutions are designed to ensure health plans and provider groups meet the complex compliance and data processing requirements that the Centers for Medicare and Medicaid Services establishes, monitors, and enforces. Dynamic’s solutions integrate various sources of health plan and provider data to create a single view of a Plan’s membership. This single view facilitates the delivery of high-quality managed care while helping health plans meet compliance and revenue management challenges.
About Dynamic Healthcare Systems
Dynamic Healthcare Systems was founded in 2005 in response to the significant business and system challenges placed on Medicare Advantage Organizations (MAOs) by the enacted Medicare Modernization Act of 2003.
Dynamic provides an end-to-end automated SaaS solution for health plans and provider groups participating in Medicare Advantage, Managed Medicaid, and Marketplace programs.
Our comprehensive solutions can help Dynamic’s clients optimize revenue and increase the quality of their governmental submissions in an operationally efficient manner that is designed to comply with applicable legal and regulatory obligations. The analytics, integrated workflows, and queues within a single integrated platform help Dynamic’s clients more effectively manage Enrollment, Premium Billing, Revenue Reconciliation, and Risk Adjustment. For more information, visit dynamichealthsys.com or call 949-333-4565 ext. 125.