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Request to Report in MA Experiences

AHCA/NCAL is launching an effort to collect data on Medicare Advantage (MA) provider experiences, particularly related to prior authorizations and MA plan compliance with the CY2024 MA Final Rule (CMS-4201-F). Your participation is crucial in gathering insights on how these MA plans and regulations impact skilled nursing care. Specifically, AHCA is looking for data on your experiences with MA plans and prior authorization denials during the periods of (1) August 18-31, 2024 and (2) All of September 2024. This data collection will help the association advocate for necessary reforms. How to participate:

  1. Download the MA Tracking Form: Complete the Excel tracking form (zip file) for the specified periods. Detailed instructions are included with the form. Be sure to enable downloads.
  2. Submission: Email the completed forms to AHCA’s Martin Allen by September 5, 2024, for the August reporting period and October 5, 2024, for the September reporting period.
  3. Who Should Complete the Forms? We recommend that facility administrators and business office managers handle the data compilation.

Your responses will remain confidential and will not be attributed to specific facilities. The aggregated data will be shared within the MA workgroup. If you need assistance or have questions, please email Martin Allen.