CMS stops Via Christi from enrolling dual-eligibles
The CMS earlier this month barred Via Christi Health from enrolling any more patients in its plan for people who are dually eligible for Medicare and Medicaid.
The ban applies to Via Christi HOPE, the Wichita, Kan.-based health system’s managed-care plan that launched in 2002 under the Programs of All-Inclusive Care for the Elderly, or PACE.
“The CMS has concluded that VCH failed substantially to provide its participants with medically necessary items and services that are covered PACE services,” the agency said in a letter sent to Via Christi.
The CMS cited Via Christi, which is owned by Ascension, for at least a dozen instances of substandard care coordination.
Via Christi must submit a corrective action plan and then attest to the CMS that it implemented the plan. An Ascension spokesman said Via Christi is addressing the issues identified by the CMS.