CMS stops Via Christi from en­rolling dual-el­i­gi­bles

Modern Healthcare - - REGIONAL NEWS - —Vir­gil Dick­son

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.

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