CMS has lifted the enrollment suspension it imposed on Provider Partners Health Plans’ Maryland I-SNP after the insurer corrected network deficiencies.
The agency suspended enrollment into the plan in late May after Provider Partners’ lost all contracted long-term care facilities in its network and then disenrolled 29 members from the program without their consent. In an Aug. 6 letter, CMS said the insurer showed it now has at least one contracted long-term care facility serving institutionalized individuals for each county in the plan’s service area.
CMS warned that any future compliance failures could lead to sanctions, monetary penalties or termination of the company’s MA contract.
Provider Partners has 9,000 members and also operates I-SNPs in Illinois, Missouri, Ohio, North Carolina, Pennsylvania and Texas.
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