ADvantage Program 2013 Cost Cap
Please be advised that as of July 1, 2011, CMS no longer recognized exceptions to the ADvantage Cost Cap. Those exceptions to the Cost Cap, including one-time costs, temporary acute recovery care, hospice and institution transition costs are no longer considered as exceptions to the total Service Plan costs.
Therefore, any Service Plan that is above the Cost Cap will no longer be approved. Those Service Plans that are currently over the Cost Cap due to exception provisions will be individually addressed.
The 2013 FY ADvantage Cost Cap is $47,138.00
Additionally, effective immediately, the ADvantage Cost Cap will be annualized on a Fiscal Year schedule, as opposed to the previous calendar year calculation.
Please note, if you aware of any Members with an ACTIVE Service Plan that are presently close to the 2013 Cost Cap, or any Member who may become close to the current Cost Cap, please contact the AAU via Smarter Mail at email@example.com immediately to work with an AAU Representative.
If you have any questions regarding the information provided above, please feel free to contact us via Smarter Mail at firstname.lastname@example.org.