CMS is sanctioning Elevance Medicare Advantage plans by suspending new enrollment and marketing for the plans on March 31, 2026. Elevance has until this date to submit all data corrections and an attestation for its risk adjustment data submissions made from November, 2018 through October, 2025.
CMS is also alleging that Elevance annually certified the data without knowing the unverified codes being used weren’t corrected using the systems CMS requires MA plans to use. This is not a final CMS ruling, and Elevance has time to respond by providing the information CMS wants by this date.
Agility will provide updates on this breaking news as we receive it.
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