What is an EPoC?
What is ePOC? A plan of correction (POC) is a document submitted by licensed health care facilities to respond to deficiencies identified in a survey of the facility conducted by state field staff. The information that follows provides guidance on how to begin participating in the ePOC program.
What is the difference between the cmsnet and the EPOC login?
The first login is the CMSnet login, which allows users to connect to the ePOC system. The second login is the ePOC Personal Login Account. This allows access to the ePOC system once connected using the first login.
How do I deactivate my EPOC account?
To request deactivation of the ePOC account, send an email to the QTSO Help Desk at [email protected] and include the facility name, facility CCN number, and name of user whose account should be deactivated. This video is provided by CMS and contains information on the use of the ePOC system for providers.
How do I use EPOC with my next survey?
Once there is at least one corporate or facility user, the facility will use ePOC with your next survey. CMSNet Access Request Form (Only use this form to remove individual access or request access if online registration is unavailable.) How to Complete and Save a PDF Form Electronically [PDF 77 KB]
ePOC Information
The Agency for Health Care Administration (AHCA) is participating with the Center for Medicare/Medicaid Services (CMS) electronic 2567 and plan of correction (ePOC) program. All certified skilled nursing homes must participate ; Certified SNF/NFs are the only provider with the ePOC option. The ePOC program will allow enrolled Nursing Homes to:
ePOC Steps for Implementation
Identify staff who currently have authority to sign your paper POCs. Facilities must have between two and four users assigned to review/submit. We strongly encourage you to utilize all four available IDs.
What is an EPIC member?
EPIC members are required to be enrolled in a Medicare Part D drug plan or a Medicare Advantage (HMO) health plan with Part D (with no exceptions). Enrolling in EPIC will give a member a Special Enrollment Period (SEP) to join a Medicare Part D drug plan.
What is a SEP in Medicare?
a Medicare Special Enrollment Period (SEP) so that a new member may enroll in a Part D drug plan at any time during the year; a Medicare one-time plan change per calendar year for existing members; co-payment assistance after the Medicare Part D deductible is met, if the member has one.
What is extra help for Medicare?
Extra Help from Medicare comes in two levels – full and partial. All levels of Extra Help provide a Low Income Subsidy (LIS) with reduced co-payments for approved drugs. Drug co-payments are as low as $9.20 for brand or $3.70 for generic drugs in 2021 when enrolled in a Part D drug plan.
What happens if you don't enroll in Medicare Part D?
If a member is not enrolled in a Medicare Part D drug plan, the member will not have any prescription coverage from EPIC or receive any EPIC benefits. Because EPIC is a State Pharmaceutical Assistance Program, EPIC can provide: a Medicare Special Enrollment Period (SEP) so that a new member may enroll in a Part D drug plan at any time during ...
Do you have to pay EPIC fees for Medicare?
Those approved for full Extra Help, a Medicare Savings Program or a Medicaid Spenddown do not have to pay any EPIC fees. EPIC will continue to pay Medicare Part D plan premiums for LIS members, and those with Full LIS in enhanced plans or Medicare Advantage plans up to the basic amount ($42.27 per month in 2021) after Medicare premium subsidization.
Is EPIC deductible creditable?
After a Part D deductible is met, if a member has one, EPIC provides secondary coverage for approved Part D and EPIC covered drugs. EPIC also covers approved Part D-excluded drugs such as prescription vitamins as well as cough and cold preparations after enrolling in a Part D drug plan. The New York State EPIC program is not Creditable Coverage ...