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Audits of Medicare Part C Supplemental Benefits

Under the Medicare Advantage (MA) program, an MA organization can offer supplemental benefits, which are items or services that are not covered by traditional Medicare, to its enrollees. MA organizations must design the supplemental benefits to improve enrollees' health, allow enrollees to manage their chronic conditions, or support enrollees' access to care. Over the past 5 years, the types of supplemental benefits-and payments for them—have grown considerably, and per-person payments from CMS to MA organizations for these benefits have more than doubled. For this series of audits, we will determine whether MA organizations complied with Federal requirements for the supplemental benefits offered to their enrollees.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
June 2024 Centers for Medicare and Medicaid Services Audits of Medicare Part C Supplemental Benefits Office of Audit Services W-00-24-35917 (WA-24-0052) 2025