Company: EHSI
Filing Date: 2025-06-05
Form Type: 8-K
Source: 0001437749-25-019545
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Company: Elite Health Systems Inc.
Filing Date: 2025-06-05
Form: 8-K
Item: Item 1.01
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Item 1.01. Entry onto a Material Agreement.

On June 3, 2025, Elite Health Plan, Inc. (“ Elite Health Plan”) a wholly owned subsidiary of Elite Health Systems Inc. (the “ Registrant”) was notified by the Centers for Medicare and Medicaid Services (“ CMS”) that it has conditionally approved Elite Health Plan’s Contract Year (CY) 2026 Medicare Advantage/Medicare - Prescription Drug (MA-Only/MA-PD) application. To enter into the contract with CMS as an MA/MA-PD organization, CMS must also approve Elite Health Plan’s bid, including formulary, as required by 42 CFR 422 Subpart D and 42 CFR 423 Subpart F. Additionally, Elite Health Plan must complete all other required pre-implementation activities, including system and data testing. On June 2, 2025, Elite Health Plan filed the CY 2026 PBP HMO bid submission in partnership with Wakely Consulting Group, an experienced actuarial and consultant in the healthcare industry.

The CMS related regulatory process is complex and there can be no assurance that CMS will ultimately approve Elite Health Plan’s bid, or that if approved, that Elite Health Plan will be able to maintain its license under the Act or its approval with CMS.

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