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MLTC and Medicaid Redesign

MLTC and Medicaid Redesign

DOH Posts FAQs on Medicaid Enrollment Requirement

FAQs relate to the requirement that health care providers who contract with managed care plans enroll in Medicaid and obtain a Medicaid provider number.

April 10, 2018

MLTC and Medicaid Redesign

Medicare Advantage to Cover Non-Skilled In-Home Care

The benefit marks the first time CMS has allowed supplemental benefits that include daily maintenance in Medicare Advantage.

April 3, 2018

MLTC and Medicaid Redesign

DOH Webinar on Service Authorization and Appeal Changes for Medicaid Managed Care

DOH will be implementing changes required by CMS relating to Medicaid managed care service authorization, appeals, fair hearings, and grievances. Two free webinars for providers, enrollees, and community representatives on the changes will be held on March 28th and 30th.

March 20, 2018

MLTC and Medicaid Redesign

CMS Expanding HCBS Benefit in Medicare Advantage

Proposed updates will result in a payment increase that promotes stability and ensures that resources will be available to support beneficiaries enrolled in private Medicare plans.

February 6, 2018

MLTC and Medicaid Redesign

LeadingAge NY Advocates for Provider-Sponsored Care Management

In a letter to the Department of Health, LeadingAge NY raised concerns that the Department's approach to federal home and community-based services conflict of interest rules would reduce consumer access and choice and threaten the viability of provider-sponsored managed care and care management entities.

August 8, 2017

MLTC and Medicaid Redesign

Reminder: Safe Discharge Plans

A reminder that home care agencies must safely discharge Medicaid enrollees who are transitioning from Fee-for-Service to Managed Care.

March 6, 2017

MLTC and Medicaid Redesign

New Managed Care Policy on Money Follows the Person

The Department of Health (DOH) posted a new MLTC policy on Money Follows the Person (MFP).

September 26, 2016

MLTC and Medicaid Redesign

New DOH Policies for Managed Long Term Care Plans, Home Care and Hospice

New policy directives for Managed Long Term Care Plans (MLTCPs) on revisions to Personal Care Services (PCS) and Consumer Directed Personal Assistance (CDPA) regulations and guidance on hospice coverage.

January 4, 2016

MLTC and Medicaid Redesign

New DOH Policies on Medicaid Managed Care

DOH implements new policies that: 1.) Clarify the transition of enrollees from Mainstream to MLTC plans, and 2.)  Allow MLTC enrollees to request a State fair hearing prior to exhausting the plan's internal appeals process.

July 7, 2015

MLTC and Medicaid Redesign

U.S. Court of Appeals Upholds Wage Parity Law

The Second Circuit Court of Appeals held that the Wage Parity Law is neither unconstitutional nor preempted by federal law.

March 31, 2015
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