DOH is requesting that all MLTC plans submit detailed information on High Cost High Need members by June 29, 2018.

FIDA plans should ensure that their CY 2019 Plan Benefit Packages and transition policies, due to CMS on June 4, 2018, reflect revised regulations.

The Department of Health has cancelled its stakeholder webinar on value-based payment (VBP) for partially-capitated managed long term care (MLTC) plans that was scheduled for Fri., May 11, 2018. It will be rescheduled for a later date.

The Department of Health has proposed requiring providers and plans to engage in two-sided risk arrangements in Phase 2 of MLTC value-based payment.

Providers and plans should wait for DOH guidance prior to making any changes related to the budget provision that authorizes fee-for-service Medicaid reimbursement for permanent nursing home residents after three months of MLTC enrollment.

All plans, including integrated plans, are requested to submit information on nursing home members to facilitate 2017-18 Medicaid rate revisions.