DOH Policy & Planning Meetings
DOH Policy & Planning MeetingsHighlights of November Policy & Planning Meeting
Discussion featured updates on disenrollment, HCBS self-assessments for SADC, and eFMAP directed payments to LHCSAs.
- November 23, 2021
DOH Policy & Planning MeetingsOctober 2021 Managed Care Policy & Planning Meeting Highlights
The October policy and planning meeting for managed care plans included updates on the HCBS settings rule assessment requirements for social adult day care, behavioral health carve-in for MAP plans, resumption of involuntary disenrollment, and the next round of disenrollment of long-term nursing home residents.
- October 18, 2021
DOH Policy & Planning MeetingsSeptember MLTC Finance Meeting Highlights
Deloitte and DOH review the development of, and adjustments to, April 2021 rates for Partially Capitated MLTC and MAP plans.
- September 21, 2021
DOH Policy & Planning MeetingsManaged Care Policy & Planning Meeting Covers Batch Disenrollment of Long-Term Nursing Home Enrollees, Home Care Exchange Pilot
DOH’s September Managed Care Policy and Planning meeting covered a variety of topics including the upcoming batch disenrollment of long-term nursing home enrollees from MLTC plans, the launch of the Home Care Exchange Pilot, new electronic notice guidance, and an eFMAP update.
- September 14, 2021
DOH Policy & Planning MeetingsAugust Policy and Planning Meeting Includes Updates on Social Day Oversight, Enrollment Lock-In, Independent Assessment, MAP Behavioral Health Carve-In, and Transportation Carve-Out
Another batch disenrollment of long-term nursing home residents will be effective Oct. 1st. These members will revert to fee-for-service coverage. In addition, the independent assessment process will not take effect Oct. 1st, and guidance on social day HCBS setting compliance will be issued soon.
- August 13, 2021
DOH Policy & Planning MeetingsApril Plan Meeting Highlights
Brief monthly Managed Care Policy and Planning meeting features enrollment update, questions and answers.
- April 12, 2021
DOH Policy & Planning MeetingsMarch Plan Meeting Highlights
Medicaid Managed Care Policy and Planning meeting features discussion of Independent Assessor, update on MAP behavioral health carve-in.
- March 16, 2021
DOH Policy & Planning MeetingsJanuary Plan Policy and Finance Meeting Highlights
Policy and Planning meeting discussions included COVID-19 vaccination and the federal approval of removing PT/OT/SpT limits, while the MLTC portion of the plan finance meeting focused on retroactive adjustments being made to April 2020 rates.
- January 19, 2021
DOH Policy & Planning MeetingsDecember Plan Meeting Highlights
Topics discussed at the December Medicaid Managed Care Policy and Planning Meeting include COVID-19 vaccination, WMS roster replacement, and the carve-in of behavioral health into MAP.
- December 21, 2020
DOH Policy & Planning MeetingsNovember Plan Meeting Highlights
Medicaid Managed Care Policy and Planning meeting featured updates on the State's dual integration initiative and COVID-19 vaccination preparations.
- November 24, 2020
- view more