DOH outlines upcoming MLTC rate updates, reviews 2019-20 PACE rates.

DOH outlines target implementation dates for changes to the MLTC nursing home benefit, gives updates on provider enrollment issues, and shares a crosswalk of how the State’s approach to integrated care fits with CMS Rule provisions.

The December managed care plan meeting with DOH covered a variety of new and long-standing MLTC issues, including updates on the nursing home benefit limit and MLTC enrollment lock-in, integrated Medicare-Medicaid managed care policies, the transition of FIDA program enrollees, VBP contract submission deadlines, CINERGY payments, DSRIP 2.0, and MLTC model contracts, as well as new requirements governing crossover coordination of benefit agreements.

Policy and Planning Meeting features updates on efforts to align payment and enrollment systems and implement federal rule that facilitates Medicaid/Medicare integration.

MLTC briefing provided updates on model contract execution, the phase-out of the FIDA demonstration, and recently issued guidance on CDPAP billing.

The September meeting of Medicaid MLTC plans with DOH featured updates on implementation of a new managed care enrollment tracking system, CFCO implementation, the close-out of the FIDA program, provider enrollment, and VBP.

DOH, Deloitte provide an overview of 2019-20 rate development for partial capitation plans.

MLTC Update covers FIDA phase-out plan, reviews key dates.