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DOH Policy & Planning Meetings

DOH Policy & Planning Meetings

July Plan Meeting Highlights

MLTC portion of meeting included updates on budget provision implementation, EVV, 12-month lock-in provision, and batch disenrollment of long-stay nursing home residents.

July 13, 2020

DOH Policy & Planning Meetings

May Plan Meeting Highlights

DOH provides updates on COVID-19-related and other key MLTC issues, addresses some outstanding State Budget questions at Managed Care Policy and Planning Meeting.

May 19, 2020

DOH Policy & Planning Meetings

Highlights of April Plan Meeting

DOH reviews enacted budget provisions and provides COVID-19 response update.

April 21, 2020

DOH Policy & Planning Meetings

DOH Lays Out MLTC Rate Update Schedule

February plan finance webinar reviewed cuts being implemented in the current fiscal year and outlined upcoming rate updates.

February 24, 2020

DOH Policy & Planning Meetings

Highlights of February 2020 Plan Meeting

DOH announced a delay in the implementation of the MLTC nursing home benefit limit due to a systems issue. The transition of long-term nursing home residents from MLTC to FFS will not take place on March 1st upstate, as previously planned. The expected duration of the delay and whether it will affect the NYC transition were not known at the time of the meeting. The meeting also included updates on quality measure reporting, provider network submissions, and Medicare-Medicaid managed care procedures.

February 18, 2020

DOH Policy & Planning Meetings

DOH Holds PACE and MLTC Finance Meetings

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

January 28, 2020

DOH Policy & Planning Meetings

Highlights of January Plan Meeting

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.

January 13, 2020

DOH Policy & Planning Meetings

Highlights of December Plan Meeting

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.

December 16, 2019

DOH Policy & Planning Meetings

Highlights of November Plan Meeting

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

November 18, 2019

DOH Policy & Planning Meetings

Highlights of October Managed Care Policy and Planning Meeting

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

October 10, 2019
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