DOH Policy & Planning Meetings
DOH Policy & Planning MeetingsSeptember Plan Meeting Highlights
DOH shares additional information on the implementation of the lock-in provision, outlines timelines of next batch disenrollment of members in nursing home long-stay status, and provides answers to enrollment cap questions.
- September 14, 2020
DOH Policy & Planning MeetingsHighlights of August Plan Meeting
Medicaid Managed Care Policy and Planning Meeting featured program updates, walk-through of encounter penalty and enrollment cap provisions, as well as an announcement of internal reorganization.
- August 18, 2020
DOH Policy & Planning MeetingsJuly 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 MeetingsMay 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 MeetingsHighlights of April Plan Meeting
DOH reviews enacted budget provisions and provides COVID-19 response update.
- April 21, 2020
DOH Policy & Planning MeetingsDOH 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 MeetingsHighlights 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 MeetingsDOH Holds PACE and MLTC Finance Meetings
DOH outlines upcoming MLTC rate updates, reviews 2019-20 PACE rates.
- January 28, 2020
DOH Policy & Planning MeetingsHighlights 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 MeetingsHighlights 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
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