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DOH Policy & Planning Meetings

DOH Policy & Planning Meetings

Highlights 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 Meetings

October 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 Meetings

September 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 Meetings

Managed 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 Meetings

August 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 Meetings

April Plan Meeting Highlights

Brief monthly Managed Care Policy and Planning meeting features enrollment update, questions and answers.

April 12, 2021

DOH Policy & Planning Meetings

March 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 Meetings

January 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 Meetings

December 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 Meetings

November 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
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