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DOH Policy & Planning Meetings

DOH Policy & Planning Meetings

DOH Managed Care Meeting Covers New Initiatives

The December Managed Care Policy & Planning meeting included FIDA reforms, Community First Choice Option implementation, a value-based payment update, and draft telehealth regulations.

December 15, 2015

DOH Policy & Planning Meetings

DOH Managed Care Meeting Includes Updates on Reporting, e-Notices, and Duals Unwind

The meeting included updates on federal reporting requirements for Medicaid managed care plans, electronic notices for managed care members, and the transition of dual eligibles from mainstream managed care plans.

June 11, 2024

DOH Policy & Planning Meetings

Highlights of August Medicaid Managed Care Policy and Planning Meeting

Discussion includes NYIA issues, batch disenrollment, and various other updates.

August 16, 2022

DOH Policy & Planning Meetings

May Managed Care Policy & Planning Meeting Highlights

DOH provides updates on Independent Assessor, Duals Initiatives, and other priority issues.

May 17, 2022

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

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 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
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