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DOH Policy & Planning Meetings

DOH Policy & Planning Meetings

2016-17 MLTC Rate Development Discussion

Mercer and DOH staff met with plans and associations to review development of Managed Long Term Care plan rates effective April 2016.

September 23, 2016

DOH Policy & Planning Meetings

August Managed Care Policy and Planning Meeting Highlights

DOH announces that no productivity adjustment will be made to 2016-17 MLTC rates and reminds participants that DSRIP PPS may add providers to their networks through Sept. 8th.  

August 15, 2016

DOH Policy & Planning Meetings

July Managed Care Policy & Planning Meeting Highlights

The state announces CFCO implementation is delayed until December. MLTC Phase IV rates to be paid in August.

July 25, 2016

DOH Policy & Planning Meetings

Highlights of June Managed Care Policy & Planning Meeting

The MLTC rate issues update and Community First Choice Option (CFCO) news were part of the discussion at the June Managed Care Policy and Planning Meeting. 

June 17, 2016

DOH Policy & Planning Meetings

Rate Issues, VBP, DSRIP Dashboards Discussed at May Plan Meeting

Monthly meeting discussions focused largely on value based payments and mainstream managed care plan rate issues.   

May 17, 2016

DOH Policy & Planning Meetings

OPWDD FIDA, Enacted State Budget Among Focus of Plan Meeting

DOH shares managed care rate setting priorities along with other updates at April's Managed Care Policy and Planning Meeting. 

April 19, 2016

DOH Policy & Planning Meetings

Highlights of March Managed Care Plan Meeting

The March Managed Care Policy and Planning meeting featured discussions concerning Fair Labor Standards Act payments, QIVAPP payments, and the status of rate packages.

March 14, 2016

DOH Policy & Planning Meetings

FLSA Funding and Expansion of MLTC Benefit Package Detailed at DOH Managed Care Meeting

The State share advance on the Fair Labor Standards Act (FLSA) adjustment to managed long term care (MLTC) rates will be paid on March 2.  The Governor’s proposed Budget would expand the MLTC benefit package to include all Medicaid benefits.

February 16, 2016

DOH Policy & Planning Meetings

DOH Details Managed Care Budget Proposals in Meeting with Plans

Budget proposals would exclude from MLTC enrollment beneficiaries who require only a community-based level of care, add new MLTC benefits, impose penalties for deficient encounter data reporting, and reduce MLTC rates based on an assumed level of fraud recoveries.

January 25, 2016

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
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