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.

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

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

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 1^st 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.

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

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.

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.

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