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MLTC (Partially-Capitated Plans)

MLTC (Partially-Capitated Plans)

Managed Care Annual Program Integrity Report

MLTC plans will need to submit the 2017 report in January.

December 5, 2017

MLTC (Partially-Capitated Plans)

North Shore LIJ MLTC Members to Transfer to Centers Plan

Move will impact about 5,600 MLTC enrollees in New York City and Long Island.

October 10, 2017

MLTC (Partially-Capitated Plans)

MLTC Market Alterations Policy

DOH issues guidance to MLTC plans governing member transfers when plans close, consolidate, or reduce their service area.

September 25, 2017

MLTC (Partially-Capitated Plans)

21st Century Cures Act Requirement

Plans should inform network providers not currently enrolled with Medicaid that they need to apply by Dec. 1, 2017.

September 18, 2017

MLTC (Partially-Capitated Plans)

DOH Distributes 2017 Actuarial Memo

Memo provides actuarial assumptions underpinning Medicaid rate development for single-capitated MLTC plans.

May 2, 2017

MLTC (Partially-Capitated Plans)

DOH Discusses Minimum Wage Payment Reconciliation

Department of Labor, OMIG part of minimum wage meeting.

March 27, 2017

MLTC (Partially-Capitated Plans)

Guidance on Minimum Wage for MLTC

DOH has notified plans of aggregate funding amounts and issued supplemental guidance on the distribution of minimum wage funding.

November 25, 2016

MLTC (Partially-Capitated Plans)

DOH Clarifies MLTC Dispute Resolution and Health Information Release Policies

MLTC Policies 13.24(a) and 16.03 update and clarify previously issued policies.

June 7, 2016

MLTC (Partially-Capitated Plans)

DOH Announces MLTC Technology Demonstration

Non-profit MLTC Plans serving rural counties may apply for technology demonstration funding.

May 17, 2016

MLTC (Partially-Capitated Plans)

DOH Issues Guidance for Transfer from Managed Care to MLTC

Individuals needing services not available in mainstream Medicaid Managed Care may transfer to Managed Long Term Care if they meet set criteria and specified steps are followed.

May 9, 2016
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