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New Models of Care

New Models of Care

CMS Announces New Direct Contracting Model

The Direct Contracting Model Professional and Global Options will allow Medicaid managed care organizations serving duals to test financial risk-sharing arrangements to reduce Medicare expenditures while promoting quality of care.

December 22, 2020

New Models of Care

CFCO Implementation Scheduled for July 2019

DOH posts materials, announces that the next set of CFCO services will become available through MLTC and fee-for-service Medicaid in July 2019.

December 21, 2018

New Models of Care

LeadingAge NY Recommends Revisions to Person-Centered Service Planning Guidelines

Our comments raise concerns about the administrative burdens presented by the draft guidelines that, in several respects, exceed the requirements of federal regulations and the MLTC contract. We also question the expansiveness and ambiguity of conflict of interest requirements that could disrupt care management and provider relationships.

October 2, 2018

New Models of Care

State Seeking Comments on I/DD Transition to Managed Care

Next step will be an application process to qualify specialized MCOs to manage the delivery of cross-system services for I/DD population.

September 10, 2018

New Models of Care

DOH Discusses CFCO, Shares Draft Guidance

Stakeholder comments on draft Community First Choice Option guidance documents are requested within two weeks.

September 4, 2018

New Models of Care

DOH Webinar Describes MLTC Plan Responsibilities for Community First Choice Implementation

Plans are responsible for evaluating their members for CFCO eligibility, assigning the proper code to eligible enrollees, and updating the plan of care at the time of the next assessment to include appropriate CFCO services.

March 27, 2018

New Models of Care

CFCO Update

DOH provides an implementation timeline update and discusses systems work underway.

February 27, 2018

New Models of Care

LeadingAge National Seeks Member Expertise on Alternative Payment Models

Survey responses due by Feb. 16th.

January 30, 2018

New Models of Care

Future of Integrated Care Meeting Covers Networks, Member Rights, Marketing, and Quality

DOH and CMS staff met with consumers, providers, and plans to discuss standards for a new Medicare-Medicaid integrated managed care program.

October 24, 2017

New Models of Care

Networks, Marketing, and Quality on Integrated Care Meeting Agenda

The third stakeholder meeting on the future of integrated care is scheduled for Oct. 16th in New York City.

October 2, 2017
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