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Operations and Marketing

Operations and Marketing

Roll-Back of Independent Assessment Process Sought by LeadingAge NY, Other Advocates

In a letter to DOH, the associations and consumer advocates requested suspension of independent clinical assessments and a delay in the launch of independent 'immediate need' and 'expedited' initial assessments and independent reassessments, in light of scheduling, customer service, and accuracy concerns.

November 1, 2022

Operations and Marketing

Department Shares Further Guidance on Disenrollments

DOH provides update on the resumption of additional MLTC involuntary disenrollment reason, No CBLTSS, and announces an educational webinar.

May 3, 2022

Operations and Marketing

LeadingAge NY Asks Governor to Retract MLTC Competitive Procurement Proposal

LeadingAge NY wrote to Governor Hochul seeking a 30-day amendment to the Executive Budget that withdraws the proposal to competitively procure Medicaid MLTC contracts. The letter pointed out the importance of preserving consumer choice and access to the expertise of specialized plans sponsored by non-profit LTC providers. Our action alert for LTC providers is here.

February 1, 2022

Operations and Marketing

DFS Suspends Certain Utilization Review Requirements

Insurance preauthorization requirements for inpatient rehabilitation after a hospital stay as well as preauthorizations for transfers between hospitals are suspended for 30 days based on a DFS Circular Letter issued Jan. 6, 2022.

January 11, 2022

Operations and Marketing

DOH Issues Information to MLTC Plans on Resuming Additional Disenrollments

Follow-up communication provides more detail on the resumption of two additional involuntary disenrollments that had been suspended during the pandemic.

November 30, 2021

Operations and Marketing

DOH Distributes MLTC Quality Incentive Methodology

The 2020 measures and scoring will remain largely consistent with prior years.

December 31, 2019

Operations and Marketing

DOH Announces Slight Changes in MLTC Plan Quality Measures

At the annual meeting of the MLTC Plan Quality Work Group, DOH announced the suspension of an encounter data compliance measure for 2019, the resumption of the ER visit quality measure for 2019, updated diagnosis codes for calculating potentially avoidable hospitalizations for 2020, and a new performance improvement plan compliance measure for 2020.

November 11, 2019

Operations and Marketing

Fiscal Intermediary Workgroup Completes Work

Final meeting reviews consumer transition issues but culminating discussion is cut short.  

August 12, 2019

Operations and Marketing

DOH Posts CDPAS Templates

Templates that MLTC plans are required to use when a CDPAS FI ceases to be a network provider are now available.

August 6, 2019

Operations and Marketing

DOH Seeks Comments on Draft Community First Choice Option Guidance

The draft guidance describes the authorization process and dollar caps on CFCO Community Transitional Services; Moving Assistance; Home Delivered Meals; and Skill Acquisition, Maintenance and Enhancement services.

July 23, 2019
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