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Operations and Marketing

Operations and Marketing

Medicaid Off-Cycle Revalidation Processes, Provider Enrollment Moratorium Announced

The NYS Medicaid Director announced off-cycle revalidations for existing Medicaid providers through a new Provider Services Portal and six-month moratorium on Medicaid provider enrollment for LHCSAs, SADCs, MLTC plans, and PACE programs. A webinar on the new portal will be held on Aug. 6th.

August 4, 2026

Operations and Marketing

DOH Guidance on High-Hours CDPAS Cases Details MLTC Reporting and Action Items

The new policy includes more frequent reporting on high-hours cases and more detailed action steps for plans in response to these cases.

August 4, 2026

Operations and Marketing

DOH Issues Medicaid Coverage Memos for Power Wheelchairs

The memos describe Medicaid coverage and billing of preventative maintenance for power wheelchairs and repairs of backup power wheelchairs.

December 1, 2025

Operations and Marketing

April 1st CDPAP Transition Nears

DOH asks stakeholders to help publicize the transition to a single Consumer Directed Personal Assistance Program Fiscal Intermediary and the steps participants need to take prior to April 1st.

March 11, 2025

Operations and Marketing

Consumer Directed Personal Assistance Reimbursement Changes Expected Aug. 1st

Beginning Aug. 1st, the administrative component of FI rates in CDPAP will be reimbursed on a "managed fee for service" basis.

July 30, 2024

Operations and Marketing

Fiscal Intermediary Administrative Payment to Shift to Non-Risk on Aug. 1st

DOH has announced that the administrative component of CDPAS FI rates will be paid on a non-risk basis effective Aug. 1st. This change does not apply to PACE programs.

July 8, 2024

Operations and Marketing

MLTC Transportation Carve-Out Starts Fri., March 1st

LeadingAge NY urges MAS and State to fully communicate transition details with providers.

February 27, 2024

Operations and Marketing

Medicaid Transportation Arranged by MLTC Plans Slated to Move to MAS on March 1, 2024

DOH is assessing whether transportation for social day programs will follow this timeline.

February 15, 2024

Operations and Marketing

Expanded Dental Coverage Now Available Through MLTC Plans

Effective Jan. 31, 2024, MLTC and MAP plans and PACE programs will cover dental crowns and root canals.

February 6, 2024

Operations and Marketing

DOH Changes Review Process for Member-Facing Materials

Changes include a modified submission email address, updated review timeframes, and new coversheets.

January 2, 2024
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