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PACE, MAP, and Medicare Advantage

PACE, MAP, and Medicare Advantage

MAP Behavioral Health Guidance Also Issued as MLTC Policy 22.03

Policy 22.03 echoes guidance provided in May to MAP plans regarding the carve-in of behavioral health services into the benefit package.

September 6, 2022

PACE, MAP, and Medicare Advantage

PHHPC Discusses PACE Expansion, Renews COVID-19 Emergency Regulations

Former Medicaid Director Brett Friedman presented to the PHHPC on PACE expansion and potential governance models that would allow for-profit ownership of PACE programs in New York State. The PHHPC also acted to extend several COVID-19-related regulations.

June 7, 2022

PACE, MAP, and Medicare Advantage

CMS Collecting Comments on Medicare Advantage and Part C and D Payment Policies

Comments on the Advance Notice due by March 4th.

March 1, 2022

PACE, MAP, and Medicare Advantage

Deloitte and DOH Review PACE Rate Development

April 2021 rate developed using a similar methodology as prior year with a few tweaks.

December 21, 2021

PACE, MAP, and Medicare Advantage

Carve-In of Behavioral Health Benefit for MAP Plans Delayed

DOH announced on Aug. 30th that the behavioral health benefit carve-in for Medicaid Advantage Plus plans will be delayed from Jan. 1, 2022 until Jan. 1, 2023.

August 31, 2021

PACE, MAP, and Medicare Advantage

MAP Behavioral Health Carve-In Discussed in Policy & Planning Meeting: Readiness Documents Distributed

MAP behavioral health carve-in readiness documents were distributed via email after discussion at August Policy & Planning meeting.  Links to the documents are provided.

August 13, 2021

PACE, MAP, and Medicare Advantage

MLTC Plans Reminded to Complete COBA Attachment

Managed care plans will now be included in the State's Coordination of Benefits Agreement crossover claims process for dually-eligible beneficiaries.  MLTC partially-capitated plans and MAP plans must submit their COBA attachments by June 15.

June 8, 2021

PACE, MAP, and Medicare Advantage

DOH Posts MLTC VBP Measures

2021 VBP Quality Measure Sets for MAP and PACE are now available in the VBP Resource Library.

May 18, 2021

PACE, MAP, and Medicare Advantage

DOH Updates MLTC Clinical Advisory Group

MLTC VBP arrangements encouraged to continue on a voluntary basis.

December 1, 2020

PACE, MAP, and Medicare Advantage

CMS Updates Medicare Part D Low-Income Subsidy Standards

Information issued to Medicare Advantage and PACE organizations.

March 3, 2020
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