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Regulations

Regulations

DOH Webinar Describes VBP Tracking Process for MLTC Plans

DOH hosted a webinar last week for MLTC plans to provide instructions for submission of the Value-Based Payment Tracking Report.

July 17, 2018

Regulations

MLTC High Cost High Need Survey

DOH is requesting that all MLTC plans submit detailed information on High Cost High Need members by June 29, 2018.

May 21, 2018

Regulations

Changes to SNF Advance Beneficiary Notice of Non-Coverage

Providers are required to use the new form starting May 7, 2018.

April 30, 2018

Regulations

DOH Provides Details of New Managed Care Appeals, Fair Hearing, and "Aid Continuing" Procedures

DOH provided additional detail about new managed care appeals, fair hearing, and "aid continuing" procedures in an April 13th webinar.

April 24, 2018

Regulations

CMS Final Rule Available

An advance copy of the 2019 Medicare Advantage Program and Prescription Drug Benefit Program Final Rule has been posted to the CMS website.

April 3, 2018

Regulations

DOH Webinar Describes Changes in Managed Care Authorization, Appeals, and Fair Hearing Procedures

Effective May 1st, new federal regulations provide for different times frames and procedures for authorizations, appeals, fair hearings, and complaints.

April 3, 2018

Regulations

DOH Confirms Implementation of Universal Billing Codes

Plans and providers are required to use DOH-approved codes for community-based long term care services starting April 1st.

April 2, 2018

Regulations

Medicaid Managed Care Appeals Changes Coming

Starting in May, MLTC plans will implement new federal requirements for service requests, appeals, and complaints.

March 26, 2018

Regulations

CMS Rolling Out New Medicare Identification Numbers

MLTC plans should be aware of the change and confirm their ability to accept the revised beneficiary identifiers.

March 24, 2018

Regulations

OMIG Issues Annual Work Plan

LeadingAge NY's general counsel, Hinman Straub, has prepared a detailed review of the Office of the Medicaid Inspector General (OMIG) Work Plan for SFY 2017-18 that highlights areas of focus for managed care organization and provider audits.

July 14, 2017
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