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CMS Finalizing 2021 Medicare Advantage and Part D Final Rule in Two Stages

The first set of final provisions has been published in the June 2nd Federal Register.

June 1, 2020


Voluntary Enrollment into MLTC for Individuals Not Eligible for Medicare

DOH is seeking comments on draft revisions to the policy governing voluntary transfers from mainstream Medicaid managed care to MLTC.

August 26, 2019


DOH Issues Provider Enrollment Guidance for MAP Plans

MLTC Policy 19.02 clarifies requirements regarding providers who fail to enroll in Medicaid.

August 5, 2019


Minimum Wage Reconciliation Report Due Date Extended to April 5th

Additional functionality is being added to the Supplemental Minimum Wage Reconciliation Cost Report to expand data upload capability.

March 11, 2019


Program Integrity Reports Due

Medicaid managed care plans are required to file the annual Program Integrity Report through the Health Commerce System by Jan. 31st.

January 18, 2019


CMS Proposes New Medicaid Managed Care Regulations

The proposed regulations are intended to reduce administrative burdens and give state Medicaid agencies greater flexibility to address local circumstances and populations.

November 13, 2018


MLTC Lock-in Policy, Change in NH Benefit Await CMS Action

State’s letter to CMS, draft member notices are posted on DOH website.

October 29, 2018


Medicare Advantage Proposal Aims for Flexibility

Proposed Medicare Advantage rule seeks to expand telehealth, coordinate processes for those eligible for Medicare and Medicaid.

October 26, 2018


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


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
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