powered by LeadingAge New York



CMS Finalizes CHIP/Medicaid Managed Care Rule

The federal regulations were first proposed two years ago and aim to provide states with flexibility to tailor managed care programs to best fit their needs.

November 10, 2020


OMIG Regulations Adopted

Regulations expand penalties for overpayments and compliance program failures.

October 26, 2020


LeadingAge NY Comments on Proposed OMIG Regulations

Regulations would expand penalties for overpayments and compliance program failures.

September 15, 2020


OMIG Regulations Would Expand Penalties for Overpayments and Compliance Program Failures

Comments on the proposal are due Sept. 14th.

August 18, 2020


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
  • view more