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Regulations

Regulations

CMS Unveils Tools to Improve State and Federal Oversight of Medicaid Managed Care Plans

The tools include an update on the web-based portal for state reports on managed care; two additional state reporting templates related to MLR and network adequacy and access assurances; a new technical assistance toolkit for states to oversee access in MLTC programs; and recommended practices for ensuring timely and accurate payment to Indian health care providers.

July 12, 2022

Regulations

Independent Assessor for MLTC, Personal Care, CDPAS Launches

DOH provided updates and answered questions at MLTC plan meeting.

May 17, 2022

Regulations

DOH Unveils 2022 MLTC Quality Incentive Methodology

After two years of unavailable data, the 2022 payments will be based on plan performance.

April 19, 2022

Regulations

Independent Assessor Implementation Slightly Delayed

DOH announces that May 16th will be the start date for initial assessments.

April 19, 2022

Regulations

DOH Specifies Personal Care and Consumer Directed Independent Assessment Regulations to Take Effect May 1st

DOH specified the regulatory changes to be implemented on May 1st for personal care and consumer directed personal assistance services. It also notified stakeholders that the independent assessment changes will preliminarily apply only to initial assessments. Other changes will be suspended until a later date to be announced with 60 days prior notice.

March 8, 2022

Regulations

Independent Assessor Implementation Delayed

New process is now scheduled to begin on May 1st as DOH launches dedicated website.

February 8, 2022

Regulations

DOH Presents Independent Assessment Operational Training

First of six sessions focused on the processes around scheduling and completing initial assessments; second session scheduled for Jan. 26th.

January 25, 2022

Regulations

DOH Schedules First Independent Assessor Training Session

The first of a series of operational trainings will be held on Jan. 14th and focus on the initial assessment process.

January 11, 2022

Regulations

Additional Involuntary Disenrollment Reasons Reactivated

Effective Jan. 1, 2022, DOH has resumed MLTC disenrollments for two additional reasons.

January 3, 2022

Regulations

DOH Holds Webinar on HCBS Settings Rule Assessment Process for MLTC Plans and Social Day Programs

Assessment and remediation processes to start immediately; deadline for full compliance is March 2023.

December 21, 2021
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