RegulationsMedicare 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
RegulationsDOH 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
RegulationsMLTC 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
RegulationsChanges to SNF Advance Beneficiary Notice of Non-Coverage
Providers are required to use the new form starting May 7, 2018.
- April 30, 2018
RegulationsDOH 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
RegulationsCMS 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
RegulationsDOH 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
RegulationsDOH 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
RegulationsMedicaid Managed Care Appeals Changes Coming
Starting in May, MLTC plans will implement new federal requirements for service requests, appeals, and complaints.
- March 26, 2018
RegulationsCMS 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
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