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Reimbursement Issues

Reimbursement Issues

Deloitte Outlines 2022-23 Rate Development Process for MAP and Partially Capitated MLTC Plans

Adjustments and underpinning assumptions raise rate accuracy concerns at managed care finance meeting.

March 1, 2022

Reimbursement Issues

Managed Care Minimum Wage Reconciliation Report Deadline Extended

Reports are now due by close of business on Dec. 13th.

December 7, 2021

Reimbursement Issues

Medicaid Managed Care Minimum Wage Reconciliation Survey Activated

The Supplemental Minimum Wage Reconciliation Cost Report for SFY 2020-21 is due by close of business on Dec. 6th.

November 9, 2021

Reimbursement Issues

Deloitte Presents on MLTC Trend Development

April Plan Finance Meeting focuses on next step in development of 2021 rates.

May 4, 2021

Reimbursement Issues

DOH Shares Draft Enrollment Cap Methodology

Presentation provides preview of proposed approach for calculating 2021-22 enrollment caps for partially capitated MLTC plans; webinar being scheduled.

April 27, 2021

Reimbursement Issues

DOH Issues Guidance on FI Administrative Reimbursement

MLTC Policy 21.02 outlines Medicaid FFS reimbursement for CDPAS FI administrative costs, reaffirms managed care plans may use the same rate structure at their option.

March 15, 2021

Reimbursement Issues

MLTC Minimum Wage Reconciliation Posted

The SFY 2019-20 Minimum Wage Reconciliation Cost Report is due on Jan. 4th; MLTC Quality Pool payment scheduled.

December 1, 2020

Reimbursement Issues

DOH Reviews Partially Capitated MLTC Rates, Issues Rate Sheets

September MLTC Finance Meeting features a walkthrough of 2020-21 rates and an outline of the timing of expected rate updates.

September 21, 2020

Reimbursement Issues

CMS Issues Medicare Advantage Advance Notice

First of two notices comes early and covers risk adjustment changes for 2022 rates.

September 15, 2020

Reimbursement Issues

MLTC Rate Development Update

Deloitte presentation includes information on trend development, as well as administrative and care management component amounts for 2020-21 Partially Capitated MLTC rates.

July 27, 2020
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