Reimbursement Issues
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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
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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
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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
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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
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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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Reimbursement Issues
June MLTC Finance Meeting Highlights DOH outlines funding pool distribution calculations and provides target dates for rate updates.
- June 9, 2020
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Reimbursement Issues
Deloitte Reviews MLTC Base Data Base cost data indicates overall increases upstate, slight decrease in New York City area in 2018 relative to 2017.
- April 27, 2020
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Reimbursement Issues
MLTC Plans Subject to Additional Cuts MAP and partially capitated plans face January 2020 cuts in addition to the 1 percent across-the-board cut.
- February 7, 2020
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Reimbursement Issues
Partial Capitation MLTC Rates Set for Payment Payment on April 2019 rates for Partially Capitated MLTC plans is scheduled to begin Nov. 27th.
- November 4, 2019
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Reimbursement Issues
DOH Updates Benchmark Rates, Distributes ATI Funding Plans notified of nursing home benchmark rate updates, funding distribution requirements.
- October 22, 2019
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