Reimbursement Issues
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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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Reimbursement Issues
DOH Suspends CDPAP Reimbursement Changes Guidance related to changes to the FI reimbursement methodology is on hold until further notice.
- October 21, 2019
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Reimbursement Issues
DOH Clarifies MLTC Minimum Wage Report Instructions Plans should ensure that the data on their Minimum Wage Reconciliation Cost Report for the first quarter of 2018 is accurate.
- October 7, 2019
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Reimbursement Issues
New Home Care Cost Report in the Works Comprehensive cost report is scheduled to start collecting LHCSA and FI data next year.
- September 10, 2019
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Reimbursement Issues
DOH Work Group Discusses Revisions to Value-Based Payment Roadmap Proposed revisions align MLTC provisions of the Roadmap with previously issued policy directives and also impact social determinants of health interventions.
- May 14, 2019
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Reimbursement Issues
CMS Finalizes Medicare Advantage Rates Plans receive guidance on providing supplemental benefits, see a 2.5 percent average rate increase.
- April 2, 2019
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Reimbursement Issues
Upcoming MLTC Reporting Dates Cost Reports are due on April 10th, Minimum Wage Reconciliation Cost Reports on April 5th.
- April 1, 2019
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Reimbursement Issues
MLTC Risk Model Workgroup Meets Deloitte staff outline the modeling they have done as they seek to develop a more predictive risk adjustment model.
- March 25, 2019
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