Reimbursement IssuesMedicare Advantage Draft Call Letter Modifies Rate Methodologies and Outlines New Supplemental Benefits
The Advance Notice and Draft Call Letter cover all Medicare Advantage plans, Programs of All-Inclusive Care for the Elderly, and Medicare-Medicaid plans, as well as Part D plans and employer-union plans. They contain modifications to the Medicare Advantage quality rating system, information to assist plans as they prepare their bids for the new contract year, and information about new Supplemental Benefits for Chronically Ill beneficiaries.
- February 19, 2019
Reimbursement IssuesMLTC Risk Adjustment Workgroup Meets
DOH and Deloitte are seeking stakeholder input on additional variables to include in the MLTC risk model.
- November 12, 2018
Reimbursement IssuesDOH Discusses Minimum Wage Guidance, Reconciliation
Webinar presentation aimed at both plans and home care providers reviewed previously issued guidance and outlined the reconciliation process.
- October 1, 2018
Reimbursement IssuesMLTC Data Request Due May 18th
All plans, including integrated plans, are requested to submit information on nursing home members to facilitate 2017-18 Medicaid rate revisions.
- May 11, 2018
Reimbursement IssuesMLTC Rate Adjustments Coming in Mid-May
DOH has processed revisions to April and July 2017 rates.
- May 4, 2018
Reimbursement IssuesDOH Offers Recorded Medicaid Budget Briefing
State Medicaid Director Jason Helgerson commented during the presentation that "many of us have been concerned about the potential growth in long term care in Medicaid for a long time with the aging of the baby boom generation."
- February 9, 2018
Reimbursement IssuesOne More Chance to Attend VBP Bootcamp
DOH has scheduled an additional session in New York City on Jan. 9th.
- December 12, 2017
Reimbursement IssuesDOH Reminds Plans to Finalize Minimum Wage Contracts
Minimum wage guidance document echoes previous year’s requirements.
- December 11, 2017
Reimbursement IssuesVBP Bootcamps Coming to a Close
Registration now open for the final session to be held in Uniondale on Nov. 15th.
- October 31, 2017
Reimbursement IssuesVBP Bootcamp 2.0 Coming to Rochester
Registration for Nov. 3rd event is open until Oct. 27th; recorded Albany sessions available on demand.
- October 17, 2017
- view more