Reimbursement IssuesPartial 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
Reimbursement IssuesDOH Updates Benchmark Rates, Distributes ATI Funding
Plans notified of nursing home benchmark rate updates, funding distribution requirements.
- October 22, 2019
Reimbursement IssuesDOH Suspends CDPAP Reimbursement Changes
Guidance related to changes to the FI reimbursement methodology is on hold until further notice.
- October 21, 2019
Reimbursement IssuesDOH 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
Reimbursement IssuesNew Home Care Cost Report in the Works
Comprehensive cost report is scheduled to start collecting LHCSA and FI data next year.
- September 10, 2019
Reimbursement IssuesDOH 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
Reimbursement IssuesCMS Finalizes Medicare Advantage Rates
Plans receive guidance on providing supplemental benefits, see a 2.5 percent average rate increase.
- April 2, 2019
Reimbursement IssuesUpcoming MLTC Reporting Dates
Cost Reports are due on April 10th, Minimum Wage Reconciliation Cost Reports on April 5th.
- April 1, 2019
Reimbursement IssuesMLTC 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
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
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