Reimbursement Issues
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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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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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