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Reimbursement Issues

Reimbursement Issues

Medicare 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 Issues

MLTC 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 Issues

DOH 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 Issues

MLTC 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 Issues

MLTC Rate Adjustments Coming in Mid-May

DOH has processed revisions to April and July 2017 rates.

May 4, 2018

Reimbursement Issues

DOH 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 Issues

One More Chance to Attend VBP Bootcamp

DOH has scheduled an additional session in New York City on Jan. 9th.

December 12, 2017

Reimbursement Issues

DOH Reminds Plans to Finalize Minimum Wage Contracts

Minimum wage guidance document echoes previous year’s requirements.

December 11, 2017

Reimbursement Issues

VBP Bootcamps Coming to a Close

Registration now open for the final session to be held in Uniondale on Nov. 15th.

October 31, 2017

Reimbursement Issues

VBP 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
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