Reimbursement IssuesDOH Issues Guidance on FI Administrative Reimbursement
MLTC Policy 21.02 outlines Medicaid FFS reimbursement for CDPAS FI administrative costs, reaffirms managed care plans may use the same rate structure at their option.
- March 15, 2021
Reimbursement IssuesMLTC Minimum Wage Reconciliation Posted
The SFY 2019-20 Minimum Wage Reconciliation Cost Report is due on Jan. 4th; MLTC Quality Pool payment scheduled.
- December 1, 2020
Reimbursement IssuesDOH 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
Reimbursement IssuesCMS Issues Medicare Advantage Advance Notice
First of two notices comes early and covers risk adjustment changes for 2022 rates.
- September 15, 2020
Reimbursement IssuesMLTC 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
Reimbursement IssuesJune MLTC Finance Meeting Highlights
DOH outlines funding pool distribution calculations and provides target dates for rate updates.
- June 9, 2020
Reimbursement IssuesDeloitte 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
Reimbursement IssuesMLTC 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
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
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