Reimbursement Issues
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Reimbursement Issues
Deloitte Outlines 2022-23 Rate Development Process for MAP and Partially Capitated MLTC Plans Adjustments and underpinning assumptions raise rate accuracy concerns at managed care finance meeting.
- March 1, 2022
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Reimbursement Issues
Managed Care Minimum Wage Reconciliation Report Deadline Extended Reports are now due by close of business on Dec. 13th.
- December 7, 2021
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Reimbursement Issues
Medicaid Managed Care Minimum Wage Reconciliation Survey Activated The Supplemental Minimum Wage Reconciliation Cost Report for SFY 2020-21 is due by close of business on Dec. 6th.
- November 9, 2021
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Reimbursement Issues
Deloitte Presents on MLTC Trend Development April Plan Finance Meeting focuses on next step in development of 2021 rates.
- May 4, 2021
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Reimbursement Issues
DOH Shares Draft Enrollment Cap Methodology Presentation provides preview of proposed approach for calculating 2021-22 enrollment caps for partially capitated MLTC plans; webinar being scheduled.
- April 27, 2021
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Reimbursement Issues
DOH 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
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Reimbursement Issues
MLTC 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
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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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