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
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
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