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MLTC Data Request Due May 18th

The Department of Health (DOH) is requesting that all Managed Long Term Care (MLTC) plans complete a data request listing all permanently placed nursing home residents since mandatory managed care for nursing home residents was implemented in 2015. DOH is reminding plans that the due date for uploading the completed file is May 18, 2018 and that the file should be uploaded using the Health Commerce System (HCS) Secure File Transfer Application. The data will be instrumental in making updates to SFY 2017-18 rates.

Please note that the file must be named using the specified format to be accepted. The DOH data request letter is copied below, and the form can be downloaded here. Questions regarding the request should be directed to mltcrs@health.ny.gov with the subject line "NHT Enrollment Survey Questions." Plans are asked to notify DOH if they are unable to complete the survey by the due date.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841

 

DOH LETTER:

Dear Health Plan and Association Representatives:

Please find attached a data request related to your MLTC, FIDA, MAP or PACE NHT enrollment. This survey will be used to finalize the enrollment and revise the SFY 2017-18 rates.

This data request is for nursing home transition enrollment related to the MLTC Partial Capitation, FIDA, MAP, or PACE plan experience for NHT members. Whereas past NHT enrollment surveys have requested information related to quarterly experience of NHT members, DOH at this time requests comprehensive historical information for each NHT stay for permanent placement consistent with the NHT add-on amount. The data provided should encompass all valid NHT managed care enrollees from February 1, 2015 to March 31, 2018. Please review the instructions provided on the [Introduction] and [Notes & Instructions] tabs carefully and provide the requested data/information on the [MLTC NHT Enrollment], [FIDA NHT Enrollment], [MAP NHT Enrollment], and [PACE NHT Enrollment] tabs. A request will not be considered complete without a signed [Attestation] tab. Note, as this information will be an important part of DOH’s continued review of the NHT add-on PMPM, please ensure that this request is completed accurately and timely.

Please note, records that are not in compliance with the instructions provided will not be accepted. Common issues found in previous submissions include plan specific member IDs entered in the “Enrollee” column, non-date formats entered in the “Plan Enrollment Date”, “Permanent Placement Date” and “End Date” (example, “July 2016” or “10/30/200”), and commented information included within the fields. If information outside of what is requested is required, please indicate via email and do not comment within the cells.

As noted in the instructions, this data request will contain Protected Health Information (PHI). As such, please take necessary steps to comply with HIPAA regulations when transmitting this data. Please submit this data to jmv08 using the Secure File Transfer Application on the HCS. Please post completed templates on or before COB Friday, May 18, 2018.

Please note:

  • No PDF files, Excel only
  • Do not send password protected files
  • Please report Medicaid/Member ID numbers in the Enrollee column

You MUST label your file as follows or it will not be accepted:

PLAN NAME_NHT Data Request_Feb2015-Mar2018.xlsx