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Medicaid

Medicaid

Medicaid Enrollees Start Receiving Renewal Notifications

Individuals with eligibility end dates in June who are required to have their Medicaid eligibility redetermined began receiving letters in March.

April 18, 2023

Medicaid

DOH Reminds Plans and Providers About Medicaid DME Coverage Policy

Unless custom made, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies are included in the nursing home Medicaid rate.

April 17, 2023

Medicaid

DOH Distributes Minimum Spending Survey to Hospital-Based Nursing Homes

Brief survey requests additional 2020 financial information from homes that file the RHCF-2 Medicaid cost report to verify eligibility for staffing funding.

April 11, 2023

Medicaid

DOH Clarifies LTC Pharmacy Overrides for Medicaid Billing

The February 2023 Medicaid Update clarifies the circumstances in which LTC pharmacies may use early fill overrides for Medicaid beneficiaries in nursing homes.

April 3, 2023

Medicaid

Nursing Homes: Preparation for Batch Disenrollment Requires Response by March 31st

DOH is preparing the June 2023 conversion of Medicaid long-stay nursing home residents enrolled in MLTC to fee-for-service Medicaid.

March 27, 2023

Medicaid

DOH Posts Staffing Funding Letters, Reconciles 2021 Cash Receipts Assessment

Staffing funding notifications utilize new communications module in the HCS.

March 21, 2023

Medicaid

Nursing Home Payment Updates Coming in March

DOH has processed a variety of Medicaid payments and adjustments that are scheduled to be released before the end of the State's fiscal year.

March 14, 2023

Medicaid

Nursing Home Quality Pool Payments On the Way

DOH has processed 2021 NHQI payment adjustments that will reach providers at the end of March.

March 7, 2023

Medicaid

Final VAPAP Application Due Date Is Feb. 1st

Nursing homes facing severe financial distress have one last opportunity to apply for VAPAP funding.

January 17, 2023

Medicaid

DOH Posts 2 Percent Supplemental Back-Up

Medicaid checks scheduled for tomorrow’s release should contain several rate adjustments.

December 13, 2022
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