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July 23, 2013

July 23, 2013

Nursing Home Medicaid Rates

The Medicaid case mix rate adjustment removing the five percent constraint is delayed by one week.

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July 23, 2013

Critical Updates for ACF and AL Providers

LeadingAge New York provides key updates from DOH on a variety of issues of concern to ACFs and assisted living providers.

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July 23, 2013

Regulation Adopted to Prevent the Transmission of Influenza

DOH provides additional resources regarding requirement for unimmunized workers to wear masks.

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July 23, 2013

Electronic Plans of Correction to Start on Aug. 1 for Nursing Homes

DOH offers training in July prior to Aug. 1 implementation.

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July 23, 2013

Latest News from DOH on Implementing Managed Care

DOH provided updates during the July 19 DOH Managed Long Term Care (MLTC) Implementation Advisory Group call.

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July 23, 2013

DOH Provides Guidance on the Use of UAS-NY for Non-Medicaid Recipients

A provider memo recently issued by DOH contains guidelines and clarifications regarding the use of UAS-NY assessments for non-Medicaid recipients.

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July 23, 2013

MLTC Policy 13.19: Medicare/Medicaid Coordination of Benefits

The purpose of this policy document is to remind Managed Long Term Care (MLTC) plans of the need to effectively coordinate Medicare and other third-party liability benefits for the MLTC dual-eligible membership.  Federal regulations require Medicaid to be the payer of last resort.

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July 23, 2013

Level 1 Personal Care Services and Consumer Directed Personal Assistance Services in Managed Long Term Care

This GIS further clarifies MLTC policies as it pertains to Level 1 personal care services as the sole community-based long term care service provided to a consumer.

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July 23, 2013

STC #28 - Charting the Reduction of Personal Care and CDPAS by 25 Percent or More

As per Special Terms and Conditions (STC) #28 (d), MLTC plans must submit data for state review on a monthly basis when the plan has issued a notice of action that involves a reduction of split-shift or live-in services or when the plan is reducing hours by 25 percent or more.

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July 23, 2013

Clarification of MD Orders

This recent Dear Administrator Letter (DAL) is to provide clarification regarding the regulatory requirements in NYCRR Title 10, §766.10, on Licensed Home Care Services Agencies’ (LHCSA) provision of all services when providing these services directly or under contract, specifically the required responsibilities related to MD orders.

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