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November 19, 2013

November 19, 2013

NYS Federal-State Health Reform Partnership (F-SHRP) Waiver Phase-Out Plan

DOH has posted for public comment the F-SHRP waiver phase-out plan.  The plan sheds light on the State's proposal for clinical assessments for enrollment in MLTC plans.

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November 19, 2013

Nursing Home 2013 Quality Pool Score Sheets Now Available

DOH has posted nursing home 2013 Quality Pool score sheets on the HCS.

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November 19, 2013

LeadingAge NY Raises Issues on 2013 Quality Pool Results

LeadingAge New York has identified issues potentially impacting eligibility and scoring results for the 2013 nursing home quality pool.

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November 19, 2013

NYS OMIG Releases Registration Information for Nov. 21 Compliance Webinar

The webinar on compliance certification will be held on Nov. 21, 2013 at 1 p.m. To register, click here.

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November 19, 2013

Medicare Deductible, Premium and Coinsurance Rates for 2014

The Centers for Medicare & Medicaid Services (CMS) has announced the Medicare beneficiary costs for 2014.  Part A and Part B deductibles, premiums and coinsurance rates are available.

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November 19, 2013

Encounter Data Submission of HIPPS Codes

CMS has notified Medicare Advantage and PACE plans that the Dec. 1, 2013 DOS ‘Reject’ edit for nursing facility and home health agency encounter data lacking HIPPS codes will be delayed to July 1, 2014 DOS. The ‘Informational’ edit for HIPPS codes will remain in place until that time.

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November 19, 2013

Nursing Home Universal Settlement Discussion Proceeds

State seeks to move forward with universal settlement of appeals and litigation.

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November 19, 2013

MLTC HIPAA Compliance

DOH authorizes new form for HIPAA compliance.

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November 19, 2013

DOH Issues Guidance Letter for UAS-NY Transition

DOH through eMedNY has posted a guidance letter on implementing the UAS-NY as it relates to HCBS waiver participants.

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November 19, 2013

Proposed Rule on Episodic Pricing for Certified Home Health Agencies (CHHAs)

DOH published, in the Nov. 13 NYS Register (page 15), a notice of proposed rulemaking that exempts services to a special needs population from the episodic payment system for CHHAs and clarifies steps for a temporary adjustment to rates in case of CHHA closures, mergers, consolidations or restructurings.

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