Medicaid RedesignState Submits Waiver Amendment to Implement MLTC Eligibility Changes
CMS approval of the waiver amendment is needed to implement the new activities of daily living eligibility requirements imposed under the 2020-21 State Budget and to allow new dually eligible Medicare Advantage beneficiaries to remain enrolled in their mainstream Medicaid managed care plan.
- 1 month ago
Medicaid RedesignCMS Disapproves Extension and Renewal of DSRIP 2.0 Waiver
CMS rejected the State's application seeking $8 billion over a four-year period, including unspent funds from the existing waiver and an additional $7.3 billion reinvestment of savings generated under the waiver.
- 7 months ago
Medicaid RedesignDOH Waiver Request Recognizes LTC as High Priority; LTC Funding Not Specified
DOH last week submitted a request to CMS to extend and renew its 1115 Medicaid waiver. The proposal includes the creation of new VMOs to support the transition to VBP, requires VMOs to engage in specified LTC promising practices, and continues training funds for LTC workforce.
- 9 months ago
Medicaid RedesignNew Resources Available for Community Services Providers and Managed Care Plans
DOH has posted the social determinants of health interventions approved to date for VBP arrangements with managed care plans, and LeadingAge National has unveiled a toolkit for evaluating Medicare Advantage supplemental benefit opportunities.
- 11 months ago
Medicaid RedesignMRT 2.0 Update: Public Hearings Held and Stakeholders Submit Recommendations
DOH has convened the first meeting of the LTC Advisory Group, received stakeholder input at three public hearings around the state, and accepted written proposals for Medicaid savings and reform.
- 7 months ago
Medicaid RedesignMedicaid Redesign Team 2 Launches with Focus on Long-Term Care
The first meeting of the MRT 2 highlighted growth in LTC spending, and an LTC Advisory Group was named. Public hearings began with meetings in New York City last week and Rochester this week.
- 7 months ago
Medicaid RedesignLeadingAge NY Calls for Investment of DSRIP 2.0 Funds in Long-Term Care Workforce and Innovative Models
In comments submitted to DOH on its draft application to extend and renew the DSRIP program, LeadingAge NY requested the allocation of 40 percent of DSRIP 2.0 funds to the LTPAC sector for purposes such as workforce recruitment and retention, implementation of innovative models of care, and investment in telehealth and health information technology.
- 10 months ago
Medicaid RedesignDSRIP 2.0 Draft Amendment Includes Long-Term Care Elements
The draft amendment proposal released by DOH on Sept. 17th seeks a four-year extension and renewal that would invest $8 billion in DSRIP Performance, Workforce Development, Social Determinants of Health, and the Interim Access Assurance Fund and identifies long-term care as a "high-need priority area."
- 1 year ago
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