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DOH Issues VBP Reporting Manual

The Department of Health (DOH) has circulated the 2021 Value Based Payment (VBP) Reporting Requirements Technical Specifications Manual. The document outlines the quality measure reporting requirements for Medicaid Managed Care Organizations (MCOs) participating in the New York State Medicaid VBP program. It includes reporting guidelines, measure changes, and submission file specifications for all Medicaid managed care plans, including Managed Long Term Care (MLTC). Note that the 2021 VBP Reporting Requirements refer to 2020 Measurement Year (MY) data, except for MLTC plans, for which the reporting requirements refer to 2021 MY data. The manual is available here. A Frequently Asked Questions (FAQ) document that addresses MLTC VBP post-Delivery System Reform Incentive Payment (DSRIP) Program issued by DOH in November 2020 is available here.

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