The Work Group met on Dec. 11^th to discuss strategies for strengthening and expanding VBP arrangements under Medicaid managed care and MLTC.

The December managed care plan meeting with DOH covered a variety of new and long-standing MLTC issues, including updates on the nursing home benefit limit and MLTC enrollment lock-in, integrated Medicare-Medicaid managed care policies, the transition of FIDA program enrollees, VBP contract submission deadlines, CINERGY payments, DSRIP 2.0, and MLTC model contracts, as well as new requirements governing crossover coordination of benefit agreements.

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.

DOH announced a delay in the implementation of the MLTC nursing home benefit limit due to a systems issue. The transition of long-term nursing home residents from MLTC to FFS will not take place on March 1^st upstate, as previously planned. The expected duration of the delay and whether it will affect the NYC transition were not known at the time of the meeting. The meeting also included updates on quality measure reporting, provider network submissions, and Medicare-Medicaid managed care procedures.

DOH hosted a webinar on Dec. 11^th to share details with stakeholders on the recently submitted application to extend and renew the State's DSRIP Program waiver. The webinar highlighted the successes of the first phase of DSRIP and described how the second phase would expand and strengthen the VBP arrangements initiated in the first phase.

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.