Federal and State Guidance
Federal and State GuidanceDOH Value-Based Payment Work Group Discusses Next Steps in VBP
The Work Group met on Dec. 11th to discuss strategies for strengthening and expanding VBP arrangements under Medicaid managed care and MLTC.
- December 17, 2019
Federal and State GuidanceDOH Finalizes Level 2 Value-Based Payment for MLTC
Level 2 of MLTC value-based payment is a pay–for–performance agreement between an MLTC plan and a provider that must include both an upside (e.g., performance bonus) and a downside (e.g., penalty) incentive based on quality.
- July 31, 2018
Federal and State GuidanceSocial Determinants of Health Webinar Describes Role of CBOs in Value-Based Payment
A DOH webinar released last week provided information for community-based organizations about the roles they can play in supporting value-based payment arrangements and social determinants of health interventions.
- July 17, 2018
Federal and State GuidanceDOH Finalizes 2018 PACE Value-Based Payment Measure Set
DOH has released final PACE VBP quality measures for the 2018 measurement year. In addition to these PACE-specific measures, PACE programs may use approved measures adopted for partially-capitated plans in their VBP contracts.
- June 25, 2018
Federal and State GuidanceNew VBP Specifications and Guidance Released
DOH recently released two value-based payment resources: an update to the Technical Specifications Manual for VBP reporting and a webinar comparing the VBP requirements of New York State’s Roadmap with the requirements of the MACRA Quality Payment Program for eligible clinicians.
- June 19, 2018
Federal and State GuidanceDOH Presents MLTC Value-Based Payment Plans to Clinical Advisory Group
DOH hosted a webinar last week to present its plans for quality measurement under MLTC VBP to its Clinical Advisory Group.
- June 12, 2018
Federal and State GuidanceDOH Holds Level 2 VBP Webinar
On May 24, the Department of Health (DOH) held a webinar on its plans for Level 2 Value Based Payment (VBP) for partially-capitated Managed Long Term Care (MLTC) plans.
- May 29, 2018
Federal and State GuidanceWork Group Discusses the Next Phase of MLTC Value-Based Payment
The Department of Health has proposed requiring providers and plans to engage in two-sided risk arrangements in Phase 2 of MLTC value-based payment.
- May 21, 2018
Federal and State GuidanceLeadingAge NY Questions Speed and Scope of MLTC VBP Requirements
LeadingAge NY submitted comments on DOH's recently announced requirement that partially-capitated MLTC plans begin to shift provider contracts to VBP arrangements involving two-sided risk in 2019.
- March 6, 2018
Federal and State GuidanceDOH Seeks Comments on Risk-Based VBP Models for Partial Capitation Plans and Releases VBP Quality Measure Sets for Integrated Plans
Under the Department's proposals, at least 5 percent of partially-capitated plan expenditures would have to be in two-sided risk arrangements by April 1, 2019. MAP, FIDA, and PACE plans must reach a target of 10 percent of expenditures in VBP arrangements by April 1, 2018 or face penalties; new measure sets apply to those arrangements.
- February 20, 2018
- view more