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Federal and State Guidance

Federal and State Guidance

VBP Measures for PACE and MAP Plans to Resume in 2023

DOH had suspended its calculation of value-based payment measures as a result of the COVID-19 pandemic. It resumed calculation of the Potentially Avoidable Hospitalization measure in measurement year 2021 and will calculate all Category 1 measures for PACE and MAP plans for 2023.

January 10, 2023

Federal and State Guidance

DOH Releases Final Update to Medicaid Value-Based Payment Roadmap

Under the proposed 1115 waiver, the value-based payment framework described in the Roadmap will drive a substantial investment in the State's health system.

May 17, 2022

Federal and State Guidance

DOH Releases 2022 Draft VBP Roadmap for Comment

The 2022 VBP Roadmap Update would make VBP arrangements optional for partially capitated MLTC plans and their network providers. PACE and MAP plans would continue to be subject to VBP arrangements.

January 25, 2022

Federal and State Guidance

DOH 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 Guidance

DOH 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 Guidance

Social 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 Guidance

DOH 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 Guidance

New 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 Guidance

DOH 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 Guidance

DOH 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
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