Budget proposals would exclude from MLTC enrollment beneficiaries who require only a community-based level of care, add new MLTC benefits, impose penalties for deficient encounter data reporting, and reduce MLTC rates based on an assumed level of fraud recoveries.

Effective Jan. 1, 2016, employers with more than 20 full-time employees working in New York City must offer them the opportunity to use pre-tax earnings to purchase qualified transportation fringe benefits.

The final rule, which mandates bundled payment arrangements in 14 counties in NYS, offers opportunities for shared savings, as well as shared recoupments, among hospitals and post-acute care providers and provides for waivers of the SNF 3-day rule and certain telehealth requirements.

New guidance on managed long term care UAS assessment procedures covers in-person requirements, timelines, review and consult, "unfinalizing" an assessment, and unsigned assessments.

DOH updates the survey tool used to survey medical model adult day health care programs Dec. 2015.

Reforms include additional flexibility in marketing and interdisciplinary team procedures and streamlined reporting requirements.