Changes apply to CHHAs, LHCSAs, LTHHCPs, FIs, and managed care plans.

Online plan directory now includes links to member handbooks, provider directories, and other information.

Transition details and future plans announced.

In a "Dear Administrator Letter," the Department of Health announced that managed long term care (MLTC) plan contracts with LHCSAs that are intended to continue care for new enrollees, who transfer from a plan that has closed, merged with another plan, or narrowed its service area, are not counted in determining compliance with the MLTC LHCSA network cap.

 

FAQs relate to the requirement that health care providers who contract with managed care plans enroll in Medicaid and obtain a Medicaid provider number.

The benefit marks the first time CMS has allowed supplemental benefits that include daily maintenance in Medicare Advantage.

DOH will be implementing changes required by CMS relating to Medicaid managed care service authorization, appeals, fair hearings, and grievances. Two free webinars for providers, enrollees, and community representatives on the changes will be held on March 28^th and 30^th.

Proposed updates will result in a payment increase that promotes stability and ensures that resources will be available to support beneficiaries enrolled in private Medicare plans.