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MLTC and Medicaid Redesign

MLTC and Medicaid Redesign

NEW Policy on Receipt and Disbursement of HR&R Funding

DOH posted a policy to provide MLTC plans clarification regarding the appropriate use of Health Recruitment and Retention (HR&R) funding, as per New York State Public Health Law. 

March 11, 2014

MLTC and Medicaid Redesign

Update: Contracting for Home Health Services with Managed Care Plans

DOH posted another DAL with several attachments on home care contracting with managed care.

February 25, 2014

MLTC and Medicaid Redesign

2014 MLTC Transition Timeline

The Department of Health (DOH) posted the 2014 timeline for the expansion of mandatory Managed Long Term Care (MLTC) enrollment of those dually eligible individuals, age 21 and older, requiring more than 120 days of Community Based Long Term Care Services (CBLTCS). 
 

February 11, 2014

MLTC and Medicaid Redesign

Draft MLTC Timeline for Upstate Counties

LeadingAge New York has received a proposed 2014 mandatory enrollment timeline for upstate counties.

January 21, 2014

MLTC and Medicaid Redesign

UPDATED: MLTC Policy 13.22 (a) Personal Care Contracting Policy - Rates

An updated personal care contracting policy on rates that Managed Long Term Care Plans (MLTCPs) must pay personal care providers serving MLTCP members, including those in Albany, Onondaga, Monroe and Erie counties.  Effective until March 1, 2014.

December 10, 2013

MLTC and Medicaid Redesign

MLTC Implementation Update - Mandatory Enrollment Begins in Four Upstate Counties

DOH announced CMS has approved mandatory enrollment in Albany, Onondaga, Monroe and Erie counties starting Dec. 1.

November 26, 2013

MLTC and Medicaid Redesign

NYS Federal-State Health Reform Partnership (F-SHRP) Waiver Phase-Out Plan

DOH has posted for public comment the F-SHRP waiver phase-out plan.  The plan sheds light on the State's proposal for clinical assessments for enrollment in MLTC plans.

November 19, 2013

MLTC and Medicaid Redesign

Revised MLTC Policy 13.03: Defining Community Based Long Term Care Services

MLTC Policy 13.03(A): Includes the definition of Community Based Long Term Care (CBLTC) Services, applicability to Program of All Inclusive Care for the Elderly (PACE) and Medicaid Advantage Plus (MAP).

October 29, 2013

MLTC and Medicaid Redesign

Recommendations on Conflict-Free Case Management

DOH asked for comments and recommendations on conflict-free case management during their presentation at the LeadingAge New York Annual Conference.

September 10, 2013

MLTC and Medicaid Redesign

Latest MLTC Updates

Last week DOH provided additional and updated information on Managed Long Term Care (MLTC) coverage of spousal impoverishment budgeting, personal care contracting provisions, Personal Care Level I services and telehealth.

September 3, 2013
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