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Managed Long Term Care

DOH Commissioner Declares Influenza Prevalent

Declaration triggers requirement for certain members.

1 month ago

Managed Long Term Care

CMS Draft 2026 MA/PACE Rule Addresses Prior Authorization and Supplemental Benefit Cards

The draft proposed rule includes new guardrails for prior authorization and utilization management and clarifies the administration and use of debit cards as supplemental benefits.

8 months ago

Managed Long Term Care

PHHPC Discusses Certificate of Need Reforms

At an educational session, the Public Health and Health Planning Council discussed a range of certificate of need reforms, including long-term care need methodologies and character and competence standards.

1 year ago

Managed Long Term Care

DOH Guidance Clarifies Permissible Roles of Legal Guardians of CDPAS Members

A parent or legal guardian of an adult CDPAS member, age 21 or older, may serve as that member's CDPAS personal assistant, provided that they are not also the member's designated representative.

1 year ago

Managed Long Term Care

Health Commissioner Issues Standing Order for Pharmacists to Administer RSV Vaccines to Those 60 and Older

Adults age 60 and older are encouraged to get the vaccine.

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Managed Long Term Care

Home and Community-Based Service Options for Older Adults and Adults with Disabilities Matrix (Updated January 2025)
6 days ago

Managed Long Term Care

New Medicare NOMNC and DENC in Effect as of Jan. 1st

As of Jan. 1st, providers have been required to use a revised Notice of Medicare Non-Coverage and Detailed Explanation of Non-Coverage for patients and residents covered by Original Medicare. For patients and residents covered by Medicare Advantage plans, the revised DENC is not required until April 1, 2025, although the revised NOMNC must be used as of Jan. 1st.

7 days ago

Managed Long Term Care

Congress Extends Hospice Face-to-Face Telehealth Flexibilities

The extension expires March 31, 2025; LeadingAge National will advocate for additional extension.

14 days ago

Managed Long Term Care

CDPAP Transition to Single Fiscal Intermediary Launches

The transition of the Consumer Directed Personal Assistance Program to the single statewide fiscal intermediary, PPL, is moving forward with the launch this week of the PPL support center.

14 days ago

Managed Long Term Care

DOL Posts Prenatal Leave Requirement FAQs

New law requires private sector employers to provide 20 hours of paid prenatal leave.

7 days ago

Managed Long Term Care

LeadingAge NY and LeadingAge National Document 2024 Accomplishments

Summary of accomplishments during 2024 at the state and national level.

11 days ago

Managed Long Term Care

Feds Greenlight NY's MCO Tax

Approval of managed care tax is expected to bring additional Medicaid funding to the state.

14 days ago

Managed Long Term Care

Certificate of Need Submission System Upgrades Announced

DOH has expanded the functionality of the NYS Electronic Certificate of Need system to enable electronic submission and review of project modification documents.

14 days ago
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