This memorandum from LeadingAge NY’s attorneys at Hinman Straub offers highlights of the recently released guidance and general recommendations for compliance.

The 2024 Work Plan includes audits of beneficiary eligibility and care management in partial cap and Medicaid Advantage Plus plans, continues nursing home rate audits and MDS reviews, and includes audit protocols for community-based providers.

DOH is encouraging MLTC plans and Social Adult Day staff to attend the webinars being offered in March and April.

Jan. 10^th session for health plans will focus on the Money Follows the Person and Open Doors programs.

DOH requests that MLTC plans review their preliminary results by April 21^st.

All Payer Database adds several enhancements and new data submission requirements.

The study, led by the MJHS Institute for Innovation in Palliative Care in collaboration with LeadingAge NY, found that nursing home engagement with I-SNPs is associated with higher hospice enrollment, except in small nursing homes with under 50 beds. The findings suggest that I-SNPs and hospice may be working together in most nursing homes that offer their residents both types of programs.  The study was funded by the Patrick and Catherine Weldon Donaghue Medical Research Foundation.

OMIG releases its 2019-20 Work Plan.