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DOH Policy & Planning Meetings

DOH Policy & Planning Meetings

State Shares 1115 Waiver Social Care Network Initiative with MLTC Plans

LeadingAge NY continues to inquire whether the program will provide enhanced services and support for older individuals.

May 14, 2024

DOH Policy & Planning Meetings

Managed Care Plans to Pass Through Administrative Payments to Fiscal Intermediaries

DOH announces new policy which will take effect July 1st; more guidance to come.

May 14, 2024

DOH Policy & Planning Meetings

DOH Explains Phased "Unwind" of Dual Eligibles from Mainstream Managed Care

At a meeting of managed care plans on Feb. 8, 2024, DOH described the phased transition under way of Medicare-Medicaid dual eligibles out of mainstream Medicaid managed care plans.

February 15, 2024

DOH Policy & Planning Meetings

DOH Discusses Key Issues at Monthly Plan Meeting, Reviews Rate Changes at Finance Meeting

Discussions range from dental benefit changes and disenrollment guidance to the carve-out of non-emergency medical transportation and rate updates reflecting State Budget actions.

November 14, 2023

DOH Policy & Planning Meetings

Medicaid Redetermination Topic of Plan Meeting

DOH provides guidance to Medicaid managed care plans on preparations for resuming eligibility redeterminations for Medicaid beneficiaries.

February 14, 2023

DOH Policy & Planning Meetings

November Medicaid Managed Care Plan Meeting Highlights

State continues NYIA roll-out, updates SADC evaluation tool.

November 15, 2022

DOH Policy & Planning Meetings

Highlights of September Medicaid Managed Care Plan Meeting

Encounter data reconciliation, external quality review process, social day readiness for HCBS Settings Rule among MLTC topics discussed.

September 13, 2022

DOH Policy & Planning Meetings

Highlights of August Medicaid Managed Care Policy and Planning Meeting

Discussion includes NYIA issues, batch disenrollment, and various other updates.

August 16, 2022

DOH Policy & Planning Meetings

May Managed Care Policy & Planning Meeting Highlights

DOH provides updates on Independent Assessor, Duals Initiatives, and other priority issues.

May 17, 2022

DOH Policy & Planning Meetings

Highlights of November Policy & Planning Meeting

Discussion featured updates on disenrollment, HCBS self-assessments for SADC, and eFMAP directed payments to LHCSAs.

November 23, 2021
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