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DOH Policy & Planning Meetings

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

DOH Policy & Planning Meetings

October 2021 Managed Care Policy & Planning Meeting Highlights

The October policy and planning meeting for managed care plans included updates on the HCBS settings rule assessment requirements for social adult day care, behavioral health carve-in for MAP plans, resumption of involuntary disenrollment, and the next round of disenrollment of long-term nursing home residents.

October 18, 2021

DOH Policy & Planning Meetings

September MLTC Finance Meeting Highlights

Deloitte and DOH review the development of, and adjustments to, April 2021 rates for Partially Capitated MLTC and MAP plans.

September 21, 2021

DOH Policy & Planning Meetings

Managed Care Policy & Planning Meeting Covers Batch Disenrollment of Long-Term Nursing Home Enrollees, Home Care Exchange Pilot

DOH’s September Managed Care Policy and Planning meeting covered a variety of topics including the upcoming batch disenrollment of long-term nursing home enrollees from MLTC plans, the launch of the Home Care Exchange Pilot, new electronic notice guidance, and an eFMAP update.

September 14, 2021

DOH Policy & Planning Meetings

August Policy and Planning Meeting Includes Updates on Social Day Oversight, Enrollment Lock-In, Independent Assessment, MAP Behavioral Health Carve-In, and Transportation Carve-Out

Another batch disenrollment of long-term nursing home residents will be effective Oct. 1st. These members will revert to fee-for-service coverage. In addition, the independent assessment process will not take effect Oct. 1st, and guidance on social day HCBS setting compliance will be issued soon.

August 13, 2021
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