DOH Policy & Planning Meetings

DOH Policy & Planning Meetings Highlights of December Plan Meeting: The December managed care plan meeting with DOH covered a variety of new and long-standing MLTC issues, including updates on the nursing home benefit limit and MLTC enrollment lock-in, integrated Medicare-Medicaid managed care policies, the transition of FIDA program enrollees, VBP contract submission deadlines, CINERGY payments, DSRIP 2.0, and MLTC model contracts, as well as new requirements governing crossover coordination of benefit agreements.
December 16, 2019

DOH Policy & Planning Meetings Highlights of November Plan Meeting: Policy and Planning Meeting features updates on efforts to align payment and enrollment systems and implement federal rule that facilitates Medicaid/Medicare integration.
November 18, 2019

DOH Policy & Planning Meetings Highlights of October Managed Care Policy and Planning Meeting: MLTC briefing provided updates on model contract execution, the phase-out of the FIDA demonstration, and recently issued guidance on CDPAP billing.
October 10, 2019

DOH Policy & Planning Meetings September Managed Care Policy & Planning Meeting Highlights: The September meeting of Medicaid MLTC plans with DOH featured updates on implementation of a new managed care enrollment tracking system, CFCO implementation, the close-out of the FIDA program, provider enrollment, and VBP.
September 16, 2019

DOH Policy & Planning Meetings Highlights of August Plan Finance Meeting: DOH, Deloitte provide an overview of 2019-20 rate development for partial capitation plans.
August 13, 2019

DOH Policy & Planning Meetings July Plan Meeting Highlights: MLTC Update covers FIDA phase-out plan, reviews key dates.
July 12, 2019

DOH Policy & Planning Meetings June Plan Meeting Highlights: MLTC portion of Managed Care Policy and Planning Meeting addresses NYC Medicaid recertification mailing delay, provides MLTC and VBP updates.
June 17, 2019

DOH Policy & Planning Meetings April MLTC Plan Finance Meeting Highlights: Deloitte outlines trend development for 2019-20 MLTC rates while DOH shares their intent to release rates in four phases.
April 22, 2019

DOH Policy & Planning Meetings April Plan Meeting Focuses on Enacted Budget: DOH walks through Medicaid provisions of the enacted 2019-20 State Budget that impact managed care, including Managed Long Term Care.
April 15, 2019

DOH Policy & Planning Meetings Value-Based Payment and CFCO Discussed at Managed Care Plan Meeting: DOH stressed value-based payment deadlines and reporting requirements at the monthly managed care plan meeting. It also described upcoming workgroups on Community First Choice Option implementation.
March 15, 2019