The DOH guidance arises out of budget legislation that imposes performance standards on MLTC plans, including a standard that they offer a Dual-Eligible Special Needs Plan.

Managed care plans will now be included in the State's Coordination of Benefits Agreement crossover claims process for dually eligible beneficiaries. Partially capitated MLTC plans and MAP plans must submit their COBA attachments by June 15^th.

Partially capitated MLTC plans are requested to submit updated lists by March 9^th in preparation for the disenrollment of long-term nursing home stay members.

The tool lists the new provisions of the partial capitation contract and the documentation that must be submitted by plans to DOH by May 1^st.

DOH webinar provides overview of new model contract between State and partially capitated MLTC plans, effective from 2017 through 2021.

The model would apply only to contracts between partially-capitated MLTC plans and nursing homes.

Guidance details how MLTC plans should implement the provision that becomes effective Oct. 1^st and outlines notification requirements and exceptions processes.

DOH has presented their revised vision for Level 2 VBP arrangements for partially-capitated plans and is seeking comments.