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MLTC (Partially-Capitated Plans)

MLTC (Partially-Capitated Plans)

"Batch" MLTC Disenrollment of Nursing Home Residents Effective Feb. 1st

DOH has initiated a "batch" disenrollment from partially capitated MLTC plans for long-term nursing home residents effective Feb. 1, 2024. MLTC plans are required to notify the MLTC Technical Assistance Center of any changes in member status.

January 9, 2024

MLTC (Partially-Capitated Plans)

MLTC Plans That Do Not Offer a DSNP Product Directed to Begin Transition Process

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.

June 20, 2023

MLTC (Partially-Capitated Plans)

MLTC Plans Reminded to Complete COBA Attachment

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 15th.

June 8, 2021

MLTC (Partially-Capitated Plans)

DOH Asks MLTC Plans to Update List of Members Residing in Nursing Homes

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

March 3, 2020

MLTC (Partially-Capitated Plans)

DOH Releases Compliance Tool for New MLTC Contract

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

February 11, 2020

MLTC (Partially-Capitated Plans)

MLTC Partial Cap Contract Webinar Highlights Changes

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

January 14, 2020

MLTC (Partially-Capitated Plans)

DOH Proposes New Medicaid Value-Based Payment Model for Nursing Homes

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

September 18, 2018

MLTC (Partially-Capitated Plans)

DOH Issues MLTC-LHCSA Contract Limitation Guidance

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

August 23, 2018

MLTC (Partially-Capitated Plans)

DOH Holds Level 2 VBP Webinar

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

May 29, 2018

MLTC (Partially-Capitated Plans)

DOH MLTC Value-Based Payment Stakeholder Webinar CANCELLED

The Department of Health has cancelled its stakeholder webinar on value-based payment (VBP) for partially-capitated managed long term care (MLTC) plans that was scheduled for Fri., May 11, 2018. It will be rescheduled for a later date.

May 8, 2018
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