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Operations and Marketing

Operations and Marketing

Fiscal Intermediary Administrative Payment to Shift to Non-Risk on Aug. 1st

DOH has announced that the administrative component of CDPAS FI rates will be paid on a non-risk basis effective Aug. 1st. This change does not apply to PACE programs.

July 8, 2024

Operations and Marketing

MLTC Transportation Carve-Out Starts Fri., March 1st

LeadingAge NY urges MAS and State to fully communicate transition details with providers.

February 27, 2024

Operations and Marketing

Medicaid Transportation Arranged by MLTC Plans Slated to Move to MAS on March 1, 2024

DOH is assessing whether transportation for social day programs will follow this timeline.

February 15, 2024

Operations and Marketing

Expanded Dental Coverage Now Available Through MLTC Plans

Effective Jan. 31, 2024, MLTC and MAP plans and PACE programs will cover dental crowns and root canals.

February 6, 2024

Operations and Marketing

DOH Changes Review Process for Member-Facing Materials

Changes include a modified submission email address, updated review timeframes, and new coversheets.

January 2, 2024

Operations and Marketing

DOH Announces Medicaid Dental Benefit Changes

Effective Jan. 31, 2024, dental crowns and root canals will be included in the MLTC and mainstream Medicaid managed care plan benefit packages.

November 21, 2023

Operations and Marketing

DOH Postpones Independent Assessor Reassessments

DOH announced in an email on Nov. 17th that it would be postponing the rollout of the NY Independent Assessor Program reassessments due to stakeholder and other concerns. No new date for the implementation of Independent Assessor reassessments has been announced.

November 20, 2023

Operations and Marketing

DOH Guidance Clarifies Permissible Roles of Legal Guardians of CDPAS Members

A parent or legal guardian of an adult CDPAS member, age 21 or older, may serve as that member's CDPAS personal assistant, provided that they are not also the member's designated representative.

October 31, 2023

Operations and Marketing

Grounds for Involuntary Disenrollment from MLTC Plans to Be Expanded

DOH issued guidance expanding the bases for involuntary disenrollments from MLTC plans, effective Nov. 1st. The guidance resumes types of involuntary disenrollments that were suspended during the pandemic.

October 24, 2023

Operations and Marketing

Independent Assessor to Begin Reassessments for MLTC, Personal Care, and CDPAS in 2024

In 2024, the role of the NY Independent Assessor Program will be expanded to include routine and non-routine reassessments of Medicaid beneficiaries enrolled in MLTC or receiving personal care or CDPAS. Implementation will be phased in on a regional basis.

October 3, 2023
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