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Operations and Marketing

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

Operations and Marketing

DOH Posts PHE Unwinding Questions and Answers

Document addresses wide array of questions on the resumption of eligibility redeterminations for Medicaid and other programs.

July 18, 2023

Operations and Marketing

Health Care Coverage During the Unwind

NY Health Foundation to offer session titled Keeping New Yorkers Covered as Pandemic-era Provisions Wind Down on May 10th.

May 9, 2023

Operations and Marketing

Medicaid Recertification Webinar Available on Demand

OMH/DOH session aimed at behavioral health providers, managed care plans, care managers, and others is available for on-demand viewing on the MCTAC site.

May 2, 2023

Operations and Marketing

VBP Measures for PACE and MAP Plans to Resume in 2023

DOH had suspended its calculation of value-based payment measures as a result of the COVID-19 pandemic. It resumed calculation of the Potentially Avoidable Hospitalization measure in measurement year 2021 and will calculate all Category 1 measures for PACE and MAP plans for 2023.

January 10, 2023

Operations and Marketing

Roll-Back of Independent Assessment Process Sought by LeadingAge NY, Other Advocates

In a letter to DOH, the associations and consumer advocates requested suspension of independent clinical assessments and a delay in the launch of independent 'immediate need' and 'expedited' initial assessments and independent reassessments, in light of scheduling, customer service, and accuracy concerns.

November 1, 2022
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