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

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

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.

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.

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.

DOH provides update on the resumption of additional MLTC involuntary disenrollment reason, No CBLTSS, and announces an educational webinar.

LeadingAge NY wrote to Governor Hochul seeking a 30-day amendment to the Executive Budget that withdraws the proposal to competitively procure Medicaid MLTC contracts. The letter pointed out the importance of preserving consumer choice and access to the expertise of specialized plans sponsored by non-profit LTC providers. Our action alert for LTC providers is here.

Insurance preauthorization requirements for inpatient rehabilitation after a hospital stay as well as preauthorizations for transfers between hospitals are suspended for 30 days based on a DFS Circular Letter issued Jan. 6, 2022.