MLTC Policy 24.02 requires mandatory disenrollment for members refusing to cooperate or who are unable to be reached for assessment.

DOH also amended key RFP provisions and extended the deadline for proposals to Aug. 21st.

Both Medicare managed care final rules are being adopted largely as proposed.

MLTC Policy 23.02 notifies plans and providers of a new Recipient Restriction Code to identify Medicaid beneficiaries who have elected hospice and requires plans to obtain and incorporate the DOH Form 5778 into care plans in order to coordinate services and financial obligations with the hospice provider.

The comprehensive guidance supports implementation of newly adopted regulations and covers compliance programs; self-disclosure; and Medicaid managed care fraud, waste, and abuse prevention programs.

OMIG has adopted new regulations expanding requirements governing compliance programs; strengthening Medicaid managed care plan fraud, waste, and abuse prevention programs; and codifying OMIG’s self-disclosure program for Medicaid overpayments.

Comments are due by Jan. 6, 2023.

Policy proposals for 2024 seek to streamline prior authorizations, limit certain marketing practices, and expand health equity provisions.