Regulations
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Regulations
OMIG Regulations Expand Compliance Program, Overpayment, and Managed Care Plan Requirements 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.
- January 24, 2023
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Regulations
DOH Is Accepting Comments on Statewide Transition Plan for Compliance with Federal HCBS Settings Rule Comments are due by Jan. 6, 2023.
- January 3, 2023
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Regulations
CMS Proposes Wide-Ranging Medicare Advantage Rule Policy proposals for 2024 seek to streamline prior authorizations, limit certain marketing practices, and expand health equity provisions.
- December 20, 2022
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Regulations
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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Regulations
Electronic Noticing Effective Oct. 1st Medicaid managed care plans, including MLTCP, MAP, and PACE, are required to provide all notices electronically to members who indicate that preference.
- October 11, 2022
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Regulations
DOH Webinar Reviews SADC Site Evaluation Tool Tool and accompanying guide were developed by DOH to assist MLTC plans in verifying that network SADC sites are compliant with state and federal requirements.
- September 20, 2022
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Regulations
LeadingAge NY Seeks Delay in Implementation and Added Flexibility in Comments on Proposed OMIG Regs LeadingAge NY's comments also requested that PACE programs be exempt from managed care provisions of the proposed regulations.
- September 12, 2022
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Regulations
CMS Unveils Tools to Improve State and Federal Oversight of Medicaid Managed Care Plans The tools include an update on the web-based portal for state reports on managed care; two additional state reporting templates related to MLR and network adequacy and access assurances; a new technical assistance toolkit for states to oversee access in MLTC programs; and recommended practices for ensuring timely and accurate payment to Indian health care providers.
- July 12, 2022
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Regulations
Independent Assessor for MLTC, Personal Care, CDPAS Launches DOH provided updates and answered questions at MLTC plan meeting.
- May 17, 2022
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Regulations
DOH Unveils 2022 MLTC Quality Incentive Methodology After two years of unavailable data, the 2022 payments will be based on plan performance.
- April 19, 2022
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