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Regulations

Regulations

Additional Involuntary Disenrollment Reasons Reactivated

Effective Jan. 1, 2022, DOH has resumed MLTC disenrollments for two additional reasons.

January 3, 2022

Regulations

DOH Holds Webinar on HCBS Settings Rule Assessment Process for MLTC Plans and Social Day Programs

Assessment and remediation processes to start immediately; deadline for full compliance is March 2023.

December 21, 2021

Regulations

DOH Posts Social Adult Day HCBS Settings Rule Webinar and Resources

DOH reminded MLTC plans of the Dec. 30th deadline for preparing and returning the completed SADC Site Self-Assessments.

December 21, 2021

Regulations

DOH Provides Outline of March 1st Transition to Independent Assessor

Meeting with associations previews next week’s discussions with plans and Local Social Services Districts, highlights continuing staffing concerns.

December 14, 2021

Regulations

DOH Posts Webinar on PC/CDPAS Regulations

The presentation outlines the implementation dates of regulatory additions and changes to sections 505.14 and 505.28 of Social Services regulations.

November 16, 2021

Regulations

DOH Issues Guidance on PC/CDPAS Regulation Implementation

Communication outlines which provisions are effective Nov. 8th and which are pended for later implementation.

November 2, 2021

Regulations

DOH Schedules Plan COBA Webinar for May 25th

Webinar will cover the COBA requirements that Medicaid Managed Care Plans that serve individuals dually eligible for Medicare and Medicaid must meet.

May 18, 2021

Regulations

DOH Issues New Wage Parity Compliance Certification Requirements

Managed care plans, home care agencies, and CDPAS FIs are required to meet new certification requirements by the end of May.

May 11, 2021

Regulations

CMS Finalizes CHIP/Medicaid Managed Care Rule

The federal regulations were first proposed two years ago and aim to provide states with flexibility to tailor managed care programs to best fit their needs.

November 10, 2020

Regulations

OMIG Regulations Adopted

Regulations expand penalties for overpayments and compliance program failures.

October 26, 2020
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