Providers are required to use the new form starting May 7, 2018.

DOH provided additional detail about new managed care appeals, fair hearing, and "aid continuing" procedures in an April 13^th webinar.

An advance copy of the 2019 Medicare Advantage Program and Prescription Drug Benefit Program Final Rule has been posted to the CMS website.

Effective May 1^st, new federal regulations provide for different times frames and procedures for authorizations, appeals, fair hearings, and complaints.

Plans and providers are required to use DOH-approved codes for community-based long term care services starting April 1^st.

Starting in May, MLTC plans will implement new federal requirements for service requests, appeals, and complaints.

MLTC plans should be aware of the change and confirm their ability to accept the revised beneficiary identifiers.

LeadingAge NY's general counsel, Hinman Straub, has prepared a detailed review of the Office of the Medicaid Inspector General (OMIG) Work Plan for SFY 2017-18 that highlights areas of focus for managed care organization and provider audits.