Regulations
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Regulations
MLTC High Cost High Need Survey DOH is requesting that all MLTC plans submit detailed information on High Cost High Need members by June 29, 2018.
- May 21, 2018
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Regulations
Changes to SNF Advance Beneficiary Notice of Non-Coverage Providers are required to use the new form starting May 7, 2018.
- April 30, 2018
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Regulations
DOH Provides Details of New Managed Care Appeals, Fair Hearing, and "Aid Continuing" Procedures DOH provided additional detail about new managed care appeals, fair hearing, and "aid continuing" procedures in an April 13th webinar.
- April 24, 2018
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Regulations
CMS Final Rule Available An advance copy of the 2019 Medicare Advantage Program and Prescription Drug Benefit Program Final Rule has been posted to the CMS website.
- April 3, 2018
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Regulations
DOH Webinar Describes Changes in Managed Care Authorization, Appeals, and Fair Hearing Procedures Effective May 1st, new federal regulations provide for different times frames and procedures for authorizations, appeals, fair hearings, and complaints.
- April 3, 2018
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Regulations
DOH Confirms Implementation of Universal Billing Codes Plans and providers are required to use DOH-approved codes for community-based long term care services starting April 1st.
- April 2, 2018
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Regulations
Medicaid Managed Care Appeals Changes Coming Starting in May, MLTC plans will implement new federal requirements for service requests, appeals, and complaints.
- March 26, 2018
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Regulations
CMS Rolling Out New Medicare Identification Numbers MLTC plans should be aware of the change and confirm their ability to accept the revised beneficiary identifiers.
- March 24, 2018
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Regulations
OMIG Issues Annual Work Plan 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.
- July 14, 2017
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Regulations
MLTC Contract Submission DOH reminds MLTC plans to submit contracts and accompanying documentation to MLTCcontract@health.ny.gov.
- April 7, 2017
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