Reimbursement Issues
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Reimbursement Issues
Deloitte, DOH Outline Upcoming MLTC Rate Changes Updated April 2022 rates for Partially Capitated and Medicaid Advantage Plus plans reflect 1 percent Medicaid increase, minimum wage.
- August 23, 2022
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Reimbursement Issues
DOH Encounter Reporting Reconciliation Requirements a Heavy Lift The Department distributes 2021-22 Initial Findings Packets, works with plans to resolve discrepancies.
- June 28, 2022
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Reimbursement Issues
DOH Outlines Plans for Home Care Minimum Wage Increase and Premium Adjustments at Managed Care Finance Meeting The meeting covered the expected timing and elements of premium revisions, including revisions to SFY 2022-23 rates based on the home care worker minimum wage increase, independent assessor implementation, and updated risk scores.
- June 14, 2022
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Reimbursement Issues
DOH Planning Risk Score Update to MLTC Rates Plans encouraged to ensure that all members have a completed assessment for the 12-month period ending Sept. 30, 2022 as DOH prepares a mid-rate-year risk score update.
- June 7, 2022
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Reimbursement Issues
Deloitte Outlines 2022-23 Rate Development Process for MAP and Partially Capitated MLTC Plans Adjustments and underpinning assumptions raise rate accuracy concerns at managed care finance meeting.
- March 1, 2022
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Reimbursement Issues
Managed Care Minimum Wage Reconciliation Report Deadline Extended Reports are now due by close of business on Dec. 13th.
- December 7, 2021
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Reimbursement Issues
Medicaid Managed Care Minimum Wage Reconciliation Survey Activated The Supplemental Minimum Wage Reconciliation Cost Report for SFY 2020-21 is due by close of business on Dec. 6th.
- November 9, 2021
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Reimbursement Issues
Deloitte Presents on MLTC Trend Development April Plan Finance Meeting focuses on next step in development of 2021 rates.
- May 4, 2021
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Reimbursement Issues
DOH Shares Draft Enrollment Cap Methodology Presentation provides preview of proposed approach for calculating 2021-22 enrollment caps for partially capitated MLTC plans; webinar being scheduled.
- April 27, 2021
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Reimbursement Issues
DOH Issues Guidance on FI Administrative Reimbursement MLTC Policy 21.02 outlines Medicaid FFS reimbursement for CDPAS FI administrative costs, reaffirms managed care plans may use the same rate structure at their option.
- March 15, 2021
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