Reimbursement Issues
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Reimbursement Issues
DOH Work Group Discusses Revisions to Value-Based Payment Roadmap Proposed revisions align MLTC provisions of the Roadmap with previously issued policy directives and also impact social determinants of health interventions.
- May 14, 2019
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Reimbursement Issues
CMS Finalizes Medicare Advantage Rates Plans receive guidance on providing supplemental benefits, see a 2.5 percent average rate increase.
- April 2, 2019
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Reimbursement Issues
Upcoming MLTC Reporting Dates Cost Reports are due on April 10th, Minimum Wage Reconciliation Cost Reports on April 5th.
- April 1, 2019
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Reimbursement Issues
MLTC Risk Model Workgroup Meets Deloitte staff outline the modeling they have done as they seek to develop a more predictive risk adjustment model.
- March 25, 2019
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Reimbursement Issues
Medicare Advantage Draft Call Letter Modifies Rate Methodologies and Outlines New Supplemental Benefits The Advance Notice and Draft Call Letter cover all Medicare Advantage plans, Programs of All-Inclusive Care for the Elderly, and Medicare-Medicaid plans, as well as Part D plans and employer-union plans. They contain modifications to the Medicare Advantage quality rating system, information to assist plans as they prepare their bids for the new contract year, and information about new Supplemental Benefits for Chronically Ill beneficiaries.
- February 19, 2019
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Reimbursement Issues
MLTC Risk Adjustment Workgroup Meets DOH and Deloitte are seeking stakeholder input on additional variables to include in the MLTC risk model.
- November 12, 2018
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Reimbursement Issues
DOH Discusses Minimum Wage Guidance, Reconciliation Webinar presentation aimed at both plans and home care providers reviewed previously issued guidance and outlined the reconciliation process.
- October 1, 2018
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Reimbursement Issues
MLTC Data Request Due May 18th All plans, including integrated plans, are requested to submit information on nursing home members to facilitate 2017-18 Medicaid rate revisions.
- May 11, 2018
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Reimbursement Issues
MLTC Rate Adjustments Coming in Mid-May DOH has processed revisions to April and July 2017 rates.
- May 4, 2018
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Reimbursement Issues
DOH Offers Recorded Medicaid Budget Briefing State Medicaid Director Jason Helgerson commented during the presentation that "many of us have been concerned about the potential growth in long term care in Medicaid for a long time with the aging of the baby boom generation."
- February 9, 2018
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