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Reimbursement Issues

Reimbursement Issues

Incontinence Supplies Reimbursement

Medicaid rate changes delayed by a month and a half.

April 2, 2017

Reimbursement Issues

DOH Distributes MLTC Quality Initiative Methodology

Document lists 2017 quality measures to be used and associated points. A second document provides answers to questions posed during the December 2016 MLTC Quality Workgroup meeting.

January 10, 2017

Reimbursement Issues

DOH MLTC Quality Work Group Meets

At the annual meeting, DOH indicated its intent to continue the current methodology with few changes in the upcoming year.

December 20, 2016

Reimbursement Issues

Incontinence Program Fees

Changes to the incontinence supply fee schedule will not go into effect until Feb. 15, 2017.

November 14, 2016

Reimbursement Issues

DOH Finalizes Minimum Wage Guidelines

DOH documents dictate how dollars will be distributed and indicate that providers will need to report on the need and use of minimum wage funding.

October 31, 2016

Reimbursement Issues

FIDA and MLTC Rate Updates

DOH announces significant adjustments to FIDA and MLTC payments.

April 28, 2015

Reimbursement Issues

State Revises Draft Value Based Payment Roadmap

The Value Based Payment Workgroup discusses revisions to the State’s plan. 

March 3, 2015

Reimbursement Issues

Draft Value Based Payment Roadmap

A DOH document distributed on Feb. 23, 2015, to the Value Based Payment Work Group laying out the State’s plan to move Medicaid payments from traditional fee-for-service (FFS) methods to alternative payment arrangements such as bundling, risk sharing and capitation. 

March 2, 2015

Reimbursement Issues

Bi-Partisan Letter Sent to CMS on Medicare Advantage Payments and Dual Eligibles

A Congressional bi-partisan group expresses concern that Medicare Advantage payments and ratings do not appropriately reflect the needs of the dual eligible population.

December 2, 2014

Reimbursement Issues

Managed Care Mandatory Rate Review

LeadingAge NY posts resources from recent managed care rate presentation.

October 28, 2014
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