Reimbursement Issues
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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
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Reimbursement Issues
Incontinence Program Fees Changes to the incontinence supply fee schedule will not go into effect until Feb. 15, 2017.
- November 14, 2016
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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
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Reimbursement Issues
FIDA and MLTC Rate Updates DOH announces significant adjustments to FIDA and MLTC payments.
- April 28, 2015
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Reimbursement Issues
State Revises Draft Value Based Payment Roadmap The Value Based Payment Workgroup discusses revisions to the State’s plan.
- March 3, 2015
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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
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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
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Reimbursement Issues
Managed Care Mandatory Rate Review LeadingAge NY posts resources from recent managed care rate presentation.
- October 28, 2014
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Reimbursement Issues
Critical Deadline for Managed Care Plans Extended DOH extends wage parity survey deadline to Aug. 15, 2014 for plans to report under the QIVAPP program.
- August 5, 2014
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Reimbursement Issues
DOH and CMS Update Plans on FIDA Rates The recent teleconference includes updated information on the FIDA plan quality withhold, trend and wage parity considerations, the frailty factor and the inclusion of behavioral health services.
- June 30, 2014
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