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Reimbursement Issues

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

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

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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