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Medicaid

Medicaid

MDS Data Verification Process Underway

Nursing home members should ensure that residents are matched with the correct MDS assessments before the May 7th deadline.

April 13, 2021

Medicaid

DOH Processes Nursing Home Resident Disenrollment

More nursing home residents shift from managed care to FFS Medicaid effective April 1st.

April 5, 2021

Medicaid

Data Verification Process for Determining January 2021 Case Mix Is Underway

Nursing home providers have until April 5th to ensure that complete MDS data is on file with CMS for residents who were in the facility on July 29, 2020.

March 30, 2021

Medicaid

Data Verification Process for January 2021 CMI Calculation Begins

Calculation will rely primarily on assessments filed in May, June, and July 2020. DOH will perform the first MDS extract on March 25th.

March 23, 2021

Medicaid

Nursing Home Reimbursement Update

DOH processes numerous payment adjustments, issues January 2021 rates.

March 9, 2021

Medicaid

DOH Posts July 2020 Nursing Home Rates

Nursing home Medicaid rate update has been scheduled for payment in mid-March.

February 23, 2021

Medicaid

NFP & PUB Estimated Impacts of S.4336-A
February 19, 2021

Medicaid

Nursing Home Reimbursement Update

DOH processes trifecta of Medicaid payment adjustments.

February 9, 2021

Medicaid

Disenrollment of Nursing Home Residents from MLTC

In preparation for the April batch disenrollment, DOH asks nursing homes to submit information by Feb. 15th.

February 9, 2021

Medicaid

LeadingAge NY Urges State to Take Reasonable Approach to Third Party Liability Requirements

Requiring providers to document rejection by a third party payor prior to filing any Medicaid claim would cause cash flow challenges.

February 2, 2021
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