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Medicaid

Medicaid

DOH Posts Initial January and April 2020 Nursing Home Medicaid Rates

Members should see payment adjustments reflecting both the January and April initial rates in Medicaid payment cycle 2243, with a check release date of Sept. 2nd.

August 11, 2020

Medicaid

Long-Stay Residents Shift from MLTC to Fee-for-Service

Batch disenrollment of long-stay nursing home residents from partially capitated MLTC plans effective Aug. 1st.

August 4, 2020

Medicaid

Roster Verification Deadline Extended

Nursing homes now have until July 24th to complete the matching process and until July 31st to submit the accompanying certifications.

July 21, 2020

Medicaid

Nursing Home Resident Shift to FFS Scheduled for Aug. 1st

Residents enrolled in partially capitated MLTC plans who have been in a long-term stay status for three calendar months or longer will automatically revert to FFS Medicaid.

July 14, 2020

Medicaid

Nursing Homes Must Complete Roster Match by July 17th

Homes have until Friday to verify that residents who were in the facility on the picture date are matched to the appropriate MDS data for CMI calculation.

July 14, 2020

Medicaid

Nursing Home Case Mix Data Collection Entering Second Stage

After DOH re-extracts MDS data, providers will have until July 17th to complete the matching process.

June 30, 2020

Medicaid

Providers Given Additional Time for EO #38 Filings

Due date for provider disclosures and waivers is now Sept. 29th.

June 22, 2020

Medicaid

Nursing Home Reimbursement Update

DOH staff provide additional information on several Medicaid rate updates that are currently underway.

June 15, 2020

Medicaid

Live Views of Virtual CFO Council Meetings Tops 350

We request that members who attended the meetings or seek to view archived events provide feedback and/or contact information.

June 15, 2020

Medicaid

DOH Holding Webinar on New CMI Data Collection Process on Wednesday

Nursing home staff involved in the roster submission process used to calculate CMI should register for one of the sessions to be held at 10 a.m. and 1 p.m.

June 16, 2020
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