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Medicaid

Medicaid

Roster Verification Enters Second Stage

Nursing homes should verify that the correct MDS assessment is matched to each resident in house on Jan. 29, 2020.

December 1, 2020

Medicaid

Data Verification Process for Determining July 2020 Case Mix Is Underway

Nursing homes have until Nov. 27th to file MDS data corrections with CMS and until Dec. 31st to verify that residents are matched to the correct assessment.

November 24, 2020

Medicaid

Provider Medicaid Compliance Certification Requirements Changing

Medicaid compliance certification procedure and timing revised.

November 24, 2020

Medicaid

Medicaid to Require EOB Submission with Claims

Initiative seeks to ensure that Medicaid is payer of last resort.

November 16, 2020

Medicaid

Nursing Home Reimbursement Update

DOH shares that a preliminary decision suggests COVID-19 funding is not subject to the cash receipts assessment and indicates that it intends to combine roster verification for July 2020 and January 2021 rates into a single process.

November 10, 2020

Medicaid

Capital Attestations Due Friday

Nursing homes are asked to review their 2021 capital component and either agree with the calculation or request corrections by Nov. 13th.

November 10, 2020

Medicaid

More Nursing Home Residents Revert to FFS

Second round of batch disenrollments implemented on Nov. 1st.

November 3, 2020

Medicaid

DOH Posts 2021 Nursing Home Medicaid Rates

The 2021 notice rates reflect placeholder 2020 minimum wage funding and a July 2019 CMI.

November 3, 2020

Medicaid

More Nursing Home Residents to Revert to FFS

DOH is set to process a second batch of disenrollments of long-stay nursing home residents from MLTC.

October 20, 2020

Medicaid

2021 Capital Preview Attestations Due Nov. 13th

Nursing homes should review their draft 2021 Medicaid capital rates for accuracy and request corrections if needed. Rates for hospital-based homes are now available.

October 19, 2020
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