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Medicaid

Medicaid

Delayed Medicaid Claim Filing

Medicaid FFS claims that are delayed during the declared state of emergency may be filed using Delay Reason 15.

April 21, 2020

Medicaid

ATB Cut Payment Adjustment Scheduled for Next Week

Medicaid payment cycle 2220 is scheduled to contain the impact of the 1 percent reduction for payments related to dates of service back to Jan. 1st in the wake of pandemic-related funding concerns.

March 17, 2020

Medicaid

Nursing Home Reimbursement Update

DOH indicates that information on the July 2019 roster submission window is coming soon and reminds homes that no Medicaid payment will be released this week.

March 10, 2020

Medicaid

MLTC Nursing Home Benefit Change to Be Implemented May 1st

Original March and April target dates for MLTC members who are long-term nursing home residents to return to FFS rescheduled for May 1st.

March 3, 2020

Medicaid

DOH Processes Nursing Home Capital Adjustments

Nursing homes may see retroactive adjustments to capital reimbursement rates in Medicaid payment cycle 2218.

March 3, 2020

Medicaid

Impact of ATB Cut Coming in Medicaid Cycle 2219

DOH provides formal notification that payment adjustments retroactive to Jan. 1st will be reflected in March payment.

February 24, 2020

Medicaid

No Nursing Home Medicaid Payments This Week

DOH is not releasing Medicaid checks to nursing homes during the weeks of Feb. 19th and March 11th in order to return homes to the two-week payment lag.

February 17, 2020

Medicaid

Implementation of MLTC Nursing Home Benefit Change Delayed

Long-stay nursing home residents enrolled in MLTC outside of NYC will not revert to FFS on March 1st.

February 14, 2020

Medicaid

July 2019 Nursing Home Rates Updated

DOH has posted revised Medicaid rates and has scheduled nursing homes to return to the two-week payment lag by mid-March.

February 10, 2020

Medicaid

LeadingAge NY Comments on Medicaid Fiscal Accountability Regulation

Regulation could affect provider taxes and Intergovernmental Transfers.

February 4, 2020
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