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Medicaid

Medicaid

LeadingAge NY Objects to Timing of Medicaid Bed Hold Changes

Association seeks clear guidance and change in implementation date.

August 1, 2019

Medicaid

DOH Provides Pharmacy Billing Guidance

June edition of the Medicaid Update details the process nursing homes must use to bill pharmacy claims not covered in the rate.

July 23, 2019

Medicaid

DOH Issues Dental Billing Reminder

Dental services provided to Medicaid residents are covered by the nursing home rate.

July 23, 2019

Medicaid

Reminder of Upcoming Deadlines

Nursing home cost reports are due July 29th; PBJ data must be finalized by Aug. 14th.

July 22, 2019

Medicaid

Executive Order #38 Disclosures Due July 29th

LeadingAge NY’s general counsel provides guidance on filing requirements.

July 22, 2019

Medicaid

LeadingAge NY, Other Groups Urge CMS to Disapprove State’s Case-Mix Proposal

Groups communicate concerns on proposal affecting July 2019 nursing home rates.

July 16, 2019

Medicaid

Report Deadline Draws Near

July 29th is the due date for 2018 nursing home cost reports. EO #38 disclosure forms are due at the same time as Medicaid cost reports for Medicaid providers that file cost reports.

July 15, 2019

Medicaid

State Requests Federal Approval for Case Mix Change

DOH has filed a Medicaid State Plan Amendment to alter the methodology for adjusting nursing home rates for acuity effective July 1, 2019.

July 8, 2019

Medicaid

Nursing Home Reimbursement Update

DOH confirms payment cycles of upcoming rate adjustments, provides updates on other projects.

July 9, 2019

Medicaid

Hospitalization Bed Hold Elimination Effective May 29th

DOH is implementing the provision enacted in 2017 to eliminate nursing home bed reservation payments for hospitalized residents.

July 8, 2019
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