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December 18, 2018

December 18, 2018

Nursing Home Reimbursement Update

Having released NHQI adjustments and supplemental payments, DOH is focused on finalizing the 2019 Medicaid rate.

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December 18, 2018

DOH Reviews NH Quality Pool Results; No Changes for 2019

LeadingAge NY comments on methodology for 2019.

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December 18, 2018

December Plan Meeting Highlights

MLTC portion of monthly meeting addresses LHCSA registrations, network survey, other updates.

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December 18, 2018

DOH Proposes Default Enrollment in Medicare Advantage Plans for Medicaid Managed Care Enrollees

The Department has proposed implementing "default enrollment" of mainstream Medicaid managed care enrollees in Medicare Advantage plans when they reach age 65 and become eligible for Medicare.

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December 18, 2018

DOH Finalizes Regulations on Criminal History Record Checks and Advanced Home Health Aides

The Department will proceed with developing guidance for the programs.

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December 18, 2018

Continuity of Care Exception to LHCSA Cap Expanded

In a Dear Administrator Letter, DOH announced that MLTC plan contracts with LHCSAs that are intended to continue care for new enrollees who transfer from a plan that has closed, merged with another plan, or narrowed its service area are not counted in determining compliance with the MLTC LHCSA network cap.

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December 18, 2018

Urge the Governor to Sign ALP-Hospice Legislation Today!

Governor has 10 days to act on bill that would allow Medicaid-eligible ALP residents to access hospice.

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December 18, 2018

LeadingAge NY Participates in ACF Financial Report Streamlining Workgroup

Member input is needed as we work to streamline reports and capture ALP costs.

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December 18, 2018

ACF Financial Report Due Dec. 28, 2018

All ACF and assisted living providers must submit the report on the HCS by Dec. 28th.

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December 18, 2018

Summary of Proposed Call-in Regulations Available

Revised proposal includes exemptions that may be helpful to members.

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