Medicaid Redesign
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Medicaid Redesign
MLTC Policy 13.21- Process Issues Involving the Definition of Community Based Long Term Care Services Clarification on how to process and what are the required steps to take for a Medicaid individuals who requires only Personal Care Level 1 services in a MLTC plan. This clarifies previous MLTC policies 13.15 and 13.16.
- 10 years ago
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Medicaid Redesign
Home Care Worker Wage Parity Certification Forms are Due Before Sept. 1 It is that time again to submit the Home Care Worker Wage Parity certification forms.
- 10 years ago
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Medicaid Redesign
CDPAS - Final Document Outlining Responsibilities This final document outlines the roles and responsibilities of the plan and consumer, or designated representative, receiving Consumer Directed Personal Assistance Services (CDPAS).
- 11 years ago
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Medicaid Redesign
Level 1 Personal Care Services and Consumer Directed Personal Assistance Services in Managed Long Term Care This GIS further clarifies MLTC policies as it pertains to Level 1 personal care services as the sole community-based long term care service provided to a consumer.
- 11 years ago
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Medicaid Redesign
CMS Approves FIDA, Webinar on Thursday New York State's managed care initiative to integrate Medicaid and Medicare services for dual eligibles in downstate areas has received federal approval. The Fully Integrated Duals Advantage (FIDA) demonstration is scheduled to kick off in mid-2014. Register for the Aug. 29 DOH webinar to learn more.
- 10 years ago
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Medicaid Redesign
MLTC Policy 13.20: Provision of DME Supplies through Pharmacy DOH has issued a policy update regarding an on-going review of Pharmacy claims which determined that certain Durable Medical Equipment (DME) items were being inappropriately billed as a Pharmacy claim. These billing errors resulted in a fee-for-service payment of items that are included in the capitation payment to Managed Long Term Care Plans (MLTCP).
- 11 years ago
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Medicaid Redesign
MLTC Policy 13.19: Medicare/Medicaid Coordination of Benefits The purpose of this policy document is to remind Managed Long Term Care (MLTC) plans of the need to effectively coordinate Medicare and other third-party liability benefits for the MLTC dual-eligible membership. Federal regulations require Medicaid to be the payer of last resort.
- 11 years ago
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Medicaid Redesign
Transitioning from the LTHHCP to MLTC LeadingAge NY continues to advocate for answers and clarification as this mandatory transition from the LTHHCP to MLTC begins.
- 11 years ago
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