It is that time again to submit the Home Care Worker Wage Parity certification forms.

This final document outlines the roles and responsibilities of the plan and consumer, or designated representative, receiving Consumer Directed Personal Assistance Services (CDPAS). 

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.

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.  

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).

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.