Medicaid Redesign

Medicaid Redesign Enrollment of Long Term Care Recipients into Managed Care: LeadingAge New York has updated its chart summarizing the state’s plans for transitioning the long term care population into Medicaid managed care plans and the FIDA demonstration. The Oct. 1 edition of the chart reflects the recent approval for mandatory managed care enrollment in Orange and Rockland Counties and the planned Dec. 1 date for mandatory enrollment in upstate urban counties.
12 years ago

Medicaid Redesign FIDA MOU Provides Details on Duals Demonstration: A summary of key points from the Memorandum of Understanding entered into by New York State and CMS regarding the state’s FIDA Demonstration.
12 years ago

Medicaid Redesign DOH FIDA Webinar: DOH held a webinar to review key points of the state’s FIDA demonstration agreement with CMS. A recording will be posted on the DOH website this week.
12 years ago

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.
12 years ago

Medicaid Redesign Nursing Home Transition Workgroup Considers Recommendations: The DOH Nursing Home Transition Workgroup met to review subcommittee recommendations on issues such as nursing home network requirements, Medicaid eligibility determinations and payments to nursing homes and managed care plans.
12 years ago

Medicaid Redesign Recommendations on Conflict-Free Case Management: DOH asked for comments and recommendations on conflict-free case management during their presentation at the LeadingAge New York Annual Conference.
12 years ago

Medicaid Redesign MLTC Policy 13.22 Personal Care Contracting Rates: This policy clarifies MLTC Policy 13.04 - Managed Long Term Care (MLTC) plans are required to pay personal care providers/agencies servicing MLTC members the posted rate by HRA or LDSS through March 1, 2014.
12 years ago

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.
12 years ago