Medicaid Redesign

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.
11 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.
11 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.
11 years ago

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

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.
11 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.
11 years ago

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.
11 years ago

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