Medicaid Redesign
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Medicaid Redesign
MLTC Policy 13.18: MLTC Guidance on Hospice Coverage DOH has posted a policy on utilizing hospice while in MLTC pursuant to recent changes to Section 4403-f of Article 44 of PHL.
- 11 years ago
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Medicaid Redesign
DOH Posts Three New MLTC Policies DOH has posted two policies on defining community based long term care services and one on Care Management Administrative Services (CMAS) agreement guidelines.
- 11 years ago
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Medicaid Redesign
MLTC Policy 13.16: Questions and Answers Further Clarifying the Definition of Community Based Long Term Care Services Another MLTC policy further refining the definition of Community Based Long Term Care Services as it relates to Consumer Directed Personal Assistance Program and discrete housekeeping services.
- 11 years ago
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Medicaid Redesign
MLTC 13.14: Questions Regarding Managed Long Term Care (MLTC) Eligibility The purpose of this policy is to further clarify programmatic eligibility for enrollment in managed long term care plans. Some MLTC plans have sought greater clarification from the Department as a result of the request to review the use of social day care services for their enrollees.
- 11 years ago
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Medicaid Redesign
Nursing Home Managed Care Transition Questioned At a June 17 DOH work group meeting, LeadingAge NY and other stakeholders raised questions about the timing and financial aspects of the state’s plan to move certain nursing home residents into Medicaid managed care.
- 11 years ago
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Medicaid Redesign
MLTC Policy 13.15: Refining the Definition of Community Based Long Term Care Services The MLTC policy 13:15 further clarifies the definition of community based long term care by stating individuals who only require assistance with housekeeping tasks do not meet the intent of community based long term care services.
- 11 years ago
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Medicaid Redesign
MLTC Policy 13.13 Continuity of Care and Payment Requirements of MLTC Plans to LTHHCP Agencies Providing Care During the 90 Day Transition Period The purpose of this policy guidance is to reiterate continuity of care policy for transitioning LTHHCP participants to MLTC and establish payment requirements for MLTC Plans when LTHHCP agencies are providing home care services to enrollees during the 90 day transition period.
- 11 years ago
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Medicaid Redesign
MLTC Policy 13.04: Personal Care Contracting Policy DOH posted an updated personal care continuity of care policy that extends the policy in NYC and expands the policy to Nassau, Suffolk and Westchester counties until December 31, 2013.
- 11 years ago
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