LeadingAge NY submitted comments on DOH's recently announced requirement that partially-capitated MLTC plans begin to shift provider contracts to VBP arrangements involving two-sided risk in 2019.

The Department of Health's FAQs provide basic information about the new requirement for PACE, MAP, and FIDA plans to enter into value-based payment arrangements with network providers by March 31, 2018.

DOH provided answers to questions posed by LeadingAge NY in response to finance webinar for MLTC plans.

DOH has presented their revised vision for Level 2 VBP arrangements for partially-capitated plans and is seeking comments.

Under the Department's proposals, at least 5 percent of partially-capitated plan expenditures would have to be in two-sided risk arrangements by April 1, 2019. MAP, FIDA, and PACE plans must reach a target of 10 percent of expenditures in VBP arrangements by April 1, 2018 or face penalties; new measure sets apply to those arrangements.

The checklist applies to Medicaid value-based payment arrangements that do not mirror the models set forth in the State's Roadmap, but address market-specific populations or conditions.