New York Duals Medicaid/Medicare 2018



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New York Duals Medicaid/Medicare 2018

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NYS Medicaid Medicare VBP alignment-final for CMS

www.health.ny.gov

Sep 28, 2015 Both the Centers for Medicare & Medicaid Services (CMS) and New York State (
NYS) have embarked on … end of 2018. • Alignment across systems increases
the numbers and diversity of beneficiaries that can be included in the APMs,
enhancing the ability …. The NYS Dual Eligible Population and FIDA.

NHTD/TBI Waiver Transition Workgroup – New York State …

www.health.ny.gov

Dec 7, 2017 June 2018: Submission of Transition Plan to Centers for Medicare and Medicaid
Services (CMS). • July 2018: Submission of the 1115 Waiver Amendment. •
September 1, 2018: CMS approval of Transition Plan. • September 1, 2018:
Begin training with Plans. • October 1, 2018: Cease enrollment of new …

FY 2017-18 Executive Budge and Global Cap Update

www.health.ny.gov

Feb 2, 2017 New Enrollees. November 2016. Net Increase /. (Decrease). Managed Care.
4,645,864. (50,899). 60,136. 4,655,101. 9,237. New York City. 2,804,033 … 2018
19. Federal Actions/Pressures on the Global Cap. Managed Care Savings
Initiatives. Pharmacy Savings Initiatives. Long Term Care Savings …

2016 Access Monitoring Review Plan – Medicaid.gov

www.medicaid.gov

Apr 1, 2017 Medicaid/Medicare Comparison Analysis … The plan was developed during
2016 and posted on New York State's Department ….. January 1, 2018. HCBS
Care at Home Waivers 3, 4 and 6 –Non Duals (New. York City, Nassau, Suffolk).
October 1, 2019. HCBS Care at Home Waivers 3, 4 and 6 –Non Duals …

Medicare-Medicaid Coordination Office FY 2015 Report … – CMS.gov

www.cms.gov

as “dual eligibles”). The Affordable Care Act sets forth goals and responsibilities
for the Office, including the annual submission of a Report to Congress. The
Medicare and … payer of last resort, for Medicaid-Medicare enrollees, it ….. A
second capitated model demonstration in New York for Medicare-Medicaid
enrollees with.

Medicaid & CHIP Strengthening Coverage … – Medicaid.gov

www.medicaid.gov

Jan 1, 2017 adult Medicaid beneficiaries in Arkansas, Iowa, and New Hampshire (and
starting in April 2018, Michigan) enroll … date, 14 states (CA, GA, KY, LA, MA, MI,
MT, NM, NY, PA, SD, UT, VA, and WI) have provided such coverage to these …
So far, New York and Minnesota have established BHPs, which.

DSRIP APM Roadmap – New Hampshire Department of Health and …

www.dhhs.nh.gov

1 | Page. New Hampshire's Building Capacity for Transformation Section 1115(a)
. Medicaid Research and Demonstration Waiver. DSRIP Alternative Payment
Models Roadmap. For. Year 2 (CY2017) and Year 3 (CY2018) …

The State of Illinois Medicaid Managed Care … – Illinois.gov

www.illinois.gov

Feb 27, 2017 The State of Illinois. Medicaid Managed Care. Organization Request for.
Proposals. 2018-24-001 ….. June 30, 2017. (approximate). Deadline to file
protest to awards. July 14, 2017. (approximate). Effective date of new Contracts.
January 1, 2018 ….. (Note: The Medicaid-Medicare Alignment Initiative is not.

Snapshot of Integrated Care Models to Serve Dually Eligible …

www.medicaid.alabama.gov

Dec 14, 2015 This brief provides a snapshot of four integration models: (1) Dual Eligible
Special Needs Plan-based; (2). Financial Alignment …. Minnesota (Minnesota
Senior Health Options), New York (Medicaid Advantage Plus), Texas (STAR+
PLUS). ▫ Fully Integrated Dual … authorized through 2018. ▫ Medicare …

arizona state health care innovation plan date submitted – ahcccs

www.azahcccs.gov

Jul 5, 2016 D-SNP — Dual Eligible Special Needs Plan. ED — Emergency …… It should also
be noted that all of AHCCCS Acute and EPD plans have a Medicare dual eligible
…… Meeting. Agenda. December 8, 2015. DSRIP National Overview. New York's
DSRIP. Arizona SIM Sustainability Proposal Goals & Strategy …

2014 UDS Manual – Bureau of Primary Health Care – HRSA

bphc.hrsa.gov

OMB Number: 0915-0193, Expiration Date: 02/28/2018 ….. These “dual status”
health centers will complete both grantee and BHW primary care clinics versions
of the UDS, reporting data that represent the scope of project supported by ……
programs” include New Jersey's Uncompensated Care Program, New York's
Public.

Lori Coyner, MA Medicaid Director Oregon Health … – Oregon.gov

www.oregon.gov

Jan 12, 2017 CMS approved Oregon's application to extend and amend OHP to implement a
new Health. Insurance …. services on the prioritized list provided to individuals
not enrolled in Medicaid, Medicare, CHIP or other … CCO contracts after January
1, 2018 and if applicable will align with the requirements of 42.

Consolidated Fiscal Reporting and Claiming Manual – Office of …

www.oms.nysed.gov

Jun 30, 2017 New York State. Subject: Introduction. Section: 1.0. Page: 1.1. Consolidated
Fiscal. Reporting and. Claiming Manual. Reporting Period: July 1, 2016 to June
30, 2017 …… December 15, 2018. …. Medicaid/Medicare, Medicaid Managed
Care, third party, patient fees/private pay, grants, contributions, fund.

State of Georgia Department of Community Health p y

dch.georgia.gov

Jan 17, 2012 New York State Department of Health, (Presentation to the National Association
of State. Medicaid Directors, November 2008) …… “passive enrollment” in dual
eligible SNPs operated by the same company, if available. Arizona encourages.
Medicaid/Medicare integration by requiring that its health plans to.

Text of the America's Healthy Future Act as Amended

www.finance.senate.gov

the new requirements, new Federal regulations would preempt state laws that
conflict with the new reinsurance …… disabled individuals, dual eligibles, children
in foster care, and other groups with special medical needs. …… Medicare and
Medicaid, Medicare is the primary payer, while Medicaid covers those costs in.

impact of the affordable care act on the hawai'i marketplace hawai'i …

cca.hawaii.gov

employment status) and eligibility status for various types of coverage (e.g.,
Medicaid, Medicare), but also … In addition to these traditional drivers of
coverage, there are many new provisions in the ACA that will impact the ….
assumed to remain relatively constant through 2018, with the exception of the
impact that aging of …

PPACA — What Does It Mean? – State of New Jersey

www.nj.gov

Mar 23, 2010 hours assisting secretaries and directors of corrections in understanding and
developing a plan for managing this new act. The following provides an outline of
that work. PPACA — What … aid and Medicare (“dual eligibility”). If the state …
employer-sponsored health plan, Medicaid, Medicare or other public …

mltss rfp – DMAS – Commonwealth of Virginia

www.dmas.virginia.gov

Apr 29, 2016 new Managed Long Term Services and Supports (MLTSS) Program. MLTSS will
…… on January 1, 2018. MLTSS Populations – Snapshot, as of March 31, 2016.
LTSS Population. Dual Adult. Dual Child Non-Dual Adult Non-Dual Child. Total.
Aged …… Medicaid, Medicare, or commercial lines of business.