Medicaid Managed Care Policy Document Finalized

Esq. Stephen B. Hanse and Carl J. Pucci in Finance & Reimbursement


The Office of Health Insurance Programs (OHIP) has finalized the policy document for the transition of nursing home population into managed care.  The Department will be forwarding this document to CMS in an effort to assist and clarify the transition to Medicaid Managed Care for new nursing home admissions.  The document is the result of the Transition Work Group’s efforts over the past year, of which NYSHFA was actively involved in each of the primary focus areas (eligibility & enrollment/access to care & quality/network & contracting and finance & reimbursement).

There are still operational issues that the associations have brought to DOH’s attention, and we expect further discussions and guidelines to be disseminated as the transition phase begins.

  NYSHFA CONTACTS: Stephen B. Hanse, Esq.
Vice President, Governmental Affairs
518-462-4800 x25
  Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36