DOH Rate-Setting Update

Carl J. Pucci in Finance & Reimbursement

This month’s Rate-Setting meeting has been cancelled, however, NYSHFA did speak with Department of Health (DOH) officials who indicated that the Rate packages related to the 2013 Quality Pool, 2015 initial rates, 2012 OMIG Case Mix Audits, and 2012 CR Assessment Reconciliation, are headed to EMEDNY prior to February 20, 2015. (The final date which would accommodate rate processing within the State’s 2014/2015 fiscal year).

In addition, DOH has clarified that the e-mail address to transmit Medicaid Managed Care questions is MRTupdates@health.NY.Gov (slide 57 of the January 22, 2015 webinar PowerPoint was in error).  This week’s DOH Managed Care workgroup meeting has also been cancelled. NYSHFA continues to track member’s questions and submit to DOH as they are received.

Also, a reminder that the MDS census dates continue to remain the last Wednesday in January and July of 2015 (January 28, 2015 and July 29, 2015 respectively).

We will keep members updated as these issues unfold.

Carl Pucci
Director, Finance & reimbursement
518-462-4800, ext. 36