2018 State Agency News
December 14: November Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the November 2018 Medicaid Update.
November 8: October Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the October 2018 Medicaid Update.
October 12: September Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the September 2018 Medicaid Update.
October 4: OMIG Issues 2017 Annual Report
The New York State Office of the Medicaid Inspector General (OMIG) has issued its 2017 Annual Report, which details New York’s Medicaid program integrity efforts for calendar year 2017.
- More than $2.1 billion in avoided costs to the Medicaid program
- Recoveries of more than $501 million
- Over the last three years, Medicaid recoveries and cost-savings efforts have exceeded $7.1 billion
View the report here: https://omig.ny.gov/informatio
September 17: Use of Medical Marijuana in OASAS Certified and/or Authorized Programs
OASAS has developed Frequently Asked Questions (FAQs) to assist OASAS programs in the development and implementation of policies and procedures when providing services to patient’s certified in the NYS Department of Health Medical Marijuana Program
September 10: Justice Center Vehicle and Guidance Document
In June, the Justice Center put a vehicle and traffic guidance document on the Justice Center website to help provider agencies understand how the Justice Center classified vehicle and traffic incidents that are reported to the Justice Center. After receiving feedback from provider agencies that this document was being used as a directive for reporting vehicle and traffic incidents to the Justice Center and was causing confusion, we removed the document from our website. The Justice Center guidance on incidents that should be reported to the Justice Center is based on the provisions of the Protection of People with Special Needs Act. Mandated reporters should report all incidents in which they have reasonable cause to suspect that a person receiving services was harmed or was at risk of harm. This applies to any incident involving vehicles and traffic infractions.
August 31: August Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the August 2018 Medicaid Update.
August 2: July Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the July 2018 Medicaid Update.
August 1: OMIG Audit Protocols for OASAS Opioid Treatment Programs
The New York State Office of the Medicaid Inspector General (OMIG) audit protocols for New York State Office of Alcohol and Substance Abuse Services (OASAS) Opioid Treatment Programs have been updated and are now online.
July 16: Justice Center Releases Report
The NYS Justice Center for the Protection of People with Special Needs Executive Director Denise M. Miranda is marking the 5-year anniversary of the agency by releasing a comprehensive 5-year progress report.
July 13: Children’s Transformation Update
The NYS DOH has released the third issues of the Children’s Medicaid Health and Behavioral Health System Transformation Update.
July 12: June Medicaid Update
Effective July 1, 2018, Medicaid fee-for-service (FFS) and Medicaid Managed Care (MMC) plans will begin covering harm reduction services (HRS). This change applies to mainstream MMC, HIV Special Needs Plans (HIV SNP) and Health and Recovery Plans (HARP). HRS will be delivered by New York State Department of Health (NYS DOH) authorized and wavered syringe exchange programs (SEP) that are enrolled as Medicaid providers.
July 2: Adult BH HCBS and Recovery Coordination
NYS has released “Guidance on Documentation and Claiming for Recovery Coordination of Adult Behavioral Health (BH) Home and Community-Based Services (HCBS)” pertaining to the already issued “Policy for Improving Access to Adult Behavioral Health Home and Community Based Services (BH HCBS) for HARP and HARP -Eligible HIV Special Needs Plan Members Not Enrolled in Health Home”.
This guidance document is intended for Health and Recovery Plans, HIV/SNPs, and ONLY State Designated Entities contracted with these Plans, also known as Recovery Coordination Agencies (RCAs). It provides guidance on documentation and claiming requirements to support the accurate administration and reimbursement of Recovery Coordination services.
June 22: 2018 VBP Reporting Requirements Technical Specifications Manual Update
The New York State Department of Health (NYS DOH) has updated the 2018 Value Based Payment (VBP) Reporting Requirements Technical Specifications Manual.
The purpose of this document is to make stakeholders aware of the quality measure reporting requirements for Medicaid Managed Care Organizations (MCOs) participating in the New York State Medicaid VBP program. The contents of this document include an overview of the specific reporting requirements for Category 1 measures for each VBP arrangement, a description of the changes to the measure sets from Measurement Year 2017 to 2018, and detailed instructions regarding additional file specifications required for the VBP program.
The changes added to reporting requirement include a field that identifies the VBP Contractor Tax Identification Number (TIN) for each member attributed to a VBP arrangement.
The document can be found as part of the VBP Resource Library here: https://health.ny.gov/health_c
June 20: OMIG Posts Workplan Update
The New York State Office of the Medicaid Inspector General has posted an update to its 2018-19 Work Plan. Please visit https://omig.ny.gov/informatio
June 6: Health Home Consent Update
The Department of Health held a Health Home Consent Update to review changes and updated guidance. The slides are available here.
May 18: Children’s Transformation Update
DOH has unveiled the first edition of the Children’s Medicaid Health and Behavioral Health System Transformation Update. The goal of this document is to provide highlighted, updates on the transition efforts so that you are informed of the work being done to make this transition a reality and are aware of opportunities for training and additional education to support your role in this project’s implementation and success. Thank you for assisting the State of New York’s Department of Health in transforming the manner that Children’s Medicaid health and behavioral health services are provided to a more effective system for some of our most vulnerable New Yorkers.
May 7: April Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of a special edition of the April 2018 Medicaid Update focusing on 2018-19 Enacted Budget Initiatives. The full current issue is available to be downloaded at: https://www.health.ny.gov/heal
May 2: Social Determinants of Health Innovations
The New York State Department of Health (DOH), Office of Health Insurance Programs (OHIP), Bureau of Social Determinants of Health, is launching a new initiative to identify innovative ideas to effectively address the Social Determinants of Health (SDH) for Medicaid members across New York State. The intent of this ‘Call for SDH Innovations’ is to solicit input from interested parties across the state and around the country. Innovations will be reviewed by a team of healthcare experts identified by DOH. Top innovations will receive special recognition but all innovations, with the consent of the submitting organization, will be shared publicly by DOH.
Later this fall, the Department of Health will host a Social Determinants of Health Innovation Summit that will allow the applicants with the best solutions to pitch their product or idea to a panel of expert judges and audience members. It will be a chance for top healthcare professionals and investors who are focused on driving transformational change, to hear new and exciting ways to better health outcomes for millions of New Yorkers on Medicaid. At the summit, winners of each category will be honored with a ‘2018 SDH Health Innovation Award’!
While there is no funding from the State available for this initiative, it is a chance for innovative companies and organizations to receive exposure to key healthcare decision makers including, but not limited to, healthcare providers, Managed Care Organizations, and DSRIP Performing Provider Systems.
Innovations are due by June 15, 2018 at 5:00 PM. The Call for Social Determinants of Health Innovation application is now available here:https://www.surveymonkey.
April 12: OMIG Issues 2018-2019 Work Plan
The New York State Office of the Medicaid Inspector General (OMIG) announced the release of its 2018-2019 Work Plan. The Plan details OMIG’s program integrity focus areas in the Medicaid program for the State Fiscal Year April 1, 2018 to March 31, 2019.
Where previous Work Plans were updated annually, going forward OMIG will update its Work Plan throughout the year to adapt to the changing Medicaid landscape. Updates will be posted on the OMIG website, and update alerts will be issued via OMIG’s listserv.
The 2018-2019 Work Plan, as well as plans from previous years, can be viewed at: https://omig.ny.gov/informatio
March 8: MRT Accomplishments Report
The DOH has released a report of the accomplishments of the NYS Medicaid Redesign Team. It includes a discussion of outcomes or process information on various specific MRT initiatives.
March 2: February Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the February 2018 Medicaid Update. The full current issue is available as a PDF file to be downloaded at: https://www.health.ny.gov/heal
February 5: January Medicaid Update
The Office of Health Insurance Programs of the New York State Department of Health has approved the release of the January 2018 Medicaid Update. The full current issue is available as a PDF file to be downloaded at: https://www.health.ny.gov/heal
January 30: DOH Launches CANS-NYS Training and Technical Institute
The New York State Department of Health (NYS DOH) announcef the launch of the “CANS-NY Training & Technical Assistance Institute”. In support of the State of New York Medicaid Redesign Team’s vision for comprehensive and integrated care, The Institute will provide training, coaching, and technical assistance in effective use of the CANS-NY as a collaborative assessment and treatment planning / monitoring tool for Health Home Serving Children. In addition, The Institute will use data analytics to guide and support the use of the CANS-NY to transform the lives of children and families through Health Home care management.
To find out more about the “CANS-NY Training & Technical Assistance Institute”, reach out to the Institute Director, Dr. Suzanne Button, at firstname.lastname@example.org, or to its Project Manager, Angela Pollard, email@example.com. The Institute also can be reached by toll-free number at 833-802-2267. Other important links below: CANS-NY on-line training site www.tcomtraining.com, collaborative outcome managementwww.tcomconversation
January 12: Social Determinants of Health
The DOH held a Twitter Live video broadcast event on “Social Determinants of Health and Community Based Organizations in Value Based Payments.” The hour long event was the first in a series of broadcasts that will focus on various topics around the move to Value Based Payment (VBP). New York State Medicaid Director, Jason Helgerson, and New York State Deputy Medicaid Director, Elizabeth Misa, discussed topics around the role of Community Based Organizations, requirements around social determinants of health in the VBP Roadmap, and the mission and focus of the state’s newly created Bureau of Social Determinants of Health. A link to the archived event is available here.