The New York State Department of Health Office of Health Insurance Programs will implement several changes related to Medicaid managed care service authorization, appeals, fair hearings and grievances (complaints) as required by the Center for Medicare and Medicaid Services Medicaid and Children’s Health … Read More
NYS Departments Submit Final Draft Transition Plan For The Children’s Medicaid System Transformation
Posted on by SAE
In November 2017, the New York State Departments (Department of Health, Office of Alcoholism & Substance Abuse Services, Office of Children & Family Services, Office of Mental Health, and Office for People With Developmental Disabilities) released their Final Draft Transition Plan for the Children’s Medicaid … Read More
A Compliance Alert From The NYS Office Of The Medicaid Inspector General
Posted on by SAE
For providers under the New York Medicaid program, they must consider their compliance program’s risk assessment activity and how the many various service reimbursement models may impact required risk assessment factors, clinical and administrative processes, and clinical and billing outcomes. The following are all … Read More
Upcoming Webinar On NYS Children’s Medicaid System Transformation
Posted on by SAE
NYS Department of Health (DOH), Office of Alcoholism & Substance Abuse Services (OASAS), Office of Children & Family Services (OCFS), Office of Mental Health (OMH), and Office for People With Developmental Disabilities (OPWDD) will be hosting a joint webinar presentation on Monday, September 18 from 1:00PM … Read More
NYS Develops Draft Transition Plan For The Children’s Medicaid System Transformation
Posted on by SAE
New York State has developed a DRAFT Transition Plan for the Children’s Medicaid System Transformation. The draft Transition plan (subject to approval by Centers for Medicare & Medicaid Services) is being shared with interested stakeholders for review and comment. Comments are due August 31, 2017 … Read More
Update For New York HCBS Providers
Posted on by SAE
Children Provider Applicant for HCBS and SPA Applications for Children HCBS and SPA were due July 31. Designation letters to providers are expected in October. Contracting, credentialing, and claims testing may take up to nine months. The list of designated providers will be used … Read More
Helping You Adjust To The Managed Care Environment
Posted on by SAE
Although behavioral health Parity has been required of insurers and managed care organizations for the better part of the past 10 years, there is substantial evidence that payers have not fully implemented policies and practices consistent with parity requirements. Since 2014, SAE has functioned as … Read More
CMS Announces Extension for Transitioning to the HCBS Model
Posted on by SAE
Yesterday, the Centers for Medicare & Medicaid Services (CMS) posted an informational bulletin on its website with an update on home and community-based services (HCBS). According to the released statement, CMS is extending the transition period for states to demonstrate compliance with the HCBS … Read More
CMS Announces Extension for Transitioning to the HCBS Model
Posted on by SAE
Yesterday, the Centers for Medicare & Medicaid Services (CMS) posted an informational bulletin on its website with an update on home and community-based services (HCBS). According to the released statement, CMS is extending the transition period for states to demonstrate compliance with the HCBS … Read More
Update for NYS HBCS Providers: the Community Mental Health Assessment Billing Policy
Posted on by SAE
New York State recently provided an update on the Community Mental Health Billing Policy. “Care Management Agencies (CMA) will bill NYS Medicaid directly through the eMedNY system. This process will be used for newly and previously completed assessments for individuals enrolled in Health and … Read More