IAC Training Conference

Millin Assocaites presented at the IAC Training Conference on 1/13/2020 in NYC. This event kicks off our 2020 conference season! Jim Wisz, Director of Client Services, presented on the MillinPro system a s well as various regulation and billing rules. See below for pictures!

NY Alliance Leadership Conference

Millin would also like to announce that we will be attending the NY Alliance Leadership Conference on 12/5-12/6 at the Saratoga Hilton.
Be sure to come by our booth to ask any questions and to say hello!

CMS Medicare OTP Final Rule – Powerpoint

  • CMS is finalizing an OTP reimbursement structure utilizing full weekly bundles for all FDA-approved medications.
  • They will NOT be using partial bundles at this time.
  • Bundles have Drug components and Non-drug components.The bundled payment rates would vary by the medication used, amount of services, and geographic location where services are provided

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Children’s Medicaid System Transformation Timeline Update

New York State would like to announce an update to the Voluntary Foster Care Agency(VFCA) Medicaid Managed Care transition timeline. After a thorough assessment of the
timeline for completion of outstanding actions necessary for a successful transition and in response to stakeholder feedback, the State has changed the effective managed care carve-in date for VFCA services and the foster care population from February 1, 2020 to July 1, 2020. The adjusted timeline is intended to provide ample time for the completion of remaining activities, including contracting and relationship-building between Managed Care Plans and VFCA providers, to ensure a smooth and effective transition.


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OMH – Monthly Children’s Health and Behavioral Health Managed Care Plan Provider Roundtable

The Children’s Roundtable meeting took place on August 28, 2019. Agencies providing any of the new Children and Family Treatment and Support Services or Children’s Home and Community Based Services are welcome to attend these monthly meetings.
  • This meetings largely focus on implementation discussions between plans and providers.
  • Service Providers are highly encouraged to join these meetings in-person at respective locations.
  • Managed Care Organizations are required to send representation in-person for plan-provider conversations.

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Peer Advocate Service Rate Enhancement Guidance Effective 9/1/2019

OASAS in an effort to support OASAS Certified Programs in the provision of effective, accessible Addictions Treatment has been working with the Center for Medicare and Medicaid Services (CMS) to increase reimbursement for certain elements of the treatment deemed vital in the treatment process. On March 25, 2019 The Centers for Medicare and Medicaid Services (CMS) approved State Plan Amendment (SPA) 160004. The SPA allows for a 50% rate enhancement for Part 822 Outpatient Program Peer Advocate Services.

 

Crisis Intervention Benefit: Mobile Crisis Component Benefit and Billing Guidance

A new Crisis Intervention benefit became effective in Medicaid Managed Care in New York City in 2015, and for the remainder of New York State (State) in 2016. The Crisis Intervention benefit is comprised of several service components that are available to children, youth, and adults. The benefit components include Mobile Crisis services as well as residential and stabilization services.

Community Health Choices Fact Sheet: Service Coordination

SERVICE COORDINATION includes activities to identify, coordinate, and assist participants in obtaining access to needed health services and in-home supports, as well as social and housing services needed to help participants live in their communities. Under CHC, a service coordinator is a managed care organization’s (CHC-MCO) designated, accountable point-of-contact for each participant receiving long-term care services, their person-centered service plan (PCSP), and service coordination.

NOW AVAILABLE: AMENDMENTS TO THE CONSOLIDATED, COMMUNITY LIVING, AND P/FDS WAIVERS SUBMITTED TO CMS

The Office of Developmental Programs (ODP) is pleased to announce that the amendments for the Consolidated, Community Living and P/FDS waivers were submitted to CMS on July 19, 2019. The submitted waivers include modifications that were made as a result of the comments received by 17 individuals, families, agencies, and organizations. Each full waiver application, as well as a side-by-side of substantive changes made as a result of public comment, is available online here.
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