19 |
Eliminate D&TC Bad Debt and Charity Care |
Recalibrate Medicaid Benefits and Reimbursement Rates |
27 |
Eliminate Empire Clinical Research Investigator Program (ECRIP) Funding |
Recalibrate Medicaid Benefits and Reimbursement Rates |
33 |
Inpatient Rehabilitation (IPR) Redesign to Enhance FFP |
Recalibrate Medicaid Benefits and Reimbursement Rates |
36 |
Contract Dental Management Vendor for Fee For Service & Medicaid Managed Care Recipients |
Recalibrate Medicaid Benefits and Reimbursement Rates |
51 |
Limit Coverage of Eyeglass Replacement |
Recalibrate Medicaid Benefits and Reimbursement Rates |
53 |
Revise Inpatient Detox Reimb. to Incentivize Step-Down Care |
Recalibrate Medicaid Benefits and Reimbursement Rates |
63 |
Reimbursement for dedicated preconception visits |
Recalibrate Medicaid Benefits and Reimbursement Rates |
64 |
Provide direct reimbursement for Nurse Practitioners and Physician Assistants in clinics. |
Recalibrate Medicaid Benefits and Reimbursement Rates |
73 |
Reimburse Local Health Departments for environmental lead investigations for children |
Recalibrate Medicaid Benefits and Reimbursement Rates |
74 |
Increase Medicaid payment for vaccine administration |
Recalibrate Medicaid Benefits and Reimbursement Rates |
80 |
Reassess Prescription Drug Purchasing Policies |
Recalibrate Medicaid Benefits and Reimbursement Rates |
81 |
Implement Statewide Program to Encourage NHs to Refinance Mortgages |
Recalibrate Medicaid Benefits and Reimbursement Rates |
87 |
Reduce Unnecessary Hospitalizations - Geographic Community Based Pay for Performance |
Pay Providers Based On Performance |
88 |
Incentivize providers to screen for BH issues in children |
Recalibrate Medicaid Benefits and Reimbursement Rates |
107 |
Tax Credits for Relatives to Contribute toward LTC Costs |
Ensure Consumer Protection and Promote Personal Responsibility |
117 |
Review Coler& Goldwater Memorial Hosp |
Eliminate Fraud and Abuse |
119 |
Enhance School Based Health Services Care |
Empower Patients and Rebalance Service Delivery |
124 |
Create and deploy a permanent, revolving Primary Care Capital Access Fund (PCCAF). |
Empower Patients and Rebalance Service Delivery |
125 |
Bonus for high volume Medicaid physicians |
Empower Patients and Rebalance Service Delivery |
128 |
Allow LTHHCPs to offer Hospice |
Empower Patients and Rebalance Service Delivery |
136 |
Eliminate 60/30 Day Notice Requirement |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
140 |
Presumptive Eligibility for Long-term Care |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
142 |
Eliminate Barriers to Recruiting and Retaining Healthcare Workforce. |
Empower Patients and Rebalance Service Delivery |
143 |
Continue improvements in State CON Program |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
148 |
Reduce or eliminate the local County share of the Medicaid program |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
152 |
Repeal Section 2801d of Public Health Law |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
158 |
Requires use of BNE´s online Dr. Shopper Program |
Eliminate Fraud and Abuse |
172 |
Sole-source contract for eyeglasses |
Recalibrate Medicaid Benefits and Reimbursement Rates |
173 |
Impose Moratorium on Medicaid Rate Cuts |
Recalibrate Medicaid Benefits and Reimbursement Rates |
176 |
Site-specific Cost reporting |
Recalibrate Medicaid Benefits and Reimbursement Rates |
178 |
Reduce Spending & Phase–out LTHHCP |
Recalibrate Medicaid Benefits and Reimbursement Rates |
179 |
Establishing reimbursement for services delivered by community health workers |
Recalibrate Medicaid Benefits and Reimbursement Rates |
181 |
Coverage for obesity counseling/diabetes prevention services |
Recalibrate Medicaid Benefits and Reimbursement Rates |
182 |
Enhance coordination of benefits between Medicaid and the Women, Infants, and Children (WIC) Program. |
Recalibrate Medicaid Benefits and Reimbursement Rates |
183 |
Submit a 1915i State Plan for home and community-based services for HIV Medicaid population at risk of nursing home status |
Recalibrate Medicaid Benefits and Reimbursement Rates |
184 |
Urge Congress to enact a single payer national health care system (H.R. 676) |
Recalibrate Medicaid Benefits and Reimbursement Rates |
185 |
Prepaid Medicaid Services |
Recalibrate Medicaid Benefits and Reimbursement Rates |
186 |
Create and Enhanced Case Mix Adjustment for High Cost Patients with Complex Needs |
Recalibrate Medicaid Benefits and Reimbursement Rates |
187 |
Incentivize to Promote Innovation and Reform |
Recalibrate Medicaid Benefits and Reimbursement Rates |
188 |
Eliminate Transitional Care Units (TCU´s) |
Recalibrate Medicaid Benefits and Reimbursement Rates |
190 |
Convert Fee-for-Service LTHHCP Reimbursement to a Case Payment Based Methodology |
Recalibrate Medicaid Benefits and Reimbursement Rates |
192 |
Consolidate Low-income Health Insurance Programs |
Ensure That Every Medicaid Member is Enrolled in Care Management |
193 |
Phase out of Healthy NY |
Ensure That Every Medicaid Member is Enrolled in Care Management |
194 |
Capitation Partnership |
Ensure That Every Medicaid Member is Enrolled in Care Management |
195 |
Coordinate Services for Public Assistance |
Ensure Consumer Protection and Promote Personal Responsibility |
199 |
More marketing of programs such as premium assistance and MBI- WPD. |
Ensure Consumer Protection and Promote Personal Responsibility |
201 |
NH/ALP 6,000 Program Elimination |
Empower Patients and Rebalance Service Delivery |
203 |
Expand LTC Community Based Services; implement ACA provisions |
Empower Patients and Rebalance Service Delivery |
205 |
Improve access to care by utilizing Mobile Health Clinics |
Empower Patients and Rebalance Service Delivery |
206 |
Evaluation of Best Practices in Existing LTC Programs |
Empower Patients and Rebalance Service Delivery |
207 |
Establish the Center for Health System Innovation within the Dept of Health |
Empower Patients and Rebalance Service Delivery |
208 |
Accelerate State takeover of administration of Medicaid long-term care programs. |
Empower Patients and Rebalance Service Delivery |
210 |
Allow Nursing Homes to resize or develop non institutional alternatives with funding for transition |
Empower Patients and Rebalance Service Delivery |
212 |
Promoting Electronic Health Record (EHR) Adoption and Health Information Exchange (HIE) |
Empower Patients and Rebalance Service Delivery |
214 |
Rebalance long term care |
Empower Patients and Rebalance Service Delivery |
215 |
Enhance Nursing Home Care Coordination |
Empower Patients and Rebalance Service Delivery |
216 |
Prevention of unnecessary institutionalization |
Empower Patients and Rebalance Service Delivery |
218 |
State Take Over and Enforce the Collection of NAMI |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
219 |
Advocate Changes to Federal EMTALA Rules |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
221 |
Administrative Simplification |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
222 |
Healthcare Information Technology Funding |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
223 |
Consolidate and create ONE agency who will regulate and oversee ALL Long Term Care needs. |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
224 |
Allow Electronic Fund Payments (EFT) in Medicaid |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
225 |
Create an All Payer Claims System (expanded SPARCS system) |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
226 |
Establish a Rate Setting Advisory Commission |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
227 |
Consolidate Oversight of Health Coverage |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
228 |
Adjust cost compared to Similar States |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
229 |
Assisted Living facility discharge policy change |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
234 |
Allow publicly traded companies to own and operate nursing homes |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
235 |
Streamline Quality Reporting |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
236 |
Reorganize ACF/AL survey process to focus on poor performing facilities and "look-alikes" |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
239 |
Expedite Medicaid billing |
Eliminate Fraud and Abuse |
240 |
Audit to confirm consistency for supply and medication claims |
Eliminate Fraud and Abuse |
241 |
ACA Implementation - Basic Health Plan/Public Option |
Better align Medicaid with Medicare and ACA |
244 |
Salary Incentives to Residents in Medically Underserved Communities |
Empower Patients and Rebalance Service Delivery |
253 |
Allow use of non-enrolled providers and reimburse up to the FFS rate. |
Recalibrate Medicaid Benefits and Reimbursement Rates |
270 |
Improve eMedNY |
Eliminate Fraud and Abuse |
869 |
Adult Day Health Care as Medicare Covered Services |
Empower Patients and Rebalance Service Delivery |
981 |
Streamline Provider Credentialing and Enrollment |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
982 |
Verification of DME Billing |
Eliminate Fraud and Abuse |
983 |
Access to Special Needs Equipment |
Recalibrate Medicaid Benefits and Reimbursement Rates |
984 |
Expand Medicaid Coverage for Alternative Treatment Modalities |
Recalibrate Medicaid Benefits and Reimbursement Rates |
986 |
Modify Preferred Diabetic Supply Program |
Recalibrate Medicaid Benefits and Reimbursement Rates |
987 |
Reimburse Article 28 clinics for services provided by Registered Nurses and Licensed Practical Nurses |
Recalibrate Medicaid Benefits and Reimbursement Rates |
989 |
Increase Medicaid reimbursement for primary care |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1002 |
Include more staffing indicators in quality add-ons to Medicaid rate. |
None |
1014 |
Adopt Consumer Directed Models of Care for the Disabled |
Empower Patients and Rebalance Service Delivery |
1020 |
Limit Payment for Out of State Services to not Exceed NYS Published Rate |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1022 |
Managed Long Term Care Network Development |
Ensure That Every Medicaid Member is Enrolled in Care Management |
1025 |
Establish Comprehensive Utilization Review |
Ensure Consumer Protection and Promote Personal Responsibility |
1027 |
Use of Standardized Medical Coding |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1034 |
ACA - End Programs Once Coverage Available in Exchange |
Better align Medicaid with Medicare and ACA |
1044 |
Improve Pharmacy Benefit Case Management |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1048 |
Mental Health Medications Carve–Out |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1056 |
Medication Therapy Management (MTM) Services |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1057 |
Drug Trial Period of 14 days |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1085 |
Use Actual Acquisition Costs as Benchmark for Drug Reimbursement |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1086 |
Mandate Payment of Copayment |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1096 |
Improve the Pharmacy Reimbursement Policies |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1110 |
Refocus OMIG on Eliminating Fraud and Abuse |
Ensure Consumer Protection and Promote Personal Responsibility |
1112 |
Support Passage of Collaborative Drug Therapy Management (CDTM) |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1113 |
Convert Prepaid Mental Health to Cost for Service |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1114 |
Enhanced E-Prescribing for Better Decision-Making |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1118 |
Continue Funding for Oral Health Care |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1120 |
Require Hospitals to Fully Integrate Pharmacists into Staffing |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1127 |
Consolidate the Medicaid Dental Program and use State-of- the Art Management Technology |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1140 |
Maintain Funding for Facilitated Enrollment |
Ensure Consumer Protection and Promote Personal Responsibility |
1142 |
Replace State-operated System With Private Treatment Centers |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1143 |
Allow CBO´s to "Piggy-Back" on OGS Vendor Contracts |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1144 |
Eliminate County/Municipal Duplication of Service |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1146 |
No Increase in Drug Treatment Capacities |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1147 |
Juvenile Justice Reform |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1169 |
Explore computer programs |
None |
1193 |
Adopt a 85% Medical Loss Ratio for Medicaid Managed Care Programs |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1201 |
Include registered dietitians as providers |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1222 |
New service links |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1230 |
Convene a workgroup for regulatory reforms |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1252 |
Require MCOs to obtain NCQA Accreditation |
Ensure That Every Medicaid Member is Enrolled in Care Management |
1273 |
Assisted Living Program (ALP) Redesign Proposal |
Empower Patients and Rebalance Service Delivery |
1281 |
Establish Disease Management Programs |
Empower Patients and Rebalance Service Delivery |
1283 |
Negotiated Rates for Nursing Homes |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1286 |
Do Not Implement Regional Pricing for Nursing Homes |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1297 |
Expansion of Federally Qualified Health Centers (FQHC) as health homes |
Empower Patients and Rebalance Service Delivery |
1299 |
Inpatient Detox Services |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1304 |
Allow home care/personal care consumers to bank/save authorized hours |
Ensure Consumer Protection and Promote Personal Responsibility |
1310 |
Higher Reimbursement Rates for Home Care Private Duty Nursing |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1348 |
Improve Private Duty Nursing Benefit |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
1358 |
Convert prepaid MH services to cost for services |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1368 |
Restore funding for Alzheimer´s Coalition Chapters |
Empower Patients and Rebalance Service Delivery |
1374 |
ACA Implementation- Early Implementation of Medicaid Expansion |
Better align Medicaid with Medicare and ACA |
1377 |
Develop Standards for Home Health Aide Utilization. |
Eliminate Fraud and Abuse |
1383 |
Increase Medicaid fee schedule amounts for psychiatry |
Better align Medicaid with Medicare and ACA |
1395 |
Recover Overpayments Resulting From Erroneous MCO Cost Reports |
Eliminate Fraud and Abuse |
1397 |
Recover Medicaid Payments From Network Providers in Cases of Fraud |
Eliminate Fraud and Abuse |
1422 |
Redesign Long Term Care Services |
Empower Patients and Rebalance Service Delivery |
1426 |
Hospice Outreach |
Empower Patients and Rebalance Service Delivery |
1439 |
Restructure Alcoholism Treatment Centers |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1454 |
Modify the Case Mix Medicaid Nursing Home System to Encourage Quality, Access, Efficiency |
Recalibrate Medicaid Benefits and Reimbursement Rates |
1456 |
Medicaid LTC Buy-In Program |
Ensure Consumer Protection and Promote Personal Responsibility |
4617 |
Enhance community support to maintain senior citizens in their homes |
Not Assigned |
4620 |
Expand Home and Community–Based Services |
Not Assigned |
4621 |
Increase Physician Fee Schedule Rates |
Recalibrate Medicaid Benefits and Reimbursement Rates |
4633 |
Broaden HIV Special Needs Plans benefits and convert home-based services programs to managed long-term care plans |
Ensure That Every Medicaid Member is Enrolled in Care Management |
4634 |
Decrease Use of General Hospitals for Detox |
Recalibrate Medicaid Benefits and Reimbursement Rates |
4637 |
Multiple approaches to reduce indoor air pollution as a means of reducing respiratory inflammation and in turn ED, urgent care and |
None |
4639 |
Expand Medicaid case management to include licensed therapists/social worker or medical partner/nurse to assist with short term therapeutic |
Empower Patients and Rebalance Service Delivery |
4640 |
Multiple including: reduce recertification process to 1 or 2 times annually, additional physician training for HIV/AIDS treatment, |
Empower Patients and Rebalance Service Delivery |
4641 |
Preserve New York´s Regional Training Centers for HIV/AIDS |
Eliminate Government Barriers to Quality Improvement and Cost Containment |
4643 |
Reform of the EI program by requiring that commercial insurers provide coverage for all services that counties deem medically necessary |
Recalibrate Medicaid Benefits and Reimbursement Rates |
4650 |
Establish "special needs plans" (SNPs) to manage care for those with SMI/SUDS |
Recalibrate Medicaid Benefits and Reimbursement Rates |
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