5 |
Reduce and Control Utilization of Certified Home Health Agency Services |
6 |
Reduce Medicaid Managed Care and Family Health Plus Profit (from 3% to 1%) |
10 |
Eliminate Direct Marketing of Medicaid Recipients by Medicaid Managed Care Plans |
11 |
Bundle Pharmacy into MMC |
13 |
Preschool/School Supportive Health Services Program (SSHSP) Cost Study |
14 |
Restructure Reimbursement for Proprietary Nursing Homes |
15 |
Comprehensive fee–for–service pharmacy reform |
17 |
Reduce fee–for–service dental payment on select procedures |
18 |
Eliminate spousal refusal. |
21 |
Streamline the Processing of Nursing Home Rate Appeals |
24 |
Payment for Enteral Formula with Medical Necessity Criteria |
25 |
Remove Physician Component from Ambulatory Patient Group (APG) Base Rates |
26 |
Utilization Controls on Behavioral Health Clinics |
29 |
Reduce Transportation Costs through Regional Management Recommended Targeted Fee Actions |
30 |
align Payment for Prescription Footwear with Medical Necessity |
31 |
Eliminate worker recruitment and retention |
34 |
Establish Utilization Limits for PT, OT, and Speech Therapy/Pathology |
37 |
Eliminate Case Mix Adj for AIDS Nursing Svcs in CHHA and LTHHCP Programs |
41 |
Establish the Public Health Services Corps |
42 |
Limit MA coverage for compression stockings to the MC criteria, include coverage during pregnancy. |
49 |
Reimburse Art 28 clinics for HIV counseling/testing using APGs |
54 |
Adjust 340B Drug payment in 340B–eligible clinics via Ambulatory Patient Groups (APGs) |
55 |
Increase coverage of tobacco cessation counseling |
60 |
Delink Workers Compensation and No Fault Rates from Medicaid |
61 |
Home Care Worker Parity – CHHA / LTHHCP / MLTC |
67 |
Assist Preservation of Essential Safety–Net Hospitals, Nursing Homes and D&TCs |
68 |
Repatriate Individuals in out of state placements |
69 |
Uniform Assessment Tool (UAT) for LTC |
70 |
Expand current statewide Patient–Centered Medical Homes (PCMH) |
82 |
Reduce Reimbursement for Hospital Acquired Conditions and Potentially Preventable Conditions |
83 |
Expand SBIRT for alcohol/drug to hospital clinic, DTC and office settings. |
89 |
Implement Health Home for High–Cost, High–Need Enrollees |
90 |
Mandatory Enrollment in MLTC Plans/Health Home Conversion |
93 |
Establish behavioral health organizations to manage carved–out behavioral health services |
101 |
Develop Initiatives to Integrate and Manage Care for Dual Eligibles |
102 |
Centralize Responsibility for Medicaid Estate Recovery Process |
103 |
Reduce Inappropriate Use of Certain Services |
104 |
Increase Enrollee Copayment Amounts for MA Fee–for–Service and FHP; Require Copayments for CHP |
109 |
Require Hospitals and Nursing Homes to provide Patient Centered Palliative Care |
116 |
Accelerate IPRO Review of Medically Managed Detox (Hosp) |
121 |
Better utilize County Nursing Homes |
129 |
State Authority to Supervise Integration of Health Services and Providers to Minimize Anti–Trust Exposure |
131 |
Reform Medical Malpractice and Patient Safety |
132 |
Expand the Definition of Estate |
133 |
Administrative Renewal for Aged and Permanently Disabled |
134 |
Audit Cost Reports (rather than certification) |
137 |
Disregard retirement assets such as 401K plans for MBI–WPD |
139 |
Implement the new waiver for LTHHCP |
141 |
Accelerate State Assumption of Medicaid Program Authorization |
144 |
Eliminate Duplicative Surveillance Activities (Labs/psychiatry) |
147 |
Eliminate or modify unnecessary regulations and improvements for capital access |
150 |
Develop an Automated Exchange/Medicaid Eligibility System |
153 |
Develop innovative telemedicine applications by reducing regul. barriers and providing $ incentives |
154 |
Enhance and improve the State's Medicaid program integrity efforts. |
164 |
align Medicare Part B clinic coinsurance with Medicaid coverage and rates |
191 |
Decrease the Incidence and Improve Treatment of Pressure Ulcers |
196 |
Supportive Housing Initiative |
200 |
Change in scope of practice for mid–level providers to promote efficiency and lower Medicaid costs. |
209 |
Expand Hospice |
217 |
Create an office for development of patient–centered primary care initiatives |
243 |
Accountable Care Organizations (ACOs) |
264 |
Apply HCRA Surcharges to Physician Office Based Surgery and Radiology Services |
889 |
Redesign NYS bedhold policy for nursing homes. |
990 |
Adjust Reimbursement Rates to Support Efforts to Address Health Disparities |
1021 |
Facilitating Co–Located physical health/behavioral health/developmental disabiilty services |
1029 |
Enrollment and Retention Simplification |
1032 |
Establish a Housing Disregard as Incentive to Join MLTC |
1058 |
Maximize Peer Services |
1116 |
Apply 60 Month Look Back Period to Non–Institutional LTC |
1172 |
Nursing Home Sprinkler Loan Pool |
1427 |
Allow consumer direction in MLTC; provide regulatory framework for CDPAP |
1434 |
Convert a portion of Family Planning grants to Medicaid rate reimbursement |
1451 |
Establish various MRT workgroups |
1458 |
Managed Care Population and Benefit Expansion, Access to Services, and Consumer Rights |
1462 |
LTC insurance proposals |
4648 |
Family Planning Benefit Program as a State Plan Service |
4647 |
Expand Managed Addiction Treatment Program (MATS) |
4651 |
Global Spending Cap on Medicaid Expenditures |
4652 |
Reform Personal Care Services Program in NYC |
Follow Us