|
Catch–All Workplan |
|
6001 |
Gold STAMP Program to Reduce Pressure Ulcers |
Completed |
6002 |
Balance Incentive Program (BIP) |
Merged #8010 |
6003 |
Federal Revenue from Additional Emergency Medicaid Claiming and Other Possible Efforts |
Completed |
6004 |
PCMH Savings |
Completed |
6005 |
Increase Efficiency of Transportation Utilization by Transportation Manager |
Completed |
6006 |
Accelerate BHO |
Merged into VBP |
6007 |
Managed Care Efficiency Adjustment |
Merged #10201 |
6008 |
Reduce Accounts Receivable Balances (Part B) |
Merged #10201 |
6009 |
Accelerate MLTC Enrollment |
Completed |
6010 |
Develop Initiatives to Integrate and Manage Care for Dual Eligibles (Fully Integrated Duals Advantage - FIDA) |
Completed |
6011 |
OPWDD Fully Integrated Duals Advantage - FIDA |
Completed |
6013 |
NYCOTB |
Completed |
6014 |
Family Health Plus Program discontinuation |
Completed |
6015 |
Home Care Workers Benefits |
Completed |
6016 |
Inappropriate Suboxone (buprenorphine/naloxone) Utilization |
Completed |
6017 |
Provider on Review (edit 1142) |
Completed |
6018 |
Upcoding and Billing Inconsistencies in Assisted Living Programs (ALP) |
Completed |
6019 |
Salient Challenge - High Opioid Prescriber Awareness |
Cancelled |
6020 |
Salient Challenge - Dose Optimization |
Completed |
6021 |
Enforce billing restriction to prevent Nurse Practitioners, Physician Assistants, and Nurse-Midwives from being paid separately for practitioner claims for services provided in (Article 28) hospitals. |
Merged #11002 |
6022 |
Restrict reimbursement to providers for incompatible rate code and/or Category of Service combinations. |
Completed |
|
Affordable Housing Work Group |
|
6101 |
Health Homes Supportive Housing Pilot Project |
Completed |
6102 |
OMH Supported Housing Services Supplement |
Completed |
6103 |
Homeless Senior Placement Pilot Project |
Completed |
6104 |
Health Home HIV + Rental Assistance Pilot Project |
Completed |
6105 |
Senior Supportive Housing Pilot Project |
Completed |
6106 |
Step-Down/Crisis Residence Capital Conversion Pilot Project |
Completed |
6107 |
Nursing Home to Independent Living Rapid Transition |
Completed |
|
Operations Work Plans |
|
6201 |
Activating Ordering/Prescribing/Referring/Attending Edits |
Completed |
6202 |
Incontinence Supply Contractor |
Completed |
6203 |
Increase Manual Review of Claims |
Completed |
6204 |
Hearing Aid Administrative Streamlining |
Completed |
|
Pharmacy Work Plans |
|
6301 |
Implement Appropriateness Edits on Emergency Medicaid Claims |
Completed |
6302 |
Expand Prescriber Prevails to additional classes in Managed Care |
Completed |
6303 |
Mail Order Pharmacy |
Completed |
6304 |
Merge P&T Committee and DUR Board |
Completed |
|
Health Homes Work Plans |
|
6401 |
Develop and Implement Health Home Portal (Move Tracking System off HCS Platform) |
Completed |
6402 |
Enrolling Children into Health Homes (HH) |
Completed |
6403 |
Guidance for Hospitals to Refer Patients to the HH Program |
Completed |
6404 |
Oversight of Grievances/Complaints, Incident Reporting, and Site Visits |
Completed |
6405 |
Health Home Implementation Grants |
Completed |
6406 |
Shared Savings SPA 12-09 |
Cancelled |
|
Basic Benefit Work Group |
|
6501 |
Lumbar Discography |
Completed |
6502 |
Transcutaneous Nerve Stimulation (TENS) for Treatment of Pain |
Completed |
6503 |
Implantable Infusion Pumps for Non-Cancer Pain |
Completed |
6504 |
Functional Electrical Stimulators (FES) |
Completed |
Follow Us