Update to 2021 MLTC VBP Quality Measure Sets

There has been an update to the 2021 MLTC VBP Quality Measure Sets available on the Value Based Payment (VBP) Resource Library web page. The following has been added:

Please note: Due to COVID-19 and the Department’s continued suspension of Community Health Assessments for reassessment of MLTC enrollees during the current public health emergency, the calculation of the MLTC VBP Category 1 measures, except for the Potentially Avoidable Hospitalization (PAH) measure, will likely not be possible for 2021. As a result, both parties, plan and provider, should pre-plan how to evaluate VBP contracts should only PAH be available.

The 2021 MLTC VBP Quality Measure Sets can be found on the VBP Resource Library web page at https://health.ny.gov/health_care/medicaid/redesign/dsrip/vbp_library/index.htm, under the VBP Quality Measures subheading and the selection Measurement Year 2021.

For questions regarding the 2021 Quality Measure Sets please contact: vbp@health.ny.gov.

Thank you.

Medicaid Redesign Team Updates
New York State Department of Health
Office of Health Insurance Programs
One Commerce Plaza
Albany, NY 12237
mrtupdates@health.ny.gov

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36