DOH posts Care Management Administrative Services Contracts - December 4, 2012

DOH posted the Care Management Administrative Services (CMAS) Contract Guidelines to allow for the contracting between a Managed Long Term Care Plan (MLTCP) and either a licensed health care provider (including, but not limited to, a health care facility licensed or certified in accordance with the provisions of article 28 or 36 of the public health law, an adult day health program established under Part 425 of 10 NYCRR, a facility or service licensed or certified by the mental hygiene law or an entity otherwise approved by the department as capable to render the services contemplated by this agreement) or an independent practice association, as defined in 10 NYCRR 98-1.2(w), composed of such licensed and certified entities to perform care management services.

Care management services and a care plan/person-centered service plan are defined in the contract guidelines and standard clauses.

LeadingAge NY and other associations, that included the State Health Plan Associations, worked for months in drafting a contract that would be balanced and flexible for all.  The majority of our recommendations were included in the final CMAS Guidelines. The entire documents can be viewed here, under MRT 90: Mandatory Enrollment Managed Long Term Care.

LeadingAge NY will be offering a free audio conference this month to review the contract language in depth for those members who want to pursue contracting for CMAS.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871