New Developments with LTHHCP and MLTCs

DOH posted an update on the LTHHCP as a result of the Medicaid waiver amendment approval by CMS. The update consists of:

• MLTC policy 13.10, which announces an extension of the continuity of care policy from 60 days to 90 days;
• Each enrollee who is receiving community based long-term care services and supports will continue to receive services under the enrollee’s pre-existing service plan for at least 90 days after enrollment, or until a care assessment has been completed by the Managed Care Organization (MCO), whichever is later;
• Duals-Mandated MLTC enrollment for dual-eligible LTHHCP participants began April 1, 2013 in New York City, Nassau, Suffolk, and Westchester counties and patients are receiving the usual general announcement letter;
• Non-duals- Providers were notifed around May 14 that referrals for NEW non-dually eligible (Medicaid-only) applicants to the LTHHCP ceased on a statewide basis as of May 15, 2013; and
• Non-duals- Now that the door has shut - any Medicaid only applicant for the LTHHCP has to first enroll into a managed care plan before they can obtain services from the LTHHCP. This will be contingent upon the contractual relationship the plan has with the LTHHCP.

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