DOH Clarifies Nursing Home Transition Dates

The State revised the scheduled transition of the Nursing Home Benefit and Population into Medicaid Managed Care. The downstate phase-in will now occur in two phases with the transition in New York City boroughs (Phase 1) commencing on Feb. 1, 2015. New permanent nursing home residents in Nassau, Suffolk and Westchester counties (Phase 2) will be required to enroll in a Medicaid Managed Care or Medicaid Managed Long Term Care Plan beginning on April 1, 2015. The rest of the State (Phase 3) will transition starting July 1, 2015.     

Starting in October 2015, nursing home residents not mandated to join a managed care plan (i.e., those grandfathered into Medicaid fee-for-service as permanent nursing home residents prior to the transition date) will be able to do so voluntarily.

Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841