LeadingAge New York Comments on Proposed Federal Medicaid Managed Care Regulations

LeadingAge New York submitted comments yesterday on proposed comprehensive amendments to the federal Medicaid managed care regulations.  Our comments focused on the implications of the regulations for managed care programs that principally serve beneficiaries who need long term services and supports (LTSS).  We sought to ensure recognition in the rate setting process of the complex needs of these beneficiaries.  In addition, our comments advocated for appropriate consideration in the rate setting process of costs associated with assessments, care management, information technology, and telehealth.  Other key issues addressed by the comments include:

• The relationship between the proposed regulations and inconsistent provisions of the Section 1115 waiver and the Fully Integrated Duals Advantage (FIDA) Program memorandum of understanding;
• The timeline for implementation of the home and community-based settings standards in managed care programs;
• Quality measurement in managed LTSS programs; and
• Provider screening and enrollment in Medicaid managed care plans.

The full text of the regulations is available here, and an overview is available here.

Contact: Karen Lipson, klipson@leadingageny.org; 518-867-8383 ext. 124.