Nursing Home Managed Care Transition: DOH Update and Meeting/Webinar
Medicaid Update
The February 2014 edition of the Department of Health (DOH) Medicaid Update focuses on the nursing home managed care transition now slated to start as of April 1, 2014. (In addition, there is important information on the Oct. 1, 2014 transition to ICD-10.) Please be sure to review this update and keep on reference.
The update includes the following revised phase in schedule for the transition of nursing home residents to managed care.
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Nursing Home Transition Phase-In Schedule
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Month |
County |
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April 1, 2014 Phase 1 |
New York City - Bronx, Kings, New York, Queens, Richmond Nassau, Suffolk, Westchester |
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October 1, 2014 |
For the above counties - voluntary enrollment in Medicaid managed care becomes available to individuals residing in nursing homes who are in fee-for-service Medicaid |
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October 1, 2014 Phase 2 |
Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chenango, Clinton, Columbia, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Greene, Hamilton, Herkimer, Jefferson, Lewis, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Orange, Oswego, Otsego, Putnam, Rensselaer, Rockland, St. Lawrence, Saratoga, Schenectady, Schoharie, Steuben, Sullivan, Ulster, Warren, Washington |
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November 1, 2014 Phase 3 |
Chemung, Cortland, Schuyler, Seneca, Tioga, Yates |
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December 1, 2014 Phase 4 |
Genesee, Livingston, Ontario, Orleans, Tompkins, Wayne, Wyoming |
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January 1, 2015 |
All remaining counties – voluntary enrollment in Medicaid managed care becomes available to individuals residing in nursing homes who are in fee-for-service Medicaid |
Source: NYS Dept. of Health February 2014 Medicaid Update
The article lists DOH resources for questions regarding the transition as the Division of Health Plan Contracting and Oversight at 518-473-1134, or the Division of Long Term Care at 518-474-6965, or email to omcmail@health.state.ny.us.
Meeting/Webinar
DOH is hosting an in-person meeting/webinar on the nursing home transition to managed care for those managed care plans, nursing homes and consumer representatives located in NYC, Long Island or Westchester County on March 10th. The in-person meeting will be held at the DOH Offices, 4th floor, Conference Room 4 A/B, 90 Church Street, New York, NY. Because of space limitations, only one person from each nursing home or plan will be permitted to attend this meeting. As soon as we receive registration instructions for the in-person meeting, we will forward them to members.
The meeting will be webcast for those that are unable to attend in person. To participate in the webinar (pre-registration not needed), please note the following from DOH:
Topic: NYS DOH Transition of NH Benefit and Population into Managed Care
Date and Time: Monday, March 10, 2014 10:30 a.m.
Webinar Address: https://meetny.webex.com/meetny/onstage/g.php?d=645662890&t=a.
LeadingAge New York strongly encourages members located in the FIDA demonstration region to hold this date/time and participate in the session.
Contact: Patrick Cucinelli, pcucinelli@leadingageny.org, 518-867-8383