Transition to Managed Care for Nursing Home Population

Sun., Feb. 1, 2015 marks the start date of mandatory Medicaid managed care enrollment for new permanent nursing home residents in New York City. Any Medicaid-eligible individual who is permanently placed in a nursing home in New York City after Feb. 1 will be required to enroll or remain in a managed long term care plan (if dually eligible) or mainstream managed care plan (if Medicaid-only eligible). Enrollment will become mandatory in Westchester and Long Island on Wed., April 1, 2015, with the rest of the State scheduled for Wed., July 1. 

As part of the preparation for this change, DOH held a webinar (archived here) to review transition issues. After the presentation, DOH staff fielded questions, some of which are included in a FAQ compilation available here. The 20-page document addresses many outstanding questions that LeadingAge New York submitted to DOH previously, although we continue to pursue answers to some key unknowns. LeadingAge NY participates on the Nursing Home Transition Workgroup and will keep members informed of developments.

Contact: Darius Kirstein, dkirstein@leadingageny.org or Dan Heim, dheim@leadingageny.org or at 518-867-8383