New York Medicaid Redesign Team - MLTCP Amendment Request

New York is submitting a request to amend its Medicaid Redesign Team (MRT) demonstration. The goal of the amendment is to limit the nursing home benefit in Managed Long Term Care Capitation Plans (MLTCP) to three months for enrollees who have been designated as permanently placed in a skilled nursing or residential health care facility (nursing home). After the three month period, the beneficiary will be involuntarily disenrolled and coverage for nursing home services, in the same facility, will be covered by Medicaid fee-for-service-as long as the individual qualifies for institutional Medicaid coverage. The amendment also aligns the lock-in policy of MLTCP with Mainstream Managed Care Plans (MMCP). The federal public comment period will be open from September 26, 2018 through October 26, 2018

Application Document

 

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