Implementing Long-Term Care Reform in New York's Medicaid Program

Author/Editor: Sarah Samis, Andrew Detty, and Michael Birnbaum

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This report examines the implementation of Medicaid policy changes in New York, which will require participation in care management for dually eligible beneficiaries receiving long-term care services. Until now such beneficiaries have typically received these services under a fee-for-service payment model.

With the new State policy shifting the Medicaid long-term care health benefit into a new care management framework, this report explains and considers potential strategies and options for improving the management of long-term care services for elderly and disabled Medicaid beneficiaries, and addresses the issues of balancing residential and community-based long-term care, refining reimbursement for long-term care services, and providing effective care management.

Read an accompanying report, Implementing Behavioral Health Care Reform in New York’s Medicaid Program.

Copyright: 2012
Published: 02.27.2012

 

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