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