Mandatory Managed Long-Term Care in New York's Medicaid Program: Key Eligibility and Enrollment Issues
See the related press release.
Since 2012, New York State has been implementing mandatory managed long-term care (MLTC) for Medicaid beneficiaries relying on community-based long-term care services and supports for the frail elderly and physically disabled, such as personal care, home health services, and private duty nursing.
This issue brief provides an overview of New York’s mandatory MLTC enrollment policy. It examines the growth in overall managed long-term care enrollment from 2010 to 2013, as well as growth by region and product line. Lastly, it discusses key operational issues related to the major changes in eligibility and enrollment processes triggered by shifting high-need Medicaid beneficiaries from fee-for-service into managed care.
Download this report below. Also, read and accompanying data brief, Home- and Community-Based Long-Term Care in New York's Medicaid Program: New Data on Service Use and Spending, which analyzes the service use and spending data related to this policy change.
Resources for family caregivers and health care providers are available at our Next Step in Care website.