Posts Tagged ‘home care’

As of early 2018, about 229,000 New Yorkers received health services through the state managed long-term care (MLTC) plans. These plans allow patients to use Medicaid or Medicare to receive home health care. The goal in many cases is to keep patients in their homes as long as possible, so home health care is an […]

Additional information on the Medicare Prescription Drug Benefit Copayment and premium amounts for 2018: Part B premium: $134 per month on average. If your income is above $85,000 (single) or $170,000 (married couple), then your Medicare Part B premium may be higher. Co-payments: Inpatient hospital deductible: $1,340. Inpatient hospital copay for days 61 – 90: […]

New York will apply Medicaid “spousal impoverishment” budgeting rules for home care under the Managed Long Term Care (MLTC) program. New York’s laws on spousal impoverishment budgeting, New York Social Services Law § 366-c(2)(a), was amended in 2013 to include for the purposes of budgeting under the definition an “institutionalized spouse” a person who is […]

Please note, the New York Legislature in its 2018 Budget bill has “carved out” nursing home services from Medicaid managed care. The New York State Department of Health (DOH) has announced that the new date for the transition of nursing home residents into managed care plans is slated to start June 1, 2014 (previously April 1) for new permanent placements in […]

Couples, where one person is receiving Medicaid home care through the Managed Long Term Care program will be able to use the “spousal impoverishment” budgeting rules or the old community based budgeting rules – whichever is more favorable. On Sept. 24, 2013, New York State Department of Health announced that “spousal impoverishment protections” are available […]

Persons being discharged from a hospital or nursing home will often first get home health services under Medicare and Medicaid from a Certified Home Health Agency (CHHA).   Medicare CHHA services are limited and have strict criteria. Medicare CHHA services are only available if the recipient is homebound and requires the intermittent services of a skilled nurse or therapist. Medicare […]