Transition of Medicaid Nursing Home residents into Managed Care

by David Goldfarb Goldfarb Abrandt & Salzman LLP

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 the downstate area.

Effective June 1, 2014, in NYC, Nassau, Suffolk and Westchester counties all eligible beneficiaries age 21 and over, in need of long term placement in a nursing facility, will be required to join a Medicaid Managed Care Plan (MMCP) or a Managed Long Term Care Plan (MLTCP).  The rest of State is scheduled to transition beginning December 2014 for both dual and non-dual eligible populations.

For more details see “Transition of Nursing Home Benefit and Population into Managed Care” on the Department of Health web site.