Managed Care Transition Delayed Until 2/1/15

Carl J. Pucci in Finance & Reimbursement

Dear MRT Listserv subscribers:

The Phase-In Schedule for the transition of the Nursing Home Benefit and Population into Medicaid Managed Care and Managed Long Term care has been revised as follows:

Phase 1- February 1, 2015

New York City – Bronx, Kings, New York, Queens, and Richmond counties       

Phase 2- April 1, 2015

Nassau, Suffolk and Westchester counties       

Phase 3- July 1, 2015

Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Livingston, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orange, Orleans, Oswego, Otsego, Putnam, Rensselaer, Rockland, St. Lawrence, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Wayne, Washington, Wyoming,  and Yates counties       

October 1, 2015

All counties - voluntary enrollment in Managed Long Term Care, Fully Integrated Duals Advantage and Mainstream Medicaid Managed Care becomes available to individuals residing in nursing homes who are in fee-for-service Medicaid    

As the three-way contract for FIDA indicates, voluntary and passive enrollment for eligible individuals in nursing homes will take place on or after August 1, 2015. More information will be forthcoming on the exact timeline.

Thank you,
The Medicaid Redesign Team

NYSHFA CONTACT:

Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36