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

Sammis, S., Detty, A. & Birnbaum, M. (2012, February). Implementing Long-Term Care Reform in New York's Medicaid Program. (Fact sheet No. 23). New York, NY: United Hospital Fund.

Abstract

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 behavioral 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 (abstract from: http://www.uhfnyc.org/publications/880816?tr=y&auid;=10353642).

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