State Changes Nursing Home Benefit for MLTCs

New York State Department of Health (DOH) change in policy for MLTC members who are permanent residents of a nursing home. You may have recently received a letter from the New York State Department of Health (DOH) noting that you are a member of Independence Care System.

All members of Medicaid managed long-term care (MLTC) plans in New York State, including members of ICS, recently received a letter from DOH with information about a change in policy for MLTC members who are permanent residents of nursing homes.

Some of the information in the letter—in particular, the effective dates of the policy change—was not correct. DOH will, therefore, be sending out another letter that will include the correct dates.

You should not be alarmed by either of these letters.

The only persons affected by the change are those people who are long-term, permanent residents of nursing homes. Those persons will no longer be required to enroll in an MLTC plan; instead, they will receive fee-for-service Medicaid for their health care needs.

In summary:

  • If you live in the community, there is no change in your ICS services.
  • If you are currently in a nursing home for short-term rehab, there is no change to your ICS services.
  • If you are living in a nursing home as your permanent residence, then ICS will work with your nursing home staff to facilitate a smooth transition to fee-for-service Medicaid.

If you have any questions about this letter and the change in policy, please contact your care manager.

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