Posted by: BlogMaster | July 28, 2013

Managed Long Term Care (MLTC) Medicaid Update

Beginning in January 2013, certain applicants and recipients of Medicaid – those requiring a personal care aide and assistance at home for more than 120 days – are required to enroll in a Managed Long Term Care (MLTC) plan.

My prior blogs outlined the enrollment and transition issues faced by current Medicaid recipients in traditional home care services. 

But Medicaid recipients who received their home care services through a Lombardi program (long term care at home – or sometimes called ‘nursing home without walls’) were  initially excluded by New York State from mandatory MLTC enrollment.

That has now changed.

Effective with May 2013, persons living on Long Island, New York City, or Westchester County who are already receiving Lombardi services for home care – and who are also Medicare recipients – can expect to receive a Notice to Enroll letter by mail.  The letter gives the recipient 60 days to select an MLTC plan.   

There will no longer be enrollment in Lombardi plans, which are being phased out. 

Person receiving Lombardi services but who are not Medicare recipients may have already received letters in April directing them to select and enroll in an MLTC plan.  However, these non-Medicare recipients have the option of enrolling, if eligible, in other types of non- MLTC waiver programs such as TBI (traumatic brain injury), Care At Home (for critically ill or disabled children under age 18), OPWDD (for developmentally or intellectually disabled persons) or NHTDW (Nursing Home Transition and Diversion waiver program moving qualified persons out of nursing homes into the community). 

If you or a family member receive a notice of enrollment, it is advisable to consult with a qualified elder law attorney about your rights.

My office can help you. Please call to make an appointment to learn how we can assist you with this process. 

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