Chapter 5 Medicaid Managed Long-Term Care

Medicaid INSTITUTE AT UNITED HOSPITALFUNDC hapter 5 Medicaid ManagedLong-Term CareAn Overview of Medicaid Long-Term care Programs in New YorkPREPARED BY Alene Hokenstad and Meghan Shineman of the United Hospital Fund and Roger Auerbach of Auerbach Consulting, 2009 Table of ContentsProgram Snapshot3 Enrollment and Spending3 Program and Provider Capacity4 Health Status and Demographics6 Rules, Regulations, and Administrative Structure8 Federal Coverage Requirements8 Covered Services8 Service Utilization9 Eligibility Medical and Financial10 Access11 Provider Requirements12 Payment12 Quality Monitoring13 Policy Implications14 System Simplification14 Effective care Management15 Integration of Medicare and Medicaid Financing 15 Risk-Adjusted Reimbursement17 Barriers to Access17 Direct care Worker Wages18 Program Oversight18 References19 Index of Figures Figure MMLTC Enrollment and Spending 3 Figure Share of Enrollment and Spending in New York City, by Program 4 Figure Share of MMLTC Plans and Enrollment in New York City 5 Figure Managed LTC Enrollees with Cognitive Impairment 8 Figure MMLTC Spending.

of care needs enrolled in the state’s Medicaid managed long-term care (MMLTC) program.1 The program, sometimes referred to as the “Medicaid-only” managed long-term care pro- gram to distinguish it from the Program of All-Inclusive Care for the Elderly (PACE), was

Loading..

Tags:

  Terms, Chapter, Medicaid, Care, Long, Managed, Managed long term care, Chapter 5 medicaid managed long term care, Medicaid managed long term care

Information

Related search queries