June 17, 2011

New York State Department of Health Begins Accepting Applications for Managed Long-Term Care Providers

On Tuesday, June 14, 2011, the New York State Department of Health (DOH) launched part of Governor Andrew Cuomo’s Managed Long-Term Care Plans (MLTCP) and announced that it is now accepting applications from eligible organizations, pursuant to Article 4403-F of the Public Health Law.  This initiative seeks to redesign New York’s Medicaid system in ways that will decrease costs while still improving the quality of care provided to New Yorkers.

The MLTCP will progressively implement itself over the next few years, and by 2014 to 2015, it is forecasted that more than 70,000 New Yorkers will be enrolled.  The plan provides for mandatory enrollment of Medicaid individuals that are over 21 years old and require home and community based long-term care services for more than 120 days.

The MLTCP stems from an Executive Order signed by Governor Cuomo on January 5, 2011, which created the Medicaid Redesign Team (MRT).  At the signing, Governor Cuomo remarked that “[i]t is of compelling public importance that the State conduct a fundamental restructuring of its Medicaid program to achieve measurable improvement in health outcomes, sustainable cost control and a more efficient administrative structure.”  Further, the impetus for the MRT appears to be the 26.4% increase in long-term care expenditures between 2003 and 2009.  Despite the increase in cost, New York still only ranks 21st overall for health care system quality.  Governor Cuomo feels New York could improve greatly on this.

The applications for eligible providers are available at the DOH website.