DOH Updates Medicaid Managed Care Guidance to Include January Assessments
On Jan. 5th, the Department of Health (DOH) updated the guidance document titled Rescission of Updated COVID-19 Guidance for the Authorization of Community Based Long Term Services and Supports Covered by Medicaid to include instructions for plans on reassessments. While the original transition guidance was issued in July 2021 to provide details on what steps were to be taken to return to pre-emergency status for various topic areas, the only change this update makes is to specify that for the month of January 2022, plans should conduct periodic reassessments and home visits for members who would have been scheduled for reassessment during September 2020. (The previous guidance had instructed plans to conduct periodic reassessments and home visits from Oct. 1st through Dec. 31, 2021 for members who would have been scheduled for reassessment from June 1, 2020 through Aug. 31, 2020.)
The transition guidance applies to all Medicaid Managed Care Plans, including Managed Long Term Care (MLTC) Plans (Partial, Medicaid Advantage (MA), Medicaid Advantage Plus (MAP), and Program of All-Inclusive Care for the Elderly (PACE)), mainstream Medicaid Managed Care Plans, HIV Special Needs Plans, Health and Recovery Plans (HARPs), and Local Departments of Social Services (LDSSs).
The Jan. 5th updated version with latest changes shown in red is available here.
LeadingAge NY Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841