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DOH Issues Update to MLTC Plans and Social Day Programs Regarding HCBS Settings Rule

Last week, the Department of Health (DOH) issued a communication to Managed Long Term Care Plans (MLTCPs) and Social Adult Day Care (SADC) programs regarding the status of SADC compliance with the federal Home and Community-Based Services (HCBS) Settings Rule. The update includes the status of the site assessment process and indicates that DOH will be engaging in meetings with MLTCPs on the status of SADC compliance. DOH is also developing a comprehensive evaluation tool for MLTCPs, which will provide a template that plans can utilize while conducting their annual site visits to programs. The tool should be available at the end of May, along with a user manual and video tutorial.

The update notes that temporarily closed sites must, upon reopening, still have completed a self-assessment with each contracted MLTCP, all supporting documentation, and be 100 percent in compliance with the HCBS Settings Rule before members can access services at that reopened SADC site.

All actively contracted SADC sites (even if a site is closed) will need to be in full compliance with the HCBS Settings Rule by March 31, 2023 in order to stay in network. This also applies to any new and/or returning sites that are coming into network. Therefore, MLTCPs will want to ensure that all contracted SADC sites meet all the requirements outlined in the self-assessment in order to remain in network after March 31, 2023.

The communication includes all of the MLTC policy documents related to SADCs and their participation in MLTCPs, including those relating to the HCBS Settings Rule.

Please email HCBSSADCSiteAssessments@health.ny.gov if you have questions.

Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871