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Carve-In of Behavioral Health Benefit for MAP Plans Delayed

The Department of Health (DOH) announced on Aug. 30th that the behavioral health benefit carve-in for Medicaid Advantage Plus (MAP) plans will be delayed from Jan. 1, 2022 until Jan. 1, 2023. These services will continue to be available to beneficiaries through the Medicaid fee-for-service program. LeadingAge NY Cabinet members brought to our attention the infeasibility of the deadlines for readiness and commencement of the benefit, and we urged the Department and the Office of Mental Health (OMH) to delay the carve-in.

The Department's announcement also noted that the Sept. 24, 2021 due date for MAP readiness review documentation is delayed, and plans will be notified of a new due date. Further, MAP plans should proceed with the 2022 Annual Notice of Change and Summary of Benefits documents without the addition of the behavioral health services.

MAP plans are integrated plans that combine specified Medicare and Medicaid benefits in a single managed care product that includes a Medicare Dual Eligible Special Needs Plan (D-SNP) paired with a Medicaid Managed Long Term Care (MLTC) plan.

Contact: Karen Lipson, klipson@leadingageny.org, 518-867-8838