DOH Instructs Medicaid Managed Care Plans to Continue Performing Reassessments
On Feb. 8th, the Department of Health (DOH) again extended 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 instruct plans to continue reassessment activities until instructed by DOH to cease. While the original transition guidance was issued in July 2021 to provide details on what steps were to be taken to begin returning to pre-emergency status for various topic areas, the Feb. 8, 2022 guidance extends the guidance for plans and Local Departments of Social Services (LDSSs) on continuing to conduct periodic reassessments.
It specifies that until such time as the Department instructs plans and LDSSs to cease reassessments due to the implementation of the New York Independent Assessor, plans and LDSSs should, starting in February 2022 and for each subsequent month, conduct periodic reassessments and home visits for those members who would have been scheduled during October 2020 and subsequent months.
For example, in February 2022, plans should conduct those reassessments that would have been scheduled in October 2020; in March 2022, conduct those that would have been scheduled in November 2020; and so forth.
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 LDSSs.
The Feb. 8th updated version with latest changes shown in red is available here. Updated versions of this document are posted on the COVID-19 Guidance for Medicaid Providers webpage.
LeadingAge NY Contact: Darius Kirstein, dkirstein@leadingageny.org, 518-867-8841