Authorizes individuals receiving hospice services to enroll in managed long term care plans
Impact
The impact of A10290 is expected to facilitate smoother transitions into hospice care for patients already in managed long-term care programs. By permitting such individuals to maintain their enrollment in care plans while receiving hospice services, the legislation aims to enhance the quality of care and minimize disruptions in service delivery. It also introduces administrative standards that require coordinated care planning and effective communication between managed care plans and hospice providers, fostering a more collaborative healthcare environment.
Summary
Bill A10290 proposes amendments to the social services law and public health law, allowing individuals who are receiving hospice services to enroll in managed long-term care plans. This change is designed to ensure that these individuals can receive coordinated and uninterrupted services, recognizing the unique needs of patients in hospice care. Additionally, the bill mandates that the commissioner provide guidance on enrollment procedures and expectations for continuity of care among individuals receiving hospice services while enrolled in long-term care plans.
Contention
Notable points of contention surrounding the bill mainly revolve around concerns from stakeholders regarding the implications for managed care providers and the allocation of resources. Some worry that while the intent is to streamline services for those in hospice, the additional regulatory requirements may create burdens on service providers, impacting their operations and delivery capabilities. Others argue that it may necessitate additional state oversight or guidance to manage the integration of hospice services effectively within existing care frameworks.
Authorizes one or more demonstration projects that permit a managed long-term care plan to enroll persons that are permanently placed in a nursing home and to manage the nursing home benefit in one or more rural areas.
Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.
Repeals managed long term care provisions for Medicaid recipients; establishes provisions for fully integrated plans for long term care including PACE and MAP plans.
Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.
Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.