News & Insights

News & Insights

Managed Long Term Care for Nursing Home Residents

Kathleen Cheney presented “Managed Long Term Care for Nursing Home Residents” to the New York State Health Facilities Association on January 9, 2015.

 

Mandatory enrollment for new nursing home admissions duly eligible for Medicaid and Medicare is set to begin in the five counties of New York City on February 1, 2015.  Nassau, Suffolk and Westchester Counties are to follow on April 1st.

 

Medicaid-only residents will be enrolled in mainstream plans.  Nursing home operators are encouraged to join provider networks and also to get involved with DSRIP and Performing Provider Networks to maintain their referral sources.  Contracting issues were reviewed with particular attention to prompt pay laws and indemnification provisions.

 

For more information please see link to presentation Managed Long Term Care ContractsRead More >

Kathleen Carver Cheney presented a seminar for the Greater New York Health Care Facilities Association on the topic “Managed Care Expands to Nursing Homes: Are You Ready?”

Kathleen Carver Cheney presented a seminar for the Greater New York Health Care Facilities Association on the topic “Managed Care Expands to Nursing Homes:  Are You Ready?”  As of March 1, 2014 (or later if the effective date is extended by DOH) all new Medicaid-eligible nursing home admissions in downstate counties will be required to enroll in a managed care plan.  Existing downstate residents are not required to enroll in plans, but may voluntarily enroll 6 months later, which is also the point at which new admissions in upstate counties will start mandatory enrollment.  Voluntary enrollment of existing upstate residents will begin 6 months later. Read More >