New rules affect Medicaid homecare.
Applicants for Medicaid home care who are also covered by Medicare (“Dual Eligibles”), and others, are now required, upon approval for home care, to select and enroll in a Managed Long Term Care (“MLTC”) plan, including enrollment on a HMO. The MLTC selects and pays the providers and coordinates all care, including non-covered services.
Applicants have a limited number of days following the edibility approval to select a MLTC or one will be assigned randomly by Medicaid. This decision will require investigation of the available plans, their services, an in-home assessment. One major consideration will probably whether the applicant’s current medical providers are in-network. Shopping around will be the order of the day. Continue reading