Skip to content Accessibility tools

DOH to Conduct Additional MLTC Batch Process Disenrollment

DOH will again implement another “batch process” disenrollment in its efforts to continue change in coverage for the long-term nursing home benefit. Providers should submit appropriate resident listings to DOH by Friday, December 2, 2022. Below is the DOH notification and respective attachments:

The purpose of the attached letter is to notify nursing homes of the intention of the Department of Health to conduct another “Batch Process” disenrollment to continue implementation of the change in coverage of the long term nursing home care benefit in the Medicaid Managed Long Term Care Partial Capitation plan (MLTCP plan).  This “Batch Process” disenrollment will be effective February 1, 2023.

To implement this additional batch disenrollment, and as further described in the “Implementation and Information Required from Nursing Homes” section of the attached letter, the Department of Health (the Department) is requesting nursing homes transmit to the Department a list of all residents who are designated as long term nursing home stay (LTNHS), are enrolled in an MLTCP Plan, and have an active discharge plan to transition to the community.

The Department is now working closely with MLTCP plans to identify current MLTCP plan enrollees who are designated as LTNHS, have met or exceeded the three-month benefit period, and were not disenrolled in prior batch processes. To ensure that members who may be in the process of transitioning to the community are not disenrolled from their MLTCP plan, the Department is requesting nursing homes use the attached template to provide a list of their nursing home residents who have been designated LTNHS and who have an active discharge plan to transition to the community no later than Friday December 2, 2022. We appreciate your assistance. Questions may be directed to MLTCNH@health.ny.gov.

Please see all necessary attachments below:

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36


Thank you 2024 Platinum Sponsors

Friedlander logoKARE logoR2 logo