Medicaid Eligibility – What if the Services aren’t delivered?
After a Medicaid long-term care application is approved and the Plan of Care (PoC) for home and community-based services is approved (MLTSS-HCBS), the individual may be faced with a wait. The New Jersey Medicaid HMO’s that provide the services for the State of New Jersey are required by the State contract to have a deep enough provider pool to service the need. However, clients are...
The application for Medicaid Home Care Services is Just the Beginning
New Jersey Medicaid has a program to deliver home and community-based services to people who meet the “institutional level of care” but would be able to remain at home as long as they receive an array of long term services and supports (LTSS). Examples of LTSS are: bathing, grocery shopping, meal preparation, feeding, dressing, safety supervision, and hands-on help with...
HCBS Transition Meeting Gives State Food For Thought
On Thursday, February 19th, I attended the last public meeting for the HCBS Transition plan, which was held from 10 am to 12 pm in New Brunswick. I had wanted to testify as Chair of the Elder and Disability Section of the New Jersey State Bar Association about how I thought this plan would affect seniors and the physically disabled. I was #77 on the list–I never got a chance. The vast...
Applying for NJ MLTSS? Here are the acronyms you need to know
You probably know by now that NJ Medicaid’s Home and Community Based Services are now being administered NJ FamilyCare and that the State’s Comprehensive Medicaid Waiver has created a whole new landscape that is centered around managed care. http://www.state.nj.us/humanservices/dmahs/home/mltss.html When applying for these services you will encounter a lot of code words. For...