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...
Disability Integration Act would mandate that states provide home care services
Senator Chuck Schumer introduced S-2427, the Disability Integration Act, on December 5, 2015, to counteract discrimination in Medicaid funding which is disproportionately allocated towards nursing home services. One effect of the bill could be to force States to allocate funds within their Medicaid budgets for Home and Community-Based Services (MLTSS-HCBS) for Medicaid applicants who can...
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...