Proposal Presented for the Master Plan for Aging (#65)
Disclaimer
Throughout the MPA process, more than 100 proposals were developed thanks in particular to thousands of hours of work by external stakeholders and members of the public. These proposals and the MPA Council commentary are being submitted to the Governor and shared with policymakers and the public to inform policymaking. These proposals represent a starting point for discussion. Further discussion is necessary between relevant state agencies and stakeholders to both refine these proposals and assess which may be appropriate to adopt and implement.
Summary
Consider regulatory and programmatic actions to annually analyze policy decisions that affect the delivery of Medicaid LTSS for Medicaid Managed Care, Managed Long-Term Care and Fee for Service (FFS) for the consideration of support for LTSS that defer, delay and eliminate the need for Medicaid long-term care. Create an annual report that recommends methods for greater integration of services and payor across DOH and SOFA landscape.
Justification
Spending on long-term care services and supports at all levels and in all settings does not provide equity, efficiency, or financial stability. To develop and promote systems and services at scale, New York should annually analyze policy decisions which affect the delivery of long-term services and supports.
Full Proposal
Annually analyze policy decisions that affect the delivery of LTSS inclusive of those offered by NYSOFA, Medicaid LTSS for Medicaid Managed Care, Managed long-term care and FFS for considerations of support for LTSS that defer, delay and eliminate the need for Medicaid enrollment or utilization of Medicaid long-term care services.
The objective is to develop and promote systems at scale capable of providing or arranging long-term care services and supports regardless of payor.
- Develop annual update as to how people are accessing Medicaid funded LTSS to inform efforts to improve service and payor integration.
- Identify and validate the efficacy of services and supports that defer, delay, or eliminate the need for Medicaid long-term care, including home and community based and facility-based care.
- Develop a strategic implementation plan for the broad use of services and supports for seniors and individuals with disabilities that encourages integrated programs and services with participants from Medicaid and private pay and use of sliding fee scales to improve access, availability, and sustainability.
- Track the use of LTSS through Medicaid as well as other payors.
- Provide an annual report that recommends methods for greater integration of services and payors across DOH and SOFA landscape.
This proposal is focused on primary prevention.
MPA Council Commentary
This proposal is categorized as long-term. State agency partners may continue to evaluate State Office for Aging and Medicaid-funded long-term services and supports to ensure availability and alignment of existing programs for older New Yorkers.