New York Gov. David Paterson says he will propose a long term care reform package.
One provision would affect the state’s long term care partnership program, which permits purchasers of qualified long term care insurance who exhaust private benefits to protect some assets when they draw on Medicaid nursing home benefits.
Patterson’s bill would let partnership LTC policyholders protect some income as well as some assets if they end up needing help from Medicaid.
A second bill provision would set up a mandatory external appeals process, to allow insureds to appeal LTC insurance claim denials.
A third provision would expand the state’s existing acute-care health insurance prompt-pay law to apply to LTC insurance claims.
The bill also would beef up the state’s LTC insurance promotion program, and it would update state programs that serve disabled children and disabled working-age adults.