Putting New York state residents who need nursing home care in managed long-term care (LTC) programs could cause new problems if the state fails to expand the supply of nursing home beds.
James Clyne Jr., president of LeadingAge New York, a trade group for nonprofit LTC providers, gave that warning at a recent New York State Legislature hearing on a move to impose mandatory care management on Medicaid enrollees who are getting LTC services.
The state Department of Health is trying to get all Medicaid enrollees into managed care plans within three years.
LeadingAge posted a written version of Clyne’s testimony on its website.
LeadingAge supports the concept of shifting to care management for most Medicaid enrollees, but it now sees how the shift to mandatory managed LTC is working and has concerns, Clyne said, according to the written version of his testimony.
“The state has established what are seen as very aggressive timeframes for accomplishing the transition to care management for the LTC population,” Clyne said.
In April, he said, New York state had 34,000 Medicaid enrollees in managed LTC plans. In three years, that number is supposed to increase to about 300,000.