Bill > S02332

This bill repeals existing provisions for managed long-term care (MLTC) plans for Medicaid recipients and establishes new options for long-term care, including fully integrated plans like PACE (Program of All-Inclusive Care for the Elderly) and MAP (Medicaid Advantage Plus) plans, which are comprehensive care models for eligible individuals. The bill mandates that, starting April 1, 2028, Medicaid recipients aged 18 and older requiring long-term care for over 120 days must receive these services through either a PACE or MAP plan, or a fee-for-service model coordinated by a "care coordination entity" (CCE), which is an approved organization designed to ensure continuity of care. The transition will only occur after the Commissioner of Health confirms all necessary planning and federal approvals are obtained, and individuals will have at least 30 days to choose a provider or CCE, with assignments made if no selection is made. The bill also introduces provisions for conflict-free case management within CCEs, requires a minimum of two CCEs per county, and mandates evaluations of CCEs for their role in assessing long-term care needs.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S2332