GIS 11 OLTC/009: 2011 Long Term Home Health Care Program Expenditure Caps

To: All Local District Commissioners, Medicaid Directors

From: Mary Ann Anglin, Director, Division of Home and Community Based Services Office of Long Term Care

Subject: 2011 Long Term Home Health Care Program Expenditure Caps

Effective Date: Immediately

Contact Person: Laura Fiato

Attachments: Attachment I – 2011 MAXIMUM ALLOWABLE MONTHLY EXPENDITURE CAP (PDF, 101KB, 2pg.)

The purpose of this General Information System (GIS) message is to provide local social service districts (LDSS) with the 2011 Long Term Home Health Care Program (LTHHCP) participant maximum allowable monthly expenditure caps for each county and New York City. The 2011 Statewide LTHHCP expenditure cap table is attached. These expenditure caps are effective with the release of this GIS message.

LTHHCP expenditure caps are calculated in accordance with 10 NYCRR Part 86- 5.10. Expenditure caps are based on the January 1, 1992 average Medicaid reimbursement rates for nursing facilities in a county trended forward to the current year. The 2011 monthly expenditure caps must be used for all subsequent LTHHCP assessments and reassessments.

If you have questions regarding the LTHHCP, please contact Laura Fiato at (518)474-5271.