DHCBS DAL 11-08: 2011 Long Term Home Health Care Program Maximum Allowable Monthly Expenditure Cap - July 19, 2011

July 19, 2011

DAL: DHCBS 11-08

SUBJECT: 2011 Long Term Home Health Care Program

Maximum Allowable Monthly Expenditure Cap

Dear Administrator:

The 2011 Long Term Home Health Care Program (LTHHCP) participant maximum allowable monthly expenditure cap for each county and New York City was recently issued to local departments of social services (LDSS) per General Information Message (GIS) 11 OLTC/ 009. The caps are effective immediately and must be used for all subsequent LTHHCP participant assessments and reassessments.

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 Statewide LTHHCP expenditure cap table is enclosed. If you have questions regarding the calculation of these caps, please contact Gary Crucetti at (518) 473-8910. If you have questions regarding the LTHHCP, please contact Laura Fiato at (518) 474-5271.

Sincerely,

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

Enclosure: DHCBS DAL 11-08: Chart of Maximum Allowable Monthly Expenditure Caps by Level of Care and County

cc: Home Care Association of New York State
New York State Association of Health Care Providers
New York Association of Homes and Services for the Aging
Healthcare Association of New York State