GIS 12 MA/020: 2012 Long Term Home Health Care Program Expenditure Caps

To: Local District Commissioners, Medicaid Directors, and Long Term Home Health Care Coordinators

From: Mark Kissinger, Director Division of Long Term Care

Subject: 2012 Long Term Home Health Care Program Expenditure Caps

Effective Date: Immediately

Contact Person: Vicki Rockefeller (518) 474-5271

The purpose of this General Information System (GIS) message is to provide local departments of social services (LDSS) with the 2012 Long Term Home Health Care Program (LTHHCP) participant maximum allowable monthly expenditure caps for each county and New York City. The 2012 Statewide LTHHCP expenditure cap table entitled, "2012 MAXIMUM ALLOWABLE MONTHLY EXENDITURE CAP PER PATIENT UNDER THE LONG TERM HOME HEALTH CARE PROGRAM BY LEVEL OF CARE", is attached.

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. Due to a zero trend factor in 2012, the participant expenditure caps have not changed from the maximum allowed in 2011.

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