Policies & Guidance
Medicaid Managed Care Plan Policies
MLTC Policies
- Home and Community Based Services (HCBS) Managed Long Term Care (MLTC) references and resources for New York State Transition Plan:
- DOH STP Appendix A (3) Systemic Compliance Chart 2018 (ny.gov) MLTC Sections pages 1-12
- MLTC Model Contracts and Amendments MRT 90 Health Plans, Providers, and Professionals (ny.gov)
- Person-Centered Service Planning Guidelines, Template and Dear MLTC Health Plan Administrator letter 01.22.2019 MRT 90 Policy Documents (ny.gov)
- Person-Centered Planning and Practice Resource Library (ny.gov)
- Managed Long Term Care Policy 21.05: Social Adult Day Care HCBS Final Rule Implementation (ny.gov) including HCBS SADC compliance and oversight reference documents and tools
- Electronic Noticing Guidelines for MMCPs/MLTCs - (Web) - (PDF) 10.3.2022
- Electronic Noticing QA - (Web) - (PDF) 10.3.22
- Sample Electronic Notice Option Template Letter - (PDF)
- Managed Long Term Care Partial Capitation (MLTCP) Plan Enrollment Cap Target Setting FAQ - (Web) - (PDF) 7.8.21
- MLTC Policy 20.02: Moratorium on Managed Long Term Care Partial Capitation Plans - (Web) - (PDF)
- MLTC Policy 20.03: Non-emergency Transportation in the Consumer Directed Personal Assistance Program - (Web) - (PDF)
- LTSS Default Enrollment Notice: Long Term Care Services and Supports Member Notice for default enrollment into Medicare DSNP and Medicaid dual eligible plan. - (Web) - (PDF)
- Non-LTSS Default Enrollment Notice: Non-Long Term Care Services and Supports Member Notice for default enrollment into Medicare DSNP and Medicaid dual eligible plan. - (Web) - (PDF)
- Prior Authorization Minimum Data Set Policy - (Web) - (PDF)
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