MLTC Policy Documents

  • MLTC Policy 21.06: Changes to Consumer Directed Personal Assistance Program (CDPAP) Regulations (PDF)
  • MLTC Policy 21.05 Home and Community Based Services Social Adult Day Care Site Compliance
    • HCBS SADC Fact Sheet - (Web) - (PDF) - 12.3.2021
    • Announcement: As of 3/1/2023 MLTC Plans No Longer Need to Submit SADC HCBS Self-Assessment Surveys - (PDF) - 02.28.2023
      • MLTC SADC HCBS Self-Assessment Tool - (DOCX) - Submission to DOH No Longer Required
      • All Plan Meeting slide presentation - (Web) - (PDF) - 11.16.2021.
      • HCBS SADC Site Self-Assessment Compliance Webinar - 12.9.2021
      • HCBS Compliance Assessment with Guiding Questions for MLTC plan SADC Site Assessors - (PDF) - 12.28.2021
    • HCBS SADC Compliance Requirements for MLTC Service Area Expansions and Mergers - (PDF) - 06.30.2022
    • HCBS SADC Compliance Verification FAQs - (Web) - (PDF) - 08.11.2022
    • SUGGESTED SADC SITE EVALUATION TOOL FOR MLTC PLANS - (XLSX) - (PDF) - Updated 01.10.2023
  • MLTC Policy 21.04: Managed Long Term Care Partial Capitation Plan Enrollment Lock-In
    • Lock-In Policy Frequently Asked Questions - (Web) - (PDF)
  • MLTC Policy 21.03: Wage Parity Compliance and Certification Guidance
    • MLTC Policy 21.03a: Wage Parity Compliance and Certification Guidance - Clarification for Managed Care Organizations
  • MLTC Policy 21.02: Implementation of Fiscal Intermediary (FI) Rate Structure
  • MLTC Policy 21.01: Transition Policies for Fiscal Intermediaries (FIs) and Consumers under the Consumer Directed Personal Assistance Program (CDPAP)
  • MLTC Policy 20.01: Transition policies for fiscal intermediaries (FIs) and consumers under the Consumer Directed Personal Assistance Program (CDPAP) - REMOVED AND REPLACED WITH MLTC POLICY 21.01.
  • MLTC Policy 20.02: Moratorium on Managed Long Term Care Partial Capitation Plans
  • MLTC Policy 20.03: Non-emergency Transportation in the Consumer Directed Personal Assistance Program
  • MLTC Policy 19.02: Clarification of Medicaid provider enrollment provisions for services provided by integrated Medicare/Medicaid Plans (Integrated Plans) through the21st Century Cures Act
  • MLTC Policy 16.08: Conflict Free Evaluation and Enrollment Center (CFEEC) Update to Expiration of Evaluations
  • MLTC Policy 16.07: Guidance on Task–based Assessment Tools for Personal Care Services and Consumer Directed Personal Assistance Services
  • MLTC Policy 16.06: Guidance on Notices Proposing to Reduce or Discontinue Personal Care Services or Consumer Directed Personal Assistance Services
  • MLTC Policy 16.05: Non–Emergent Medical Transportation Benefit in MLTC
  • MLTC Policy 16.04: Additional Supports Available through Money Follows the Person (MFP)
  • MLTC Policy 16.03: CFEEC Dispute Resolution Update
  • MLTC Policy 16.02: Statutory Changes for Consumer Directed Personal Assistance Services (CDPAS)
  • MLTC Policy 16.01: UAS–NY Assessment Requirements