MLTC Policy 16.08

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Office of Health Insurance Programs

Division of Long Term Care

MLTC Policy 16.08: Conflict Free Evaluation and Enrollment Center (CFEEC) Update to Expiration of Evaluations

Date of Issuance: December 16, 2016

The purpose of this policy is to inform all Managed Long Term Care (MLTC) plans that the Department of Health (the Department) has extended the amount of time a consumer´s CFEEC evaluation for Community Based Long Term Care (CBLTC) services remains valid.

When the Department implemented CFEEC, we incorporated the requirement that any individual voluntarily seeking CBLTC services could not be enrolled into an MLTC plan until the CFEEC conducted an evaluation determining CBLTC eligibility. At that time, and in accordance with the September 29, 2014 frequently asked questions, a consumer´s CFEEC evaluation was only valid for sixty (60) days.

Effective immediately, the CFEEC evaluation for CBLTC eligibility is valid for seventy–five (75) days. After such time, a new evaluation will be required if the consumer does not select an MLTC plan but continues to seek CBLTC.

This change only applies to the expiration of the consumer´s CFEEC evaluation and in no way impacts the MLTC plan´s assessment period.

Should you have questions regarding this information, please email the following address: