Monday, December 22, 2014

New Era Begins for Long-Term Care in NJ as Healthcare Model Shifts

Today marks a key moment in the transformation of long-term care in New Jersey, as the state shifts from a system that emphasized nursing homes toward one that gives more funding to home-based and community services.

New Era Begins for Long-Term Care in NJ as Healthcare Model Shifts

Today marks a key moment in the transformation of long-term care in New Jersey, as the state shifts from a system that emphasized nursing homes toward one that gives more funding to home-based and community services.

Under the Medicaid Managed Long-Term Supports and Services (MLTSS) program launching today, New Jersey will no longer pay a fee for each individual long-term medical-related service residents receive. Instead, the state will pay managed care organizations a fixed amount to coordinate all of the healthcare and other long-term services.

The managed-care program is the centerpiece of five-year Medicaid comprehensive waiver, which aims to save the state money while still improving services by focusing more on residents’ individual needs.

The complicated rule-making process -- in which the state sought input from the various interest groups affected by the change -- delayed the program into the third year of the waiver, which also starts today.

In addition to covering healthcare for low-income residents, the federally and state-funded Medicaid program also serves as the primary means for paying for nursing homes and other forms of long-term services for both senior citizens and people with disabilities.

Click here for the full post

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