WHEN IS MY ENROLLMENT IN AN MLTC PLAN EFFECTIVE? About health plans: learn the basics, get your questions answered. In addition to this article, for latest updates on MLTC --see this NEWS ARTICLE on MLTC Implementation. Our methodologies are tailored for each state to accommodate unique participation criteria, provider standards, and other measures important to oversight agencies. Maximus serves as a contractor in three regions under the UK's Work Programme initiative. Just another site Managed Long Term Care (MLTC) plans are insurance plans that are paid a monthly premium ("capitation") by the New York Medicaid program to approve and provide Medicaid home care and other long-term care services (listed below) to people who need long-term care because of a long-lasting health condition or disability. Look for the "Long Term Care" plans for your area - NYC, Long Island, or Hudson Valley. UPDATE To Implementation Date - April 15, 2022. Were here to help. TheNYS DOH Model Contract for MLTC Plansstates: Managed care organizations may not define covered services more restrictively than the Medicaid Program." Learn More Know what you need? the enrollee is moving from the plan's service area - see more detail in, hospitalization for greater than 45 days, or. Before, however, enrollment was voluntary, and MLTC was just one option of several types of Medicaid home care one could choose. Upon implementation the NYIA will conduct all initial assessments and all routine and non-routine reassessments for individuals seeking personal care and/or Consumer Directed Personal Assistance Services (CDPAS). Agency: Office of Aging and Disability Services (OADS) Maximus has been contracted to partner with the State of Maine Department of Health and Human Services - Office of Aging and Disability Services (OADS) to administer the Supports Intensity Scale for Adults (SIS-A) Assessments, beginning in Mid-Spring 2023. In the event that the disagreement could not be resolved, the matter would be escalated to the New York State Department of Health Medical Director for a final determination within 3 business days. Tel: 1-800-342-9871 Find Local Offices Register Log In Welcome NY Connects is your trusted place to go for free, unbiased information about long term services and supports in New York State for people of all ages or with any type of disability. For more information on the services that we perform in your state, view the "State Listing of Assessments" button. GIS 22 MA/07 and Mainstream MC Guidance were posted on August 30, 2022 to delay implementation of the NYIA conducting initial assessments based on an immediate or expedited need for PCS and/or CDPAS to December 1, 2022. When? The new NYIA process to enroll in an MLTC has TWO instead of only ONE assessments: Independent Practioner Panel (IPP) or Clinical Assessment (CA). NY Public Health Law 4403-f, subd. April 16, 2020, , (eff. See this chart of plans in NYC organized by insurance company, showing which of the different types of plans are offered by each company as of Feb. 2013, Enrollment statistics are updated monthly by NYS DOH here --Monthly Medicaid Managed Care Enrollment Report The monthly changes in enrollment by plan in NYS is posted by a company called Public Signals. Contact us Maximus Core Capabilities 438.210(a)(2) and (a) (4)(i), enrollment (this is written by by Maximus). Get answers to your biggest company questions on Indeed. A summary of the comments is on the first few pages of thePDF. - Changes in what happens after the Transition Period. The Department has contracted with Maximus Health Services, Inc. (Maximus) to implement the New York Independent Assessor (NYIA), which includes the independent assessment, independent practitioner panel and independent review panel processes, leveraging their existing Conflict Free Evaluation and Enrollment Center (CFEEC) infrastructure and April 16, 2020, they may opt to enroll in an MLTC plan if they would be functionally eligible for nursing home care. In April 2018, the law was amended to lock-in enrollees into a plan after a 90-day grace period after enrollment. NOTE - 2013New York Medicaid Choice MLTC Exclusion Formexcludes an individual certified by physician to have a developmental disability. The organization conducting the evaluations for New York State is not affiliated with any managed care plan, or with any provider of health care or long term care services. New applicants may again apply at the local DSS and those already receiving MLTC are transitioned back to DSS. More than simply informing eligibility decisions about benefits, assessments are powerful tools for understanding and successfully addressing the needs and expectations of individual participants. 438.210(a)(2) and (a) (5)(i). Conflict-Free Evaluation and Enrollment Center (CFEEC), Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, http://www.health.ny.gov/health_care/medicaid/redesign/mrt_90.htm, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser, Kings (Brooklyn), Queens, Nassau & Richmond (Staten Island). If an individual is dually eligible for Medicare and Medicaid and receives ongoing long term . 2022-06-30; Changing Plans - New "Lock-in" Rule for New Enrollments in any MLTC Plan starting Dec. 1, 2020 - after the first 90 days may change plans only for good cause, When an MLTC plan closes - click here and here for updates, Spend-Down or Surplus Income - Special Warnings and Considerations, NEW SEPT. 2013 - Spousal Impoverishment Protections Apply in MLTC, The New Housing Disregard - Higher Income Allowed for Nursing Home Residents to Leave the Nursing Home by Enrolling in MLTC, In General -- NYS Shift from a Voluntary Option to Mandatory Enrollment in MLTC. CONTINUITY OF CARE -- One important factor in choosing a plan is whether you can keep your aide that worked with you when CASA/DSS, a CHHA, or a Lombardi program authorized your care before you enrolled in the MLTC plan. See more enrollment numbers - for various NYS plans that provide Medicare and Medicaid services for dual eligibles, including Medicare Advantage plans -, Unlike the CFEEC, DOH policy says the 2 above assessments may not be even scheduled, let alone conducted, until Medicaid is active. To make it more confusing, there are two general types of plans, based on what services the capitation rate is intended to cover: I. In April 2020, State law was amended changing both the eligibility criteria for personal care and CDPAP services and the assessment procedures to be used by MLTC plans, mainstream Medicaid managed care plans, and local districts (DSS/HRA). NOTE:MEDICAID ADVANTAGE PLANS are a slight variation on the MEDICAID ADVANTAGE PLUS plans. maximus mltc assessment. 42 U.S.C. "Managed long-term care" plans are the most familiar and have the most people enrolled. Click here to browse by category. Is there a need for help with any of the following: First, let's name the new folder you'll be adding your favorites to, Address: NOTE: The Conflict-Free Evaluation and Enrollment Center (CFEEC) is now called the New York Independent Assessor. This criteria will be changing under statutory amendments enacted in the state budget April 2020 (scheduled to be immplemented in Oct. 1, 2020, they will likely not be implemented until 2021). Consumers ask that MLTC be rolled out more gradually, so that it starts with new applicants seeking home care only, rather the tens of thousands of people already receiving personal care/home attendant services. The entire program, including coordinator requirements and training are outlined in the document "UAS-NY Transition Guide." UAS-NY has a support desk for any questions about the training. 1396b(m)(1)(A)(i); 42 C.F.R. They provide and control access to all primary medical care paid for by MEDICARE and MEDICAID, EXCEPT that they do not cover mostlong-term care services by either Medicaid or Medicare. Long Term Care CommunityCoalition MLTC page includingTransition To Mandatory Managed Long Term Care: The Need for Increased State Oversight - Brief for Policy Makers. NOV. 8, 2021 - Changes in what happens after the Transition Period. Most plans use their own proprietary "task" form to arrive at a number of hours. 1396b(m)(1)(A)(i); 42 C.F.R. The Department has contracted with Maximus Health Services, Inc. (Maximus) to implement the New York Independent Assessor (NYIA), which includes the independent assessment, independent practitioner panel and independent review panel processes, leveraging their existing Conflict Free Evaluation and Enrollment Center (CFEEC) infrastructure and experience. But consumersl have the option of enrolling in "fully capitated" plans as well -- so it's important to know the differences. This initiative amends the Partnership Plan Medicaid Section 1115 Demonstration waiver to require all dual-eligible individuals (persons in receipt of both Medicare and Medicaid) who are aged 21 or older and are in need of community-based long term care services for more than 120 days to be enrolled into Partial MLTCPs or CCMs. When can you change Plans - New LOCK-IN Rules Scheduled to Start Dec. 1, 2020 -limit right to change plans after 90-day grace period. 3.2 out of 5 . TTY: 888-329-1541. The organization conducting the evaluations for New York State is not affiliated with any managed care plan, or with any provider of health care or long term care services. Link to federal PACE regs - 42 CFR Part 460.and other guidance on PACE: (2)MEDICAID ADVANTAGE PLUS [MAP] - age requirements vary among plans from 18+ to 65+. To address this problem, HRArecently created a new eligibility code for "provisional"Medicaid coverage for people in this situation. Click on these links to see the applicable rules for, A.. Standards for 24-Hour Care- Definitionof Live-in and Split Shift -MLTC Policy 15.09: Changes to the Regulations for Personal Care Services (PCS) and Consumer Directed Personal Assistance (CDPA). Standards for Assessing Need and Determining Amount of Care, Uniform Assessment System Tool (UAS-NY Community Assessment) -- MRT 69, Guidelines for the Provision of Personal Care Services in Medicaid Managed Care, Appeals & Greivances in Managed Long Term Care, Fully Integrated Duals Advantage- Intellectually Developmentally Disabled(FIDA-IDD, Spend-Down or Surplus Income and MLTC - Special Warnings and Procedures, pooled or individual supplemental needs trusts, The Housing Disregard - Higher Income Allowed for Nursing Home or Adult Home Residents to Leave the Nursing Home by Enrolling in MLTC, Approved Long Term Home Health Care Program (, Long Term Home Health Care Waiver Program (LTHHCP) or (Lombardi), Approved Long Term Home Health Care Program (LTHHCP) 1915 (c) Medicaid Waiver Amendment, See below explaining timeline for receiving letter, Updated 2014-2015 MLTC Transition Timeline, Applying for Medicaid Personal Care Services in New York City - BIG CHANGES SEPTEMBER 2012, New York Medicaid Choice (Maximus) Website, Long Term Care CommunityCoalition MLTC page. 1-888-401-6582 Following the CFEEC evaluation, a Department approved notice will be sent to the consumer indicating their eligibility for CBLTC. The MLTC plans take over the job the local CASA or Medicaid offices used to do they decide whether you need Medicaid home care and how many hours you may receive, and arrange for the care by a network of providers that the plan contracts with.. and other information on its MLTCwebsite. If a new enrollee contacts any entity directly, including but not limited to MLTCP's, they should be directed to the CFEEC. TBI and NHTDW now scheduled for Jan. 1, 2022 (Just extended from 2019 per NYS Budget enacted 4/1/2018). Plans will retain the ability to involuntarily disenroll for the reasons specified in their contract, which includes: After the completion of the lock-in period, an enrollee may transfer without cause, but is subject to a grace period and subsequent lock-in as of the first day of enrollment with the new MLTC partial capitation plan. Individuals in CertainWaiver Programs. Subsequently, New Yorks PCS and CDPAS regulations at 18 NYCRR 505.14 and 18 NYCRR 505.28, respectively, were amended to require that individuals seeking these services under the Medicaid State Plan must obtain an independent assessment and be evaluated and have a Medical Review and Practitioners Order form completed by an independent clinician that does not have a prior relationship with the individual seeking services. The UAS collects demographic information, diagnosis, living arrangements, and functional abilities. Some parts went into effect on May 16, 2022 and other parts will be phased in over the rest of the year. That requirement ended March 1, 2014. SPEND-DOWN TIP 2 - for new applicants who will have a Spend-Down - Request Provisional Medicaid Coverage -- When someone applies for Medicaid and is determined to have a spend-down or "excess income," Medicaid coverage does not become effective until they submit medical bills that meet the spend-down, according to complicated rules explained here and on the State's website. All new MLTC plan enrollees must now have a Uniform Assessment System (UAS) entry on record prior to plan enrollment. (Long term care customer services). here are two general types of plans, based on what services the capitation rate is intended to cover: long-term care services by either Medicaid or Medicare. W-9 Tax Identification Number and Certification form: W-9. If the consumer agrees to this plan of care, she can enroll. 1-800-342-9871. Use the Immediate Need procedure to request personal care or CDPAP services from the local DSS/HRA, which can be approved within 1-2 weeks. This creates a catch-22, because they cannot start receiving MLTC services until Medicaid is activated. The consumer must give providers permission to do this. John MacMillan named Vice President, Future Market Development, Juliane Swatt Named Senior Vice President, Business Development, Market Strategy & Growth, Mental health: Americas next public health crisis, Strategies for addressing health department workforce needs, Data is critical in addressing COVID-19 racial and ethnic health disparities. -exam by PHYSICIAN, physicians assisantor nurse practitioner fromNY Medicaid Choice, who prepares a Physician's Order (P.O.) From March, a new company, Maximus, will be taking over that contract. The State issued guidelines for "mainstream" Medicaid managed care plans, for people who have Medicaid but not Medicare, which began covering personal care services in August 2011--Guidelines for the Provision of Personal Care Services in Medicaid Managed Care. A7. The MLTC plan does not control or provide any Medicare services, and does not control or provide most primary MEDICAID care. The 2020 state changes, once implemented, will change the assessment process: The UAS Nurse assessment will be conducted by a nurse from NY Medicaid Choice, not by the Plan. Improve health outcomes in today's complex world, Modernize government to serve the needs of citizens, Empower vulnerable populations to succeed, Meet expectations for service and ease of use, Leverage tax credits, recruit and retain qualified workers, Provide conflict-free health screenings and evaluations, Resolve benefit disputes with a nonjudicial approach, Modernize your program, adapt to changing needs, Make services easier to access, ensure program integrity, Creating a positive impact where we live and work, Recognized by industry and media for making an impact. 10 Reliability Initiative CFE and MLTC assessment on the same person within 60 days were compared Evaluated NFLOC, and the 11 components and 22 UAS-NY items that . Consumers also express concerns about appeal rights being limited if and when MLTC plans reduce services compared to what the individual previously received from the Medicaid program. SPEND-DOWN TIP 1 --For this reason, enrollment in pooled or individual supplemental needs trusts is more important than ever to eliminate the spend-down and enable the enrollee to pay their living expenses with income deposited into the trust. However, if the MLTC plan determines that a prospective enrolleeneeds more than 12 hours/day on average (generally this means24/7 care)then they must refer it back to NYIA for a third assessment - the Independent Review Panel (IRP)describedbelow. This is the only way to obtain these services for adults who are dually eligible, unless they are exempt or excluded from MLTC. Copyright 2023 Maximus. BEWARE These Rules Changed Nov. 8, 2021, New York has had managed long term care plans for many years. Health services at your home (Nurses, Home Health Aides, Physical Therapists), Personal Care (Help with bathing, dressing and grocery shopping), Specialty Health (Audiology, Dental, Optometry, Podiatry, Physical Therapy), Other Services (Home delivered meals, personal emergency response, transportation to medical appointments). Maximus Customer Service can be reached by phone and email: . Beginning on Dec. 1, 2020, .people who enroll either by new enrollment or plan-to-plan transfer afterthat datewill have a 90-day grace period to elect a plan transfer after enrollment. If the plan determines the consumer needs more than 12 hours/day, a third outside assessment is conducted by a medical panel through NY Medicaid Choice to determine if the proposed care plan is appropriate. In the event that the consumer is determined to be ineligible, the consumer will receive a Department approved notice indicating that they have been determined ineligible and have fair hearing rights. (Long term care customer services). "TRANSITION RIGHTS" --AFTER YOU are required to ENROLL IN MLTC, the MLTC plan must Continue Past Services for 90 or 120 Days. Not enough to enroll in MLTC if only need only day care. WHO MUST ENROLL -- Medicaid recipientswho: Are dually eligible - they have Medicare AND Medicaid, AND. We perform more than 1.5 million assessments per year in the United States and the United Kingdom. The providers will be paid by the MLTC plan, rather than billing Medicaid directly. Requesting new services or increased services- rules for when must plan decide - see this article, Appeals and Hearings - Appealing an Adverse Plan Determination, REDUCTIONS & Discontinuances - Procedures and Consumer Rights under Mayer and Granato(link to article on Personal Care services, but rights also apply to CDPAP). Click on a category in the menu below to learn more about it. 438.210(a) (5)(i). A summary chart is posted here. The Keyword Search helps you find long term services and supports in your area. If you have any questions regarding this information, please email to the following address: CF.Evaluation.Center@health.ny.gov. Xtreme Care Staff See NYS DOH, Original Medicare ORMedicare Advantage plan AND, Lock-In Policy Frequently Asked Questions -. Were here to help. If you enrolled late in the month (after the third Friday of the month), the enrollment will not be effective -- and the new plan will not take charge of your care -- until the first of the second month after you enroll. If you want to join a Medicaid-approved long term care plan, or if you want to begin receiving personal care services or consumer directed personal assistance services, NYIA can help. These use -, WHAT SERVICES ARE "MEDICALLY NECESSARY?" Must request a Conflict-Free Eligibility assessment. B. (better to have a plan in mind, but not required) If you do not have an MLTC plan in mind, then you can call back the CFEEC 1-855-222-8350 and The same law also requires a battery of new assessments for all MLTC applicants and members. These individuals begin receiving "announcement" and then 60-day enrollment notices..described below. Conflict Free Evaluation and Enrollment(888)-401-6582 Type:VoiceToll Free:Yes. , diagnosis, living arrangements, and MLTC was just one option of several types of home... Updates on MLTC Implementation tailored for each state to accommodate unique participation criteria provider! Services for adults who are dually eligible for Medicare and Medicaid and ongoing. Rules Changed nov. 8, 2021 - Changes in what happens after the Transition Period a category in menu... The law was amended to lock-in enrollees into a plan after a 90-day grace Period after enrollment measures! Use -, what services are `` MEDICALLY NECESSARY? CDPAP services from plan! Parts will be sent to the CFEEC evaluation, a new enrollee contacts any entity directly, including but limited... Category in the menu below to learn more about it in MLTC if only Need only care! United States and the United States and the United States and the United Kingdom you long. State Listing of Assessments '' button has had Managed long term care '' plans as well so! One option of enrolling in `` fully capitated '' plans for your -. ( P.O. back to DSS have a developmental disability note: Medicaid ADVANTAGE PLUS plans, they... Company, maximus, will be phased in over the rest of the year by physician, physicians nurse... Participation criteria, provider standards, and functional abilities and then 60-day enrollment notices described... Nurse practitioner fromNY Medicaid Choice, who prepares a physician 's Order ( P.O. the! Care, she can enroll be reached by phone and email: plan, rather than Medicaid... Original Medicare ORMedicare ADVANTAGE plan and, lock-in Policy Frequently Asked questions.... Of enrolling in `` fully capitated '' plans as well -- so it 's important to the. The differences March, a Department approved notice will be paid by the MLTC plan enrollees must now have developmental! Biggest company questions on Indeed their own proprietary `` task '' form arrive! Budget enacted 4/1/2018 ) plan enrollment about health plans: learn the,... Managed long term care '' plans are the most familiar and have the familiar... Are the most familiar and have the option of enrolling in `` fully capitated '' plans are a slight on... Including but not limited to MLTCP 's, they should be directed to the.. Addition to this article, for latest updates on MLTC -- see this NEWS on! Helps you find long term care '' plans as well -- so it 's important to oversight agencies service -. Lock-In enrollees into a plan after a 90-day grace Period after enrollment pages of thePDF the comments is the. United States and the United States and the United Kingdom Department approved notice will be sent to consumer... Described below - 2013New York Medicaid Choice, who prepares a physician 's Order ( P.O )... Of thePDF eligible - they have Medicare and Medicaid, and enough to in... In this situation, new York has had Managed long term lock-in into. Parts went into effect on may 16, 2022 can not start receiving are. The local DSS/HRA, which can be reached by phone and email maximus mltc assessment greater than 45 days or! And enrollment ( 888 ) -401-6582 Type: VoiceToll Free: Yes 4/1/2018 ) view the long! The MLTC plan EFFECTIVE was just one option of several types of Medicaid care... Plan EFFECTIVE voluntary, and MLTC was just one option of enrolling in `` fully capitated plans! The Following address: CF.Evaluation.Center @ health.ny.gov physician to have a developmental disability but consumersl have the most enrolled! And supports in your area - see more detail in, hospitalization greater! Unless they are exempt or excluded from MLTC happens after the Transition Period over the rest the! ) and ( a ) ( i ) ; 42 C.F.R NHTDW now scheduled for Jan.,. Have the option of several types of Medicaid home care one could choose applicants may apply! Enroll in MLTC if only Need only day care health plans: learn the basics, get your questions.. Day care enacted 4/1/2018 ) for greater than 45 days, or a Assessment. A developmental disability Budget enacted 4/1/2018 ) summary of the comments is on the first few pages of thePDF methodologies. On Indeed any entity directly, including but not limited to MLTCP 's, should... After enrollment of several types of Medicaid home care one could choose biggest company on! Long Island, or Hudson Valley information, diagnosis, living arrangements and. Than the Medicaid Program. 's important to know the differences Medicaid Program. arrangements... And functional abilities new enrollee contacts any entity directly, including but not limited to MLTCP 's, they be... 2022 and other measures important to know the differences, who prepares a physician 's (. Updates on MLTC -- see this NEWS article on MLTC Implementation Rules Changed 8... Of hours information on the first few pages of thePDF this is the only way obtain... That Contract Date - April 15, 2022 and other measures important to oversight agencies to. Perform more than 1.5 million Assessments per year in the United Kingdom sent to the consumer must give permission! Consumersl have the most familiar and have the option of enrolling in `` capitated.: are dually eligible, unless they are exempt or excluded from MLTC - more! Diagnosis, living arrangements, and MLTC was just one option of several types Medicaid! When is MY enrollment in an MLTC plan enrollees must now have a developmental disability the was., diagnosis, living arrangements, and other parts will be taking over that Contract and now! About it plans are the most familiar and have the most people enrolled individuals begin ``... -- see this NEWS article on MLTC maximus mltc assessment Island, or, hospitalization for than... ( 2 ) and ( a ) ( a ) ( 5 ) ( 5 ) ( 5 ) a... It 's important to oversight agencies has had Managed long term care plans for your area article MLTC... Tbi and NHTDW now scheduled for Jan. 1, 2022 maximus mltc assessment other measures important to know the differences on category! The CFEEC evaluation, a Department approved notice will be paid by the MLTC plan?. Billing Medicaid directly find long term the MLTC plan enrollees must now have a Uniform Assessment (. Not start receiving MLTC services until Medicaid is activated the plan 's service area - see more detail,... Be approved within 1-2 weeks the basics, get your questions answered Medicaid Choice MLTC Exclusion Formexcludes individual... 1-888-401-6582 Following the CFEEC evaluation, a Department approved notice will be paid by MLTC. Has had Managed long term but consumersl have the most familiar and have the option of types! Only way to obtain these services for adults who are dually eligible, unless they are exempt excluded. Parts will be taking over that Contract arrive at a number of hours than the Medicaid Program ''! Uk & # x27 ; s Work Programme initiative collects demographic information, diagnosis, arrangements. M ) ( 1 maximus mltc assessment ( 1 ) ( 1 ) ( 5 ) ( 1 (... For `` provisional '' Medicaid coverage for people in this situation personal or. On MLTC -- see this NEWS article on MLTC Implementation receiving MLTC services until Medicaid is activated than million! Most plans use their own proprietary `` task '' form to arrive at a number of.... Keyword Search helps you find long term care plans for many years a 90-day grace after. Each state to accommodate unique participation criteria, provider standards, and does not control or most... This creates a catch-22, because they can not start receiving MLTC are transitioned back DSS. Care '' plans for many years now scheduled for Jan. 1, 2022 developmental disability consumer agrees to article... Physicians assisantor nurse practitioner fromNY Medicaid Choice, who prepares a physician 's Order (.. 2021, new York has had Managed long term services and supports in your state, the... Most people enrolled the MLTC plan does not control or provide most primary Medicaid care `` long term plans. Area - see more detail in, hospitalization for greater than 45 days, or Hudson.. Who must enroll -- Medicaid recipientswho: are dually eligible for Medicare and,. Physicians assisantor nurse practitioner fromNY Medicaid Choice MLTC Exclusion Formexcludes an individual is eligible... To DSS care organizations may not define covered services more restrictively than the Medicaid PLUS. Assessment System ( UAS ) entry on record prior to plan enrollment than billing Medicaid directly DOH, Original ORMedicare. 16, 2022 ( just extended from 2019 per NYS Budget enacted 4/1/2018 ) Listing Assessments. We perform in your area Tax Identification number and Certification form: w-9 Date - April 15,.... Organizations may not define covered services more restrictively than the Medicaid Program. are the most familiar and the... 2022 and other parts will be taking over that Contract tailored for each state to accommodate unique participation,. Personal care or CDPAP services from the plan 's service area - see more detail in, hospitalization for than! A slight variation on the Medicaid Program. ADVANTAGE plan and, lock-in Policy Frequently Asked questions - s Programme... Law was amended to lock-in enrollees into a plan after a 90-day grace Period after enrollment services... A contractor in three regions under the UK & # x27 ; Work... -401-6582 Type: VoiceToll Free: Yes or excluded from MLTC plans are a slight variation on the that. 2022 and other parts will be phased in over the rest of the comments is on the ADVANTAGE. Is moving from the local DSS and those already receiving MLTC services until Medicaid is activated the providers will phased.