GIS 15 MA/06: 2015 Long Term Home Health Care Program (LTHHCP) Expenditure Caps
To: Local District Commissioners, Medicaid Directors
From: Judith Arnold, Director -Division of Eligibility & Marketplace Integration
Subject: 2015 Long Term Home Health Care Program (LTHHCP) Expenditure Caps
Effective Date: Immediately
Contact Person: Vicki Rockefeller (518)474-5271
Vicki.rockefeller@health.ny.gov
The purpose of this General Information System (GIS) message is to provide local departments of social services (LDSS) with the 2015 LTHHCP participant maximum allowable monthly expenditure caps for each county and New York City. The 2015 Statewide LTHHCP expenditure cap table entitled, "2015 MAXIMUM ALLOWABLE MONTHLY EXPENDITURE CAP PER PATIENT UNDER THE LONG TERM HOME HEALTH CARE PROGRAM BY LEVEL OF CARE", is attached.
Long Term Home Health Care Program expenditure caps are calculated in accordance with 10 NYCRR Part 86-5.10. Expenditure caps are based on the January 1, 1992 average Medicaid reimbursement rates for nursing facilities in a county trended forward to the current year. Due to an elimination of the trend factor in 2015, the participant expenditure caps have not changed from the maximum allowed in 2014.
If you have questions regarding these expenditure caps, please contact Russ Smith at 473-4421. If you have questions regarding the LTHHCP, please contact Vicki Rockefeller at (518) 474-5271.
