Continuing Care Retirement Communities
• Advocate for passage of legislation to modernize outdated provisions of Public Health Law Articles 46 and 46-A to eliminate barriers to the development , expansion , and efficient operation of CCRCs in New York .
• Secure modifications to Insurance Regulation 140 from the Department of Financial Services to allow more flexibility in how CCRCs can invest their funds .
• Modify current requirements to allow CCRC residents who are discharged from a hospital on weekends or offhours to be immediately admitted to the CCRC ’ s nursing home / assisted living without patient assessment forms .
Home and Community-Based Services
• Monitor carve-in of new benefits into the MLTC benefit package ; advocate for additional or indefinite delay in carving in NHTD / TBI waiver services .
• Advocate for increased funding for the NORC / NNORC , Congregate Services for the Elderly and EISEP programs , and eliminate the county matching requirement for the added funding .
• Work to expand the funding and use of hospice and palliative care , including promoting improved integration of hospice and managed care .
• Support expanded access to telehealth services in the home through greater regulatory flexibility .
MLTC / PACE
• Advocate for adequate and timely rates that accurately reflect the cost of existing and new benefits and wage / other mandates . Work to eliminate arbitrary caps and savings factors ; ensure appropriate and more predictable risk adjustment and timely pool funding distributions .
• Push for implementation of separate nursing home “ rate cell ” or risk corridors / limited duration nursing home benefits . Work with DOH to ensure nursing home services are appropriately reflected in the rates , including adequate funding , timely updates for enrollment mix changes and a meaningful high cost nursing home pool .
• Ensure new benefits are fully-funded and implementation time frames are reasonable .
• Work with DOH and the State ’ s actuary to ensure plan engagement in risk adjustment model development and dissemination of risk model information prior to the release of draft rates .
• Minimize duplicative reporting requirements and minimize administrative burden of funding pass-throughs .
• Support the expanded availability of managed care that combines Medicare-Medicaid services while ensuring a level playing field for existing plans ; ensure plan and provider participation in development of new models .
Nursing Home
• Oppose legislation setting arbitrary minimum staffing ratios in nursing homes .
• Establish an enhanced nursing home rightsizing program allowing conversions to ALP beds ( in the absence of an ALP expansion program ) and nursing home bed buybacks .
• Broaden the Restorative Care Unit demonstration or similar approaches to encompass additional facilities and Medicaid funding .
• Address any remaining barriers to implementation of the electronic prescribing mandate .
• Seek reform of the Informal Dispute Resolution process .
Retirement Housing
• Work with market-rate senior living communities to better understand changing demographics and shifting preferences of future residents , to be better positioned for the future .
• Continue the statewide market analysis to help senior living communities plan for the future .
• Promote the “ not-for-profit difference ” that highlights the unique benefits that not-for-profit senior living communities offer residents .
Expanding the world of possibilities for aging .
2018 Public Policy Agenda
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