Long Term Care Community Coalition

ACCESS TO LONG TERM CARE

This page is dedicated to access to care issues, including plans to institute single points of entry (POEs) for long term care, compliance with the U.S.Supreme Court's decision in Olmstead (which held that the unjustified institutional isolation of people with disabilities is a form of illegal discrimination) and changes to Medicaid. Money Follows the Person Update

Single Point of Entry (POE) for Long Term Care

picture of long term care community coalition meeting

Coalition Members Discuss the POE Proposal

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New Study:

New York’s Single Point of Entry for Long Term Care: A First Year Assessment of Consumer Experience With Recommendations for the Future

This reports examines first year experience with NY Connects, NY State's single point of entry for long term care, and provides recommendations to ensure that NY Connects truly serves New York's diverse consumer population as it is further implemented.  The report includes a state-wide survey of New Yorkers' knowledge of, and experience with, the system. 

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Single Point of Entry for Long Term Care and Olmstead: An Introduction and National Perspective for Policy Makers, Consumers and Advocacy Organizations

This paper examines single point of entry systems around the country and how they are serving long term care consumers.

Advocacy Tool kit for POE & Olmstead

The toolkit is a short (two page) overview of significant issues & activities for consumer advocates concerned about POE and/or Olmstead plans in their state.

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The Long Term Care "Compact" Proposal

NY State legislators are considering a proposal to change the way people access long term care in New York.  Under the compact, people who need long term care can pledge substantial portions of their assets and a percentage of future income in return for receiving access to long term care services. 

LTCCC and other consumers have serious concerns about the proposal, which could marginalize those who will need Medicaid in the future and is potentially confusing and a bad deal for those who might want to enter into the compact.  Because private companies would be providing the compact, we are also very concerned at the prospect of privatizing this important function.

For more information:

LTCCC Testimony at NYS Assembly Hearing

NYS Bar Committee Article Proposing the Compact

Summary of the Compact by Gail Holubinka (Ms. Holubinka is an architect of the proposal.)

New York Compact: Long-Term Care Protection or Scam?

 

 

 

 

 

 

 

 

 

 

 

Single Point of Entry (POE)

New York City

March 2008 update: After close to two years, the heads of Human Resource Administration and the Department for the Aging sent a joint letter to the state (SOFA and DOH) informing them that the city was withdrawing from the NY Connects program.The state will need to contract with a new POE provider for the City.

New York State

Fall 2007 Update: NY State is rolling out "Phase 1" of its single point of entry (POE) for long term care, called NY Connects: Choices for Long Term Care. NY Connects is a localized program, operating on a county level in every county across the state (except for in New York City, which is consolidated into one POE program).

Phase 1 of the POE is meant to provide a comprehensive source of information for citizens who are in need of long term care, whether they are prospective or current consumers.  Phase 2, which is planned for the future, will provide more comprehensive and integrated services, including assessment of individuals.

Sources have informed LTCCC that institutional providers (such as nursing homes) have been lobbying against implementation of Phase 2, resulting in its being put off, perhaps indefinitely. However, it is important to be aware that this situation can change, do to other factors such as pressure to reduce costs, the requirement of each state to implement the holding in the US Supreme Court's Olmstead Decision, etc... (see links to LTCCC's POE & Olmstead materials on this page for more information).

Click here to visit our POE in NY State page, with the latest links and information.    

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LTCCC Develops White Paper on
The Future of LTC in NYS

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Citizen Action Center

Long Term Care Community Coalition
242 West 30th Street, Suite 306
New York, NY 10001
Tel: 212-385-0355    Fax: 212-239-2801