MANDATORY MANAGED CARE FOR PEOPLE WITH HIV/AIDS ON MEDICAID?

Historically, Medicaid beneficiaries with HIV/AIDS have been exempt from having to enroll in Medicaid managed care (MMC.)  Currently, New York State is considering requiring people living with HIV and AIDS to join MMC.  

We have strong concerns about the use of managed care as a universal approach for the delivery of care for all Medicaid beneficiaries, especially for those with complex health care needs like HIV and AIDS. We are opposed to limiting the choice people living with HIV and AIDS currently have to either join a MMC or HIV Special Needs Plan or retain fee-for-service Medicaid coverage.   

NYCAHN is working with a coalition of organizations to monitor and advocate around a New York State Department of Health proposal that would require all people living with HIV/AIDS receiving Medicaid to enroll in a managed care plan (either a SNP or mainstream HMO). NYCAHN opposes mandatory managed care for people with HIV/AIDS on Medicaid, however, we feel feel it is important to advocate for improvements to the proposed new policy and ensure a smooth transition if it is approved.

We will post relevant documents as they become available:

• DRAFT 1 "Statement of Standards"

• Community Letter to State Medicaid Commissioner

• Flier for Oct 28 Community Forum on Medicaid Managed Care

For more information please contact:

Sean Barry
NYC AIDS Housing Network (NYCAHN), 80-A Fourth Ave / Brooklyn, NY 11217
www.nycahn.org
office: (718) 802-9540, ext 10
NEW fax: (718) 228-2477
barry@nycahn.org

This page last updated on Fri. Oct. 24, 2008 -- more added soon.