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This Fall, the Medicaid program implemented a new rule, which requires a preliminary evaluation for individuals seeking home care services for the first time. The Conflict-Free Evaluation and Enrollment Center (CFEEC) is a screening program designed to ensure that persons enrolling in Managed Long-Term Care (MLTC) plans need home care services for at least 120 days. The evaluation process takes place prior to the time the individual joins a MLTC. The evaluation includes a home, hospital, or nursing home visit by a registered nurse, who will ask the patient a series of questions to understand his or her care needs. The CFEEC program results do not determine the number of home care hours the applicant will receive after joining a MLTC.
Accordingly, the MLTC will still conduct its own assessment with a registered nurse, but only after receiving confirmation from CFEEC that the patient is eligible to receive home care services. The CFEEC will not approve those patients needing only housekeeping services for home care services. If a patient needs housekeeping services, they will be directed to their local Medicaid office. The certification by the CFEEC is valid for 60 days.
The program began on October 1, 2014 for Manhattan and Bronx residents approved for Medicaid. This change will begin on November 1, 2014 for Kings, Queens, Nassau, and Richmond counties. On February 1, 2015, Westchester and Suffolk counties must adhere to this new program as well. For more information on this program, please visit nymedicaidchoice.com; or call Lamson andamp; Cutner, P.C. at (212) 447-8690.