367-W - Regional long-term care assessment centers.

§    367-w.   Regional   long-term   care   assessment   centers.   1.  Notwithstanding any provision of law to the contrary, the department  of  health  is  authorized to establish a demonstration program, which shall  be three years in duration, under which the department  shall  designate  one  or  more long-term care assessment centers to be established in and  together serve an entire county within the city of New  York  and  shall  designate  a  long  term  care  assessment  center  to be established in  another region consisting of one or more contiguous  counties  elsewhere  in the state.  Such centers shall serve the purpose of transferring from  the  social  services district to the regional long-term care assessment  centers responsibility for activities related to  the  assessment  of  a  person's need for, and the authorization of, long-term care services and  programs identified in subdivisions two, three and four of this section.  The  department  is  authorized  to  contract  with one or more entities  within  each  county  to  operate  regional  long-term  care  assessment  centers.    2.   The   regional  long-term  care  assessment  centers  shall  have  responsibility for assessment of long-term care needs  of  an  applicant  for,  or  recipient  of,  medical  assistance  and  for authorization of  services  and  participation  in  programs  including:   personal   care  services,   including   personal   emergency  response  services,  under  paragraph (e) of subdivision two of section three  hundred  sixty-five-a  of  this  title;  consumer-directed  personal  assistance services under  section three hundred sixty-five-f of this title;  the  assisted  living  program  under  section  four  hundred  sixty-one-l of this chapter; and  participation in the long-term home health care  program  under  section  three hundred sixty-seven-c of this title and section thirty-six hundred  sixteen  of  the public health law, including the AIDS home care program  under the provisions of section  three  hundred  sixty-seven-e  of  this  title and section thirty-six hundred twenty of the public health law.    3. Notwithstanding any provision of section forty-four hundred three-f  of  the  public  health law to the contrary, the regional long-term care  assessment center shall have responsibility for reviewing assessments to  verify that an individual requires a nursing home  level  of  care  and,  after  confirming  that  an  enrollment  is  voluntary,  for authorizing  participation in a managed long-term care plan or  an  approved  managed  long-term  care  demonstration under paragraph (o) of subdivision two of  section three hundred sixty-five-a of this title.    4.  The  regional  long-term  care  assessment  centers   shall   have  responsibility for reviewing documentation from a person's physician and  a  certified  home  health agency and for making the determination as to  the continuing need for home health services authorized under  paragraph  (d)  of  subdivision  two  of section three hundred sixty-five-a of this  title beyond sixty days.    5. This section shall apply to  those  consumers  who  apply  for  the  services  specified  in  this  section on and after the later of January  first, two thousand ten or the date specified in  the  contract  between  the  department  and the entity selected to be a regional long-term care  assessment center.    6. When a long-term care assessment center  is  authorized  to  assess  long-term  care needs or authorize services pursuant to this section, an  applicant or recipient may challenge any action taken or failure to  act  in connection therewith as if such assessment or authorization were made  by  a  government  entity,  and  shall  be  entitled to the same medical  assistance benefits and standards and to the same notice and  procedural  due  process  rights,  including  a  right  to  a  fair  hearing and aid  continuing pursuant to section twenty-two of this  chapter,  as  if  the  assessment or authorization were made by a government entity.7.  The commissioner of health shall submit a report biannually to the  governor, temporary president of the senate, speaker of the assembly and  the minority leaders of the senate and the assembly. Such  report  shall  also  be  posted on the department's website. Such report shall include,  but  not be limited to, an assessment of the project, an analysis of the  level and costs of  services  managed  under  the  contracts,  recipient  satisfaction  and  other  matters  as may be pertinent. In addition, the  commissioner shall convene an annual meeting of stakeholders to  discuss  implementation of the demonstration program established pursuant to this  section.