Comparison

COMPARISON OF LTHHCP 1915(c) HCBS WAIVER SERVICES TO MMC AND MLTCP SERVICES
Service Benefits
Long Term Home Health Care Program
(LTHHCP)
Medicaid Managed Care
Managed Long Term Care
Audiology /Hearing Aids
Included
Included
Included
Care/Case Management
Not Discrete Waiver Service – reimbursed
as an administrative function of the
LTHHCP agency
Included for select members at
plan’s discretion
Included - Plan responsible for
managing/coordinating all
services (primary, specialty and
acute care services)
Community Transitional Services
(CTS) (moves from SNF)
Included - Began 5/11; 12 claims totaling
$2,700 to date
Not included
Not included
Home and Community Support
Services (HCSS)
Included - Began 5/11, no claims.
Not included
Not included
Home Delivered/Congregate Meals
Included
To be included for enrollees
transitioning from LTHHCP
Included
Home Health Aide
Included
Included
Included
Homemaker/Housekeeper
Included
Included (St Plan Personal Care)
Included
Medical Social Services
Included
To be included for enrollees
transitioning from LTHHCP
Included
Nursing
Included
Included
Included
Nutrition/ Nutritional Counseling
Included
Included
Included
Personal Care
Included
Included
Included
Personal Emergency Response
(PERS)
Included
Included
Included
PT, OT, Speech
Included
Included
Included
Respiratory Therapy
Included
Included
Included
O:\BCCI\Plan Lists\Waiver v MLTC Services 4-25-12.docx
COMPARISON OF LTHHCP 1915(c) HCBS WAIVER SERVICES TO MMC AND MLTCP SERVICES
Social and Environmental Supports
 Assistive Technology (NonState Plan DME)
Included
Not included
Included
 Environmental Modification
(Home and Vehicle)
Included
Not included
Included
 Home Maintenance
Included
Not included
Included
 Moving Assistance (between
community homes)
Included
Not included
Included
 Respite Care (in home or SNF)
Included
Included
Included
 Social Day Care
Included
Not included
Included
 Transportation Social Day Care
Included
Not included
Included
O:\BCCI\Plan Lists\Waiver v MLTC Services 4-25-12.docx