Uniform Assessment System – New York
Long Term Home Health Care Program
September 20, 2013
Statewide Implementation Plan
Pilot Counties: Broome, Chautauqua, Otsego, Warren
(Live Data)
Managed Long Term Care Plans
Mainstream Medicaid Managed Care Organizations
Complete Transition to UAS-NY for Remaining Fee for
Service Programs
Full
implementation by
June 30, 2013
Begin using
UAS-NY
October 1, 2013
Full
implementation by
February 1, 2014
Spring 2014
Statewide Implementation Plan
for Remaining Fee for Service
Region
Begin
Transition
Activities
Deadline for
Implementation
of UAS-NY
May 1, 2013
October 1, 2013
6
Allegany, Cattaraugus, Chemung, Erie, Genesee, Livingston,
Monroe, Niagara, Ontario, Orleans, Schuyler, Seneca, Steuben,
Wayne, Wyoming, Yates
June 1, 2013
5
Cayuga, Chenango, Cortland, Delaware, Herkimer, Jefferson,
Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence,
Tioga, Tompkins
November 1,
2013
Albany, Clinton, Columbia, Essex, Franklin, Fulton, Greene,
Hamilton, Montgomery, Otsego, Rensselaer, Saratoga,
Schenectady, Schoharie, Washington
July 1, 2013
4
December 1,
2013
August 1,
2013
January 1, 2014
September 1,
2013
February 1,
2014
3
1 and 2
Counties
Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster
Nassau, New York City, Suffolk, Westchester
3
Current Scope of UAS-NY
UAS-NY will replace existing assessment instruments in the
following programs/plans:




Adult Day Health Care
Assisted Living Program
Care at Home Waivers I & II
Consumer Directed Personal
Assistance Program
 Long Term Home Health Care
 Managed Long Term Care
 Nursing Home Transition and
Diversion Waiver
 Personal Care
 Traumatic Brain Injury Waiver
For Long Term Home Health Care Programs, the UAS-NY will
replace:
•
LDSS – 3139 Home Assessment Abstract
•
DMS – 1 Long Term Care Placement Form
Underlying Program Requirements
Remain in Effect
Physician override provision still in place; follow existing protocol
Alternate Entry
Local departments of social services role remains the same
Joint assessment still required
Adhere to existing program regulations
Comprehensive Assessment including OASIS requirements
Fundamental UAS-NY Concepts
Reports
Use of UAS-NY for non-Medicaid Recipients
Primary focus is for Medicaid recipients
Release required for non-Medicaid Recipients
- DOH 5032 is required
- Must be retained by organization
Quick Points
- Reasonable effort to Secure Release
- Use of Existing Forms
- Pending Medicaid Application is Acceptable
Long Term Home Health Care Transition to
Managed Long Term Care
Transition to Managed Long Term Care is being phased in across
the State
 NOW: New York City, Nassau, Suffolk and Westchester
 CMS APPROVAL: Orange and Rockland
 END OF 2013: Albany, Erie, Monroe, and Onondaga
 TO BE DETERMINED: Balance of State
Long Term Home Health Care Transition to
Managed Long Term Care
Upon transition to the Managed Long Term Care Plan:
 the individual becomes a member of the Plan.
 the individual is no longer enrolled in the Long Term Home Health Care
program; budget caps no longer apply.
 must be assessed utilizing the UAS-NY by the Plan. The Plan must
adhere to its requirements.
 Plan will provide the individual with the same level of services for 90days.
OASIS
Federal Requirement – Comprehensive assessment with OASIS
data items integrated for those adult patients receiving skilled
services (nursing and therapies) at time points required (SOC, ROC,
60 day recert, Transfer, Discharge)
The agency must continue to complete the comprehensive
assessment for these patients that transition into MLTC; only the
payor source is changing.
Questions specific to OASIS requirements should be directed to:
[email protected]
Additional information
DOH Website
http://www.health.ny.gov/health_care/medicaid/redesign
/uniform_assessment_system/index.htm
Questions may be emailed to:
[email protected]
or
Call UAS-NY Support Desk
Monday – Friday
8:30 AM – 4:00 PM
518-408-1021