Partnerships for Long-Term Care

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Presentation transcript:

Partnerships for Long-Term Care Presented by David Guttchen Director - CT Partnership for Long-Term Care CT Office of Policy and Management The National Medicaid Congress June 5, 2006 Washington, DC Guttchen Track 2.04@1.15pm

Partnership States California Connecticut Indiana New York Guttchen Track 2.04@1.15pm

Current Status as of 12/31/05 Policies Purchased – 230,518 Policies in Force (Active) – 186,278 Guttchen Track 2.04@1.15pm

Current Status as of 12/31/05 Age at Purchase – California – Median of 60 Connecticut – Average of 58 Indiana – Average of 61 New York – Mean of 62 Guttchen Track 2.04@1.15pm

Current Status as of 12/31/05 Number of Claimants – 3,332 Benefits Paid – over $125 million Number of Claimants Accessing Medicaid – 157* * NY data as of 5/06. Guttchen Track 2.04@1.15pm

Goals Plan Ahead Without Risk of Impoverishment Enhance Policy Standards Public Education Constrain Growth of Medicaid Long-Term Care Expenses Guttchen Track 2.04@1.15pm

Medicaid Asset Protection Dollar for Dollar Asset Protection Hybrid Models in IN & NY Deficit Reduction Act only allows Dollar for Dollar Dollar for Dollar Protection Allows Policyholders to Purchase Shorter, Comprehensive Coverage Guttchen Track 2.04@1.15pm

Enhance Insurance Standards Compound Inflation Protection Minimum Daily Benefits Comprehensive Home Care Benefits Case Management Agent Training Guttchen Track 2.04@1.15pm

Public Education Key Role of the State Consumer Materials, Presentations and Counseling Outreach to Financial Professionals Agent Training Guttchen Track 2.04@1.15pm

Cost-Effectiveness In CT – Saved Over $2.8 Million To Date 6.8% of Medicaid Long-Term Care Budget as Annual Savings Starting in 2020 Guttchen Track 2.04@1.15pm

Deficit Reduction Act Removed Recovery Restriction On New States Originally Passed in 1993 Grandfathers Existing Partnership States (Includes Iowa) Guttchen Track 2.04@1.15pm

Deficit Reduction Act (cont.) Dollar for Dollar Asset Protection Tax-Qualified Policies Age-Based Inflation Protection Requirements Agent Training Reporting Limits Flexibility for Additional Partnership Requirements Guttchen Track 2.04@1.15pm

Partnership Expansion Many States Interested in Developing a Partnership Program Opportunities for Reciprocity Beyond Current Agreement Between CT & IN CMS Standards for Reporting & Reciprocity Needed Guttchen Track 2.04@1.15pm

Challenges for New States Interagency Coordination Implementation of DRA Provisions: - Inflation Protection - Minimum Benefit Levels - Reporting Consumer Education Guttchen Track 2.04@1.15pm