DEPARTMENT OF
PUBLIC WELFAREExpansion of the Long-Term Care Capitated Assistance Program; Request for Information [36 Pa.B. 450] The Long-Term Care Capitated Assistance Program (LTCCAP) is the Commonwealth's replication of the Program of All-inclusive Care for the Elderly (PACE) Model. Under this request for information, the Department of Public Welfare (Department) is asking organizations interested in participating as an LTCCAP provider to contact the Department. Providers will be responsible to provide a specific package of services to individuals enrolled in LTCCAP, who are eligible for Medical Assistance (MA) and have been determined to require nursing facility services. To be considered for an LTCCAP site, organizations must be enrolled in the MA Program, meet the requirements included in the PACE Protocol and LTCCAP Provider Agreement and have a completed feasibility study through an approved PACE Technical Assistance Center. The feasibility study must evaluate and address at least the following:
* Market analysis to determine potential demand for PACE services in the proposed service area.
* Organization's commitment to principles consistent with PACE model; depth of leadership and experience required to develop PACE; evidence of primary, acute and/or long-term care services; and experience in serving eligible dual populations.
* Financial capacity of organization to fund program development, assume financial risk and fund risk reserve.
* Project design.
* Projected 5-year startup budget.
The Department will consider, among other things, the following factors when determining site selection for LTCCAP:
* MA service need.
* MA service availability (such as availability of nursing facility services and home and community based services).
* Project location (such as suburban versus urban locations and existing project sites).
* Uniqueness of project design (such as closing existing nursing facility beds and collaboration efforts with affordable housing providers, hospitals, nursing facilities and referral sources).
* Time line for program development.
* Demonstration of plan to achieve solvency and fund risk reserve.
Questions regarding the PACE Protocol or the feasibility study through a PACE Technical Assistance Center should be directed to Cindy M. Proper at (717) 772-2525.
Organizations that meet the criteria listed in this notice that are interested in being considered to provide services under LTCCAP should submit a letter of interest, along with a copy of their completed feasibility study no later than 90 days from the date of this notice, to LTCCAP, Division of LTC Client Services, Department of Public Welfare, 6th Floor, Bertolino Building, P. O. Box 2675, Harrisburg, PA 17105.
Current LTCCAP providers interested in expanding beyond their designated zip code area are also invited to respond to this request. Responses should be directed to the address previously given and include a letter of interest, along with a market analysis of the area of interest.
ESTELLE B. RICHMAN
Secretary,Fiscal Note: 14-NOT-463. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 06-155. Filed for public inspection January 27, 2006, 9:00 a.m.]
