Department of Health

Long-Term Home Health Care Program (Follow-Up Report)

In New York Stateís long-term home health care program, infirm and disabled Medicaid recipients receive health and related social support services in their own homes. According to State law and regulations, the cost of the care provided to program participants generally must be less than the cost of comparable nursing home care, and in most cases, is not to exceed 75 percent of the average cost of nursing home care in the recipientís local social services district. In audit report 2002-S-43, we examined the actions taken by the Department of Health and the local districts (57 counties and New York City) to keep program costs within statutory limits. We found that costs were usually kept within these limits, but we also identified some instances in which costs exceeded their limits. We identified certain improvements that could be made in local district practices, and recommended that the Department of Health work with the local districts to make these improvements. When we followed up on these matters with Department officials, we found that some progress had been made in implementing our audit recommendations, but additional actions were needed if the recommendations were to be fully implemented.

For a complete copy of Report 2005-F-19 click here.