Department of Health

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

In New York State's long-term home health care program, physically and mentally impaired 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 must be less than the cost of comparable nursing home care. In our prior audit report 95-S-136, we found that the Department of Health had no mechanism for monitoring the cost of care for each program participant. When we analyzed these costs, we found that they often exceeded the regulatory limit. Moreover, according to Department records, the rates charged by the health care providers in the program were 47 percent higher than the rates charged by providers in other home care programs operating in New York, and some of the services covered by the program were not covered by the other home care programs. We recommended that the cost-effectiveness of New York State's long-term home health care program be evaluated. In our follow-up review, we found little progress has been made by Department officials in implementing the recommendations contained in our prior report.

For a complete copy of Report 98-F-2 click here.