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NYS Duals Coalition Statement on Issues in Nursing Home Transition to MLTC and Managed Care (Oct. 2015)
Issues in Carve-in Nursing Home Benefit CPRNYDE 10-22-15.pdf
Coalition to Protect the Rights of NY Dually Eligible - Issues and Concerns Related to the Carve-in of Nursing Home Benefit into Mainstream Managed Care and MLTC
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22 Nov, 2015
353 kb
Downloads: 5861
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NYS Announcement Letter Passive Enrollment into HARP Sister Plan
HF_ENG_HARP_Announcement_A_Passive_With_Sister_Plan_Final_08_03_2015.pdf
Form letter sent from NYS DOH, OMH and OASAS to managed care members identified as eligible for Behavioral Health services, based on past usage. This is the "announcement" notice sent to people whose managed care plan has a sister behavioral health organization or HARP, in which the member will be passively enrolled unless they choose a different HARP.
In NYC notices were sent in fall 2015 for enrollment in OCt, Nov or Dec 2015. Services begin January 2016. Upstate counties later.
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06 Nov, 2015
277 kb
Downloads: 4503
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PowerPoint Presentation by NYLAG Evelyn Frank Program on FIDA and MLTC 4/23/2015
2015 NYLAG CLE MLTC-FIDA updated 4-23-2015.pptx
PowerPoint Presentation by NYLAG Evelyn Frank Program on FIDA and MLTC 4/23/2015.
Updated version of presentation in live CLE conducted APril 20, 2015
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27 Apr, 2015
1.89 mb
Downloads: 5864
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Consumer Coalition Proposed Revision - FIDA NOTICES 3-4 - 60-Dayand 30-Day Passive Enrollment Notice (5/30/14)
FIDA 60 day and 30 day Notices combined 04-20-2015.pdf
On May 22, 2014, DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014. This is the Consumer coalition's proposed revision of NOTICEs 3 and 4 (60-day and final 30-day notices before Passive Enrollment).
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20 Apr, 2015
356 kb
Downloads: 8588
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Troubleshooting Problems Enrolling in MLTC Plans - Tips for Avoiding Delays and Medicaid Spend-down Problems
Troubleshooting - 4-16-15 pp.pdf
Fact sheet written by New York Legal Assistance Group Evelyn Frank Legal Resources Problem addressing common problems encountered by those trying to enroll in MLTC plans, especially where they have a spend-down OR are trying to leave a nursing home. Learn how to avoid delays in enrollment. Includes helpful forms, focused on NYC but can be adapted statewide (updated April 15, 2015)
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16 Apr, 2015
2.11 mb
Downloads: 27612
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MAP 649F Undercare
MAP 649F UnderCare Transmittal.pdf
Undercare Renewal/Follow-up Transmittal
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13 Apr, 2015
79 kb
Downloads: 3680
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HCSP-3047a MLTC/PRU
HCSP-3047a MLTC-PRU 1-26-15.pdf
This is the MLTC Provider Relations Unit cover sheet to be used
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13 Apr, 2015
47 kb
Downloads: 3782
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HCSP 3026 ALP Medicaid Cover Sheet
HCSP-3026 HCSP Cover Sheet for ALP-MLTC 1-26-2015.pdf
This is the cover sheet for HRA-ALP Medicaid Cover Sheet
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13 Apr, 2015
44 kb
Downloads: 3883
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Notice of Admission/Discharge for the Assisted Living Program
HCSP 3027 1-26-2015.pdf
This form is to be mailed to Home Care Services Program once a client is admitted or discharged from Assisted Living Programs
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13 Apr, 2015
44 kb
Downloads: 4116
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15-INF-03 Informational Letter Personal Needs Allowance in Non-Medical & Medical Facilities
15-INF-03 Informational Letter Personal Needs Allowance in Non-Medical and Medical Facilities.pdf
This informational letter provides social services districts with updated charts that represent the monthly Personal Needs Allowance, PNAs, for residents of non-medical facilities the PNAs in medical facilities.
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13 Apr, 2015
302 kb
Downloads: 3430
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