Second form letter sent by NY Medicaid Choice to managed care members identified as eligible for Behavioral Health services, based on past usage. This is the second notice sent to people whose managed care plan has a sister behavioral health organization or HARP, in which the member will be passively enrolled because they did not choose a different HARP after receiving the first "announcement" notice (posted at http://www.wnylc.com/health/download/586/).
In NYC notices were sent in fall 2015 for enrollment in Oct, Nov or Dec 2015. Services begin January 2016. Upstate counties later.

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.

Combined in one PDF is March 2015 State directive to MLTC plans requiring use of new templates for notifying member of reductions, denials, and terminations of services. Templates should be used by mid-May 2015. PDF includes Directive plus TWO new notice templates and the state's EXAMPLES of how the two templates are used. Also included is a sample of notice that MLTC plans sent to all members in June 2015 notifying of elimination of requirement to "exhaust" internal appeals before requesting fair hearing

Effectively immediately, the review of assets is limited to the 60-month period immediately preceding the month of institutionalization and application for Medicaid.

For Medicaid recipients who are institutionalized for long-term nursing home care or receiving more than 29 days of rehabilitation services, the look-back period consists of the 60 months preceding the month of institutionalization.

Update advised that all newborns born in 2015 submitted via the NYS automated system have been determined processed either automatically or manually

HIPAA form

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.

The NYS Dept. of Health's notice sent by its contractor, NY Medicaid Choice (Maximus) 30-days prior to "passive enrollment" into a FIDA plan. This notice follows an "announcement" notice (https://www.health.ny.gov/health_care/medicaid/redesign/docs/fida_prog_announce_brooklyn.pdf) a 90-day and 60-day notice. Both the 60-day and 30-day notices tell you which FIDA plan you will be assigned to if you do not OPT OUT.