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FIDA 60-Day Notice - 60 Days Before Passive Enrollment
M5 60-day PE Notice 11.29.14.docx
The NYS Dept. of Health's notice sent by its contractor, NY Medicaid Choice (Maximus) 60-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) and a 90-day notice, and is followed by a 30-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.
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25 Mar, 2015
41 kb
Downloads: 7289
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FINAL FIDA "Announcement Notice" being sent to MLTC Members in NYC and Nassau County
FIDA_Program_Announcement_ Sample_NYC_Nassau combined with inserts.docx
Letter being sent by State Dept. of Health to over 110,000 MLTC members in NYC and Nassau County. Letter being sent on a rolling basis in batches. (This version includes attached list of FIDA plans for both NYC and Nassau County. Client will only receive the one for their district.
NOTE: DOH failed to include crucial information - rejecting consumer advocacy, including:
* Right to Opt Out of FIDA
* Fact that you will be passively enrolled in FIDA if you don't opt out
* Says FIDA is free but doesn't explain that still owe Spend-down, if you have one - a source of confusion
* Nothing clarifying that must obtain all medical and long term care in-network from plan,
and more..
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25 Nov, 2014
53 kb
Downloads: 6255
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NYS Dept. of Health Update on FIDA 10/16/2014 with Roll-out Schedule for Letters to MLTC Recipients
DOH 10-16 14 Policy and Planning Update.pptx
DOH updates the MLTC plans on FIDA - the only real source of information on what is happening. This update has important info: (1) When will MLTC recipients in NYC and Nassau receive the "announcement" letter starting December 2014 about FIDA and when will they be passively enrolled into FIDA plans - will be on a rolling basis depending on when they renew Medicaid for the year (2) NEWS that current NURSING HOME RESIDENTS will NOT be passively enrolled into FIDA plans! Only NEW people who first become PERMANENT NH residents in 2015 will be passively enrolled but not til August 2015.
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22 Nov, 2014
939 kb
Downloads: 5795
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Medicare Savings Program application - Spanish version
DOH-4328-June-2008-final-Spanish.pdf
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13 Nov, 2014
85 kb
Downloads: 4105
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NYS Medicaid Form LDSS-4346 Institutionalized Spouse Budgeting Worksheet (1995)
LDSS-4346 Institutionalized Spouse Budget Worksheet 1995.pdf
1995 version of State form used to budget the spousal impoverishment income allowance in institutional budgeting and waiver budgeting. THis 1995 version is the only one we could find. IF you have a more recent version please email it to vbogart@nylag.org
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18 Aug, 2014
67 kb
Downloads: 7283
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Final State Regulations on Consumer-Directed Personal Assistance Program - April 2011
CDPAP Regulations 04-20-2011.pdf
Notice of Adoption of regulations on April 20, 2011
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18 Aug, 2014
152 kb
Downloads: 17267
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NYS DOH Final Three-Way Contract for FIDA between State, CMS and FIDA Managed care Plans
Final Three-Way Contract Generic 7_03_14.pdf
NYS DOH Final Three-Way Contract for FIDA between State, CMS and FIDA Managed care Plans - final model contract July 3, 2014
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25 Jul, 2014
1.63 mb
Downloads: 5422
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CMS & DOH Response to Comments on REadiness REview Tool for FIDA (9-26-13)
CMS-DOH Responses to Comments on Draft Readiness Readiness Review Tool.pdf
CMS & DOH Response to Comments on REadiness REview Tool for FIDA (9-26-13)
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25 Jul, 2014
664 kb
Downloads: 5231
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NYS DOH Draft Readiness Review Tool for FIDA - for comment August 26, 2013
NY Readiness Review 08-26-13_Draft for Plan Comment.pdf
NYS DOH Draft Readiness Review Tool for FIDA - for comment August 26, 2013
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25 Jul, 2014
895 kb
Downloads: 5294
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Final NYS DOH Policy on FIDA Inter-Disciplinary Teams (IDT) (June 5, 2014)
FINAL IDT Policy 6514.pdf
Final NYS DOH Policy on FIDA Inter-Disciplinary Teams (IDT) (June 5, 2014)
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25 Jul, 2014
521 kb
Downloads: 4236
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