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Performance Standards & Quality Measures for New York FIDA program
Recs re Performance Standards and Quality Measures - with State rec measures 010913.pdf
This document was authored by the New York Coalition to Protect Dual Eligibles as input for the NY State Department of Health's Quality Work Group which was formed in the fall of 2012 to collect stakeholder input on the design of the Fully Integrated Dual Advantage (FIDA) program. The paper focuses on the need to create new quality measures to ensure appropriate measurement of plan performance and to provide incentives to shift care from institutions to the community.
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29 Jan, 2013
154 kb
Downloads: 4162
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Notice to Class Members in Strouchler v. Shah with 21 Days to Request Reinstatement of Split-Shift Personal Care Services
homecarenotice.pdf
Notice to Class Members in Strouchler v. Shah with 21 Days to Request Reinstatement of Split-Shift Personal Care Services
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05 Oct, 2012
45 kb
Downloads: 183
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Final Consumer Comments on NYS DOH Proposal to Manage Care for Dual Eligibles
Letter from beneficiary advocates re NYS dual eligible demonstration 6-30-12 pdf.pdf
These comments were filed with CMS June 30, 2012, after DOH filed its revised proposal for managed care for dual eligibles.
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07 Aug, 2012
242 kb
Downloads: 3442
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MLTC Nursing Home Networks
MLTC Nursing Homes Final.xls
Spreadsheet prepared by Selfhelp Community Services listing which nursing homes are covered by which Partial-Cap Managed Long-Term Care (MLTC) plans in New York.
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12 Jul, 2012
134 kb
Downloads: 645
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NYS Managed Long Term Care - Data on Percentage of Capitation Rate Spent on Various Expenses - 2010
2010Q4 MLTC data highlights expense.pdf
Data Compiled by Selfhelp Community Services based on Cost Reports filed by MLTC Plans with the NYS Dept. of Health for 2010
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10 Jul, 2012
8 kb
Downloads: 801
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NYS Managed Long Term Care - Data on Numbers of MLTC Members in Nursing Homes for a Full Quarter - 2010
2010Q4 MLTC data highlights NH use.pdf
Data compiled by Selfhelp COmmunity Services based on Cost Reports filed with NYS Dept. of Health by MLTC plans for 2010.
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10 Jul, 2012
6 kb
Downloads: 580
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NYS Managed Long Term Care - Hours of Home Care Provided 2010, Broken down by Categories of Usage
2010 MLTC -PACE data HHA-PCA hours.pdf
Data calculated from Cost Reports filed by MLTC and PACE plans for 2010. Shows number of hours provided by plan for Home Health Aide (HHA) and Personal Care Aide (PCS) service, with numbers of members receiving care in different amounts of hours
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10 Jul, 2012
35 kb
Downloads: 656
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Chart Explaining 5 Types of Medicaid Managed Care/ Managed Long Term Care Plans in NYS - 2012
SUMMARY OF MANAGED CARE PLANS IN MEDICARE AND MEDICAID.pdf
Chart Explaining differences between 5 Types of Medicaid Managed Care/ Managed Long Term Care/ PACE Plans in NYS - 2012, showing enrollment upstate/NYC in May 2012
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13 Jun, 2012
29 kb
Downloads: 5177
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List of Consumer Directed Personal Care Programs (CDPAP) in NYS
CDPAP list by county 5-12.pdf
List of Consumer Directed Personal Assistance Programs (CDPAP) in New York State, by county - updated 5/15/12
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15 May, 2012
75 kb
Downloads: 9641
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Class Action Complaint - Strouchler v. Shah (S.D.N.Y.)
Strouchler Class Complaint FINAL.pdf
Complaint challenges systematic violations of Mayer v Wing and validity of state regulation amendment changing definition of eligibility for "continuous 24-hour care" (split shift)
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30 Apr, 2012
105 kb
Downloads: 728
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