Part 3 of 5-part Medicaid webinar series. This presentation focuses on types of managed care plans and which Medicaid recipients may -- or must - enroll in each type.

Testimony of NYLAG to the New York State Legislature Joint Hearing of the Senate Finance and Assembly Ways and Means Committees - January 2016

Comments filed Dec. 9, 2015 in response to proposed state regulations (10-28-2015) to implement 2015 state law changes requiring expedited 7-day approval of Medicaid for those with immediate need for personal care or consumer directed personal assistance.

Official training PowerPoint for MLTC and Managed care plans, nursing homes and NYC Medicaid staff on submission of Medicaid applications for nursing home care under new 2015 changes requiring permanent nursing home residents to enroll in or stay in managed care or mLTC plans. October 2015.

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

Excerpt of data from Excel chart posted at http://www.wnylc.com/health/download/588/ For more breakdown re enrollment in MLTC plans in upstate counties see most recent report in https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/ - tab for MLTC plans.

Data from CMS Medicare Advantage monthly data and NYS DOH monthly managed care enrollment data https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Plan.html and https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/

Both for October 2015.

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.