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Medicaid Managed Care
FIDA - Fully Integrated Dual Advantage Demonstration Starts 2015 - Fact Sheet Download
FIDA Fact Sheet 7-23-14.docx
Fact Sheet on the FIDA Demo that will start in NYC and Nassau in January 2015, and in Suffolk and Westchester in April 2015. Dual Eligibles who need Medicaid long term care services in those downstate areas must either enroll or OPT OUT of these managed care plans that will manage BOTH Medicare AND all Medicaid services.
23 Jul, 2014 30 kb Downloads: 3541
Consumer Coalition March 2013 Position Paper on Appeals System in "FIDA" Dual Eligible Demo Waiver Download
CPRYDE Integrated Appeals March 2013.pdf
"Creating an Integrated Appeal Process for the Fully Integrated Dual Advantage Health Plans" - Coalition to Protect the RIghts of New York's Dual Eligibles March 27, 2013
12 Jun, 2014 781 kb Downloads: 3383
PowerPoint explaining Spousal Impoverishment Protections in Managed Long Term Care Download
Spousal Impoverishment Protections in MLTC.pptx
Prepared by NYLAG Evelyn Frank Legal Resources Program
12 Jun, 2014 1.1 mb Downloads: 5674
Consumer Advocates Letter to DOH & CMS 5-20-14 - Concerns about MLTC Managed Long Term Care Implementation Download
Letter to State and CMS_MLTC abuses_FINAL2.pdf
MFY Legal Services, NYLAG and other organizations sent this letter in response to New York Times article published May 9, 2014, titled Medicaid Shift Fuels Rush for Profitable Clients" - which uncovers disturbing behavior among the Managed Long Term Care plans early in the implementation of mandatory MLTC, as they competed for market share of new enrollees (published May 9, 2014). Article attached to letter
12 Jun, 2014 1.75 mb Downloads: 4472
FIDA - Consumer Comments on Final Proposal to CMS June 30, 2012 Download
Letter from beneficiary advocates re NYS dual eligible demonstration 6-30-12 pdf.pdf
FIDA - Consumer Comments on Final Proposal to CMS June 30, 2012 (Consumer Coalition to Protect Rights of NY Dual Eligibles)
11 Jun, 2014 242 kb Downloads: 3460
Consumer Advocate Comments on Revised NYS Proposal for Fully Integrated Dual Eligible Waiver (FIDA) Download
Comments from beneficiary advocates re NYS dual eligible demonstration.pdf
Comments filed May 17, 2012 on proposal to require all dual eligibles to join a managed care plan covering both Medicare and Medicaid services
05 Jun, 2014 291 kb Downloads: 4254
Consumer Advocate Comments on NYS Proposal for Fully Integrated Dual Eligible Waiver (FIDA) Download
Comments re NYSDOH demonstration proposal to integrate care for dual eligible individuals.pdf
Comments submitted to State April 20, 2012 on waiver proposal Demonstration to Integrate Care for Dual Eligibles-- http://www.health.ny.gov/facilities/long_term_care/docs/demo_integrate_care_for_dual_elig.pdf
05 Jun, 2014 2.63 mb Downloads: 4330
Consumer Comments on the FIDA Memorandum of Understanding - Sept. 23, 2013 Download
CPRNYDE Comments on the FIDA MOU Sep 2013.pdf
Consumer Comments on the FIDA Memorandum of Understanding - Sept. 23, 2013
05 Jun, 2014 453 kb Downloads: 3301
Consumer Coalition Proposed Revision - FIDA NOTICES - Cover Letter to State and CMS (5/30/14) Download
2014-05-30 CPRNYDE letter re FIDA notices.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 letter of May 30, 2014 explaining proposed revisions of the notices enclosed with the letter, and recommending edits.
04 Jun, 2014 357 kb Downloads: 3575
Consumer Coalition Proposed Revision - FIDA NOTICE 2 - 90-Day Passive Enrollment Notice (5/30/14) Download
FIDA 90-day (Announcement) Notice - CPRNYDE comments 05-30-14.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 NOTICE 2 - the 90-day notice to enroll in a FIDA plan or be passively enrolled.
04 Jun, 2014 413 kb Downloads: 3745
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