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Medicaid Managed Care
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: 4595
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: 3584
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: 3850
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: 4020
Consumer Coalition Proposed Revision - FIDA NOTICE 1 - Announcement Notice (5/30/14) Download
1 - FIDA Program 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 1 - the Announcement notice
04 Jun, 2014 211 kb Downloads: 4641
DOH FIDA draft 90-day Notice (Notice 2 of 4) Download
FIDA 90-day (Announcement) Notice- 5 21 14.pdf
DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014.
04 Jun, 2014 214 kb Downloads: 3949
DOH FIDA draft "announcement Notice (Notice 1 of 4) Download
1 - FIDA Program Announcement Notice - 5 21 14.pdf
DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014.
04 Jun, 2014 132 kb Downloads: 3736
NYLAG presentation on MLTC & FIDA Updates 5-26-2014 Download
MLTC & FIDA Update 2014.pdf
Presentation to NASW Suffolk Chapter by David Silva at NYLAG
26 May, 2014 2.06 mb Downloads: 4102
Medicaid Alert: Excess Income (Surplus) Applicants in Need of Managed Long Term Care Download
MLTC change in spend-down coding 7-12-2012.pdf
July 12, 2012
The purpose of this ALERT is to inform Community Based Organizations, Client Representatives, Certified Home Health Agencies and other providers that the Medical Assistance Program is changing the way it processes Medicaid applications for excess income eligible consumers seeking enrollment into a Managed Long Term Care (MLTC) plan. Consumers seeking MLTC enrollment who are found to only be eligible for the Medicaid Excess Income (Surplus) Program will now have their cases accepted and authorized with “06” (provisional) coverage. This will occur even if their applications are received without bills that cover their excess or surplus.

This new process will allow MLTCplans to see the provisional coverage on ePaces/eMedNY and will facilitate receipt of services for these consumers. Submitters are requested, when appropriate, to prominently indicate on the cover sheet of submitted applications that the consumer intends to enroll into an MLTC plan

Current policy will remain unchanged for all other consumers found eligible for the Excess Income Program.
20 May, 2014 42 kb Downloads: 12410
MLTC-MAP-PACE Plan List by Company - January 2014 Download
MLTC-MAP-PACE Plan List by Company - April 2014 - NYLAG_140512132608.pdf
All MLTC, MAP, and PACE plans in NYS as of January 2014, organized by company sponsoring the plan. Shows that some companies are sponsoring not just an MLTC plan but also a Medicaid Advantage Plus or Medicaid Advantage plan.

Shows which MLTC plans are sponsoring FIDA plans to be launched in 2014.
12 May, 2014 207 kb Downloads: 18826
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