Notice sent to all MLTC members by State DOH in week of Jan. 17, 2020 explaining the change in how nursing home care relates to MLTC. If in a nursing home for more than 3 months, will no longer be eligible for or remain in an MLTC plan. See http://www.wnylc.com/health/entry/199/.

This PDF has 2 form notices being sent in Jan. 2020 to adult Nursing Home Residents approved for Institutional Medicaid, advising them that they won't be enrolled in MLTC plans as previously notified. This is implementing the change approved by CMS for MLTC. See http://www.wnylc.com/health/entry/199/. The 1st notice is to those who received notice that they must select an MLTC plan by a certain date. The 2nd notice in the PDF is to those who were told they'd be assigned to an MLTC plan on February 1, 2020. That enrollment is now canceled.

LDSS-3559 Form RESIDENTIAL HEALTH CARE FACILITY REPORT OF MEDICAID RECIPIENT ADMISSION/DISCHARGE/READMISSION/CHANGE IN STATUS. This is last version of form from 2013, which DOH has said is under revision

This documents lists which categories of beneficiaries are exempt or excluded from the requirement of joining a mainstream medicaid managed care plan. Rev'd 9/28/15

Final FIDA Non-Renewal Model Letter - "Non-Passive Enrollment" - "Notice 2" 09.25.19
State Template for notice sent to members of only TWO FIDA plans -- Riverspring and those in Senior Whole Health FIDA who live OUTSIDE the Bronx. The notice says the FIDA program is closing Dec. 31, 2019. This notice tells members of these plans that unless they select a different plan before Dec. 20, 2019, they will be assigned to a Managed Long Term Care plan operated by the same company that operates their FIDA plan. If they do nothing, these members will be assigned not only to an MLTC plan but also randomly assigned to a Medicare Part D drug plan, and enrolled in Original Medicare January 1, 2020.

Members of the other 4 FIDA plans and those in Senior Whole Health who live in the Bronx received "Notice 1" - Passive Enrollment notice, posted at http:// www.wnylc.com/health/download/703/

State Template for "Notice 1" or "Passive Enrollment" notice sent to members of most FIDA plans that FIDA program is closing Dec. 31, 2019. This notice tells members in this group that unless they select a different plan before Dec. 20, 2019, they will be assigned to the Medicaid Advantage Plus(MAP) plan operated by the same company that operates their FIDA plan. This "Notice 1" sent to members of all FIDA plans EXCEPT Riverspring, and for those in Senior Whole Health FIDA, only members who live in the Bronx received this notice.

Statewide Contact list of MLTC-MAP-PACE plans by County is at http://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm. This list by county is updated with April. 2019 enrollment data
NYC list is last pages.

Change in enrollment by plan in NYC from 4/2013 to April 2019 - from Source: DOH Medicaid Managed Care Enrollment Reports (Oct 2018)
https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
by
Sorted in 2 ways- A.order of highest enrollment currently, B alphabetivally

"Official" closing letter to members of the ICS Managed Long Term Care (MLTC) Plan from the NYS Dept. of Health dated Jan. 25, 2019 explaining that those members who did not choose to enroll in an MLTC plan by Mar. 20, 2019 would be assigned to VNS Choice MLTC plan eff. 4/1/19. Letter explains one-year continuity protections at VNS only, and new ICS Health Home that will continue to manage care for some ICS members who transfer to VNS. See http://www.wnylc.com/health/news/78/.

E-mail to "Dear Colleague" announcing closing of ICS effective 3/31/19