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Medicaid Managed Care
E-mail from Rick Surpin, President of Independence Care Systems, Jan. 8, 2019, announcing Closing of ICS Download
ICS E-mail 2019-01-08.pdf
E-mail to "Dear Colleague" announcing closing of ICS effective 3/31/19
12 Jan, 2019 156 kb Downloads: 2257
Exhaustion of MLTC Plan Appeals before Requesting a Fair Hearing - NYSBA Elder Law and Special Needs Journal article 2018 Download
Exhaustion of MLTC Plan Appeals Before Requesting a Fair Hearing, Starting May 1, 2018,)(By Valerie Bogart; reprinted with permission from: Elder and Special Needs Law Journal, Spring 2018, Vol, 28 No. 2, published by the New York State Bar Association, One Elk Street, Albany, NY 12207.
12 Dec, 2018 105 kb Downloads: 3340
Guildnet FIDA Closing Letter Download
Guildnet FIDA Closing Notices - Combined.pdf
31 Oct, 2018 721 kb Downloads: 2495
Guildnet Closing Notice sent by NY Medicaid Choice dated Oct. 19, 2018 to 8000+ members Download
Guildnet closing Notice 10-2018.pdf
Notice sent by New York Medicaid Choice, the enrollment contractor for NYS Dept. of Health handling MLTC enrollment. Notice sent to nearly 8000 members of Guildnet's MLTC and Medicaid Advantage Plus plans that Guildnet closing 12/31/19. If they don't select a new plan by 12/19 they will be autoassigned for January 1st. Explains 120 days of continuity of care in new plan.
29 Oct, 2018 1.93 mb Downloads: 2724
Announcement of CLE/Training on Managed Long Term Care - Nov. 14, 2018 1 PM - 5:30 PM Download
NYALCA - Medicaid Seminar Registration Form November 2018.pdf
The New York Aging Life Care Association is pleased to announce a seminar:
NYS MEDICAID AND MLTC 2018 Medicaid & MLTC Changes enacted in NYS 2018-19 Budget.

Registration info in announcement.
21 Sep, 2018 765 kb Downloads: 3008
HRA Medicaid Alert 7/26/18 Special Income Standard for Housing Expenses when Discharged from Nursing Home to MLTC Download
2018-07-26 Medicaid Alert - Special Income Standard for Discharge from NH to MLTC.pdf
Update about the Special Income Standard for Housing Expenses for Individuals
Discharged from a Nursing Facility and who Enroll into the Managed Long Term Care Program - see article at http://www.wnylc.com/health/entry/212/
28 Aug, 2018 303 kb Downloads: 4033
Letter 8/21/18 from Guildnet CEO to Guildnet Employees announcing Guildnet will be closing 12/1/18 Download
Guildnet closing LT employees 2018-08-21.pdf
Letter from Alan Morse, CEO of Guildnet, dated 8/21/18 to Guildnet employees stating that Board decided the previous day to close Guildnet effective 12/1/18. States that the plan will be working closely with the State Dept. of Health on the transition of its members to other MLTC plans. Does not state that the Dept. of Health has approved the closure.
27 Aug, 2018 2.04 mb Downloads: 3542
ICS Letter to Member Council, June 22, 2018 regarding possible plan closure Download
ICS LET-6-22.jpg
Memo dated June 22, 2018 to Member Council of Independence Care Systems stating that closure of ICS MLTC plan would likely be announced in early fall, 2018, and that members would receive 90 days notice to choose another plan, or they would be assigned to VNS Choice. The memo states, "Members will be guaranteed the same level of care (continuity of care) for at least 120 days or until a new assessment is done." The memo states, "It is in each ICS member's best interest to stay at ICS until notification comes from DOH because the extended continuity of care will only be offered to people at ICS at the time of notification."
09 Jul, 2018 377 kb Downloads: 3039
Fact Sheet on New Rules for Appealing Actions by Medicaid Managed Care and MLTC Plans - Starting May 1, 2018 Download
Exhaustion Fact Sheet - NYLAG 4-25-18.pdf
Fact Sheet on New Rules for Appealing Actions by Medicaid Managed Care and MLTC Plans - Starting May 1, 2018 - by NYLAG Evelyn Frank Legal Resources Program
25 Apr, 2018 295 kb Downloads: 6155
NYLAG Webinar on Exhaustion and MLTC Appeals - PowerPoint April 18, 2018 (amended 4/22/18) Download
NYLAG Exhaustion Webinar PowerPt FINAL amended.pdf
Compilation of regulations, sample notices, forms, advocacy documents, fact sheets, and online references for CLE Webinar conducted by NYLAG EFLRP on April 18, 2018 on the new Appeals REquirements for Medicaid Managed Care as Implemented in NYS Effective May 1, 2018 (amended slides 5 and 7 4/22/18)
22 Apr, 2018 610 kb Downloads: 6881
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