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Medicaid Managed Care
Letter from North Shore LIJ MLTC Plan to members, dated 9/22/17, that plan closing 12/31/17 Download
North Shore LIJ - Letter to members closing redacted.pdf
Letter from North Shore LIJ MLTC Plan to members, dated 9/22/17, that plan closing 12/31/17. Informs member that unless chooses and enrolls in a different plan before 11/10/17, will be auto-assigned to Centers Plan for Health Living effective 1/1/18.
09 Oct, 2017 2.04 mb Downloads: 5037
NYC HRA Medicaid Alert 2017-04-26 Change in Medicaid Transportation Contractor in NYC for Medicaid Managed Care and Fee for Service Medicaid Download
2017-04 Medicaid Alert re Transportation for FFS and MMC New Company.pdf
Announces change effective April 23, 2017 from LogistiCare to MAS - Medical Answering Services LLC, the same contractor handling much of upstate NYS.
08 Jun, 2017 192 kb Downloads: 3826
Chart of Enrollment in MLTC Plans - Nassau, Suffolk, Westchester - March 2017 Download
Guildnet market share 11-2016 and 4-2017.pdf
Chart shows impact of withdrawal of Guildnet from Nassau, Suffolk and Westchester Counties per letters sent to 4000+ members in March 2017. See http://www.wnylc.com/health/download/621/
23 May, 2017 263 kb Downloads: 3244
Letter from State Dept. of Health to Guildnet members in Long Island & Westchester - 3/13/2017 Download
guildnet letter from DOH - 2 - May 2016.pdf
Letter dated Mar. 13, 2017 from NYS Dept of Health to 4000+ members of Guildnet MLTC in Suffolk, Nassau, and Westchester counties, clarifying that Guildnet MLTC is not closing in those 3 counties on June 1, 2017 and that the plan is required to continue providing services to members after that date. See letter for more.
18 May, 2017 654 kb Downloads: 3956
Letter Template from Guildnet in Nassau, Suffolk and Westchester to Members - Feb. 2017 Download
GuildNet plan withdrawal - member notification letter 3 counties combined.pdf
Letter Guildnet is sending to it;s 4,000+ members in Nassau, Suffolk and Westechester counties in Feb and March 2017 stating, "GuildNet will no longer offer Managed Long Term Care (MLTC) services in [county] effective June 1, 2017. It is important that you select a new MLTC plan before May 18, 2017 to assure a smooth transfer to your new plan. You will continue to receive services from GuildNet until your transfer to your new plan is complete." Letter does not explain that if person does NOT transfer to another plan, they may still stay in Guildnet. Nor does letter explain that new plan is not required by State to honor Guildnet's same plan of care and number of hours. NOr does letter give contact info for ICAN ombuds program. icannys.org
29 Mar, 2017 263 kb Downloads: 4740
Explanation of the Conflict Free Evaluation and Enrollment Center and MLTC Evaluation (rev. 12-2016) Download
Explanation of the CFEEC and MLTC Evaluation NYLAG Letterhead rev 12-2016.pdf
This outline describes the evaluation process for someone who is on Medicare and Medicaid (approved or application pending) who requires enrollment into a Managed Long Term Care plan. Revised 12-2016 to include change that CFEEC now valid for 75 instead of 60 days.
23 Dec, 2016 413 kb Downloads: 33156
NYS FIDA Special Mailing to MLTC Members Explaining FIDA Program - 2016 Download
DOH FIDA enrollment solicitation 11-16.pdf
Mailing from New York Medicaid Choice to MLTC Members in FIDA Demo Area (New York City and Nassau County) explaining FIDA program. May be confusing to members who previously opted out of FIDA.
23 Dec, 2016 206 kb Downloads: 3003
11/9/2016 Letter from NYS Dept. of Health Extending FIDA 2 years Download
FIDA extension letter 11.09.16.pdf
Extends FIDA demo extra 2 years through Dec. 31, 2019
09 Nov, 2016 87 kb Downloads: 3213
CMS Memo 10/28/16 re FIDA Plans Not Renewing Contracts for 2017 Download
NY_FIDA_Non-renewing_Contracts_closeout instructions.pdf
Describes procedures for how members in those 3 plans not renewing contracts will be transitioned to other FIDA plans or may choose Original Medicare and MLTC.
02 Nov, 2016 141 kb Downloads: 3195
NYLAG Comments on State "Immediate Need" Regulations - April 1, 2016 Download
NYLAG Comments Immediate Need PCS FINAL.pdf
Comments to last in series of proposed regulations implementing 2015 law requiring expedited processing of Medicaid apps in 7 days where there is an immediate need for personal care or CDPAP. Regs published for comment March 2, 2016.
05 Aug, 2016 534 kb Downloads: 4004
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