|
Spreadsheet with Oct. 2015 Enrollment Data for FIDA and MLTC in NYS
Monthly_Report_By_FIDAPlan_2015_10.2.xls
Data from CMS Medicare Advantage monthly data and NYS DOH monthly managed care enrollment data https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Plan.html and https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
Both for October 2015.
|
|
08 Nov, 2015
46 kb
Downloads: 2863
|
|
|
Caregiver FIDA Fact Sheet (Korean)
Caregiver Fact Sheet (Korean) FINAL.pdf
|
|
19 Sep, 2015
596 kb
Downloads: 5939
|
|
|
MICSA - Renewal Status File
HRA Presentation to MLTC Plans - Renewal Status File.pdf
Presentation from NYC Human Resources Administration to managed care plans on the NYC process for helping managed care plans work with their members to renew Medicaid coverage. Describes renewal timeline in general, as well as special weekly data file (RS) sent to plans to help them identify members who need follow-up. May 14, 2012.
|
|
27 Jul, 2015
171 kb
Downloads: 3237
|
|
|
State DOH Templates for MLTC Denials, Reductions, Terminations - effective July 1, 2015
New MLTC Notices of Adverse Action - June 2015.pdf
Combined in one PDF is March 2015 State directive to MLTC plans requiring use of new templates for notifying member of reductions, denials, and terminations of services. Templates should be used by mid-May 2015. PDF includes Directive plus TWO new notice templates and the state's EXAMPLES of how the two templates are used. Also included is a sample of notice that MLTC plans sent to all members in June 2015 notifying of elimination of requirement to "exhaust" internal appeals before requesting fair hearing
|
|
25 Jun, 2015
1.2 mb
Downloads: 44413
|
|
|
Notice About Elimination of Internal Appeal Requirement
ElderServe exhaustion of internal appeals eliminated 7-1-15_Redacted.pdf
Sample notice received by MLTC enrollees (partial cap plans only) in June 2015 explaining that internal appeals are no longer required when a plan takes adverse action.
|
|
11 Jun, 2015
296 kb
Downloads: 4144
|
|
|
Number Enrolled in Each FIDA and MLTC plan in FIDA Demo Area - April - May 2015
MLTC and FIDA Enrollment April May 2015 FIDA plans only.xlsx
Data compiled from CMS site https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Plan-Items/Monthly-Enrollment-by-Plan-2015-05.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending
and DOH site http://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
|
|
01 Jun, 2015
16 kb
Downloads: 4707
|
|
|
Form M-11q - Medical Request for Home Care (12-9-014)
HCSP-M11q (12-9-2014)Fill-in-able.2.pdf
This is the form used by the New York City Human Resources Administration for doctors to request personal care services through Medicaid for people who are excluded or exempt from Managed Long Term Care. This means it is for people in the OPWDD, TBI or NHTDW waivers, who require only Housekeeping services of up to 8 hours/week or who are under age 21. The form was updated 12/2014. This is a fillable version. THe original PDF can be downloaded at http://www.nyc.gov/html/hra/downloads/pdf/services/micsa/m_11q.pdf.
|
|
21 May, 2015
137 kb
Downloads: 50918
|
|
|
NYLAG Evelyn Frank Program "Appendix" of documents on MLTC and FIDA for CLE 4/20/15
Appendix Final.pdf
NYLAG Evelyn Frank Program "Appendix" of documents on MLTC and FIDA for CLE 4/20/15 - includes helpful lists of plans, forms, and a Troubleshooting guide.
|
|
27 Apr, 2015
2.24 mb
Downloads: 18674
|
|
|
PowerPoint Presentation by NYLAG Evelyn Frank Program on FIDA and MLTC 4/23/2015
2015 NYLAG CLE MLTC-FIDA updated 4-23-2015.pptx
PowerPoint Presentation by NYLAG Evelyn Frank Program on FIDA and MLTC 4/23/2015.
Updated version of presentation in live CLE conducted APril 20, 2015
|
|
27 Apr, 2015
1.89 mb
Downloads: 5263
|
|
|
Presentación de Powerpoint Sobre FIDA y MLTC
Caregiver Presentation Spanish Final 4-13-15.pdf
Esta presentación fue realizada el 13 de Abril 2015 en una organización local en Brooklyn para los residentes de ese edificio. La presentación es en español. Esta presentación se enfoca en los temas de Medicare, Medicaid, planes de cuidado a largo plazo (MLTC), y planes de doble ventaja totalmente integrado (FIDA).
Debe de usar estos materiales con la grabación sobre FIDA.
This presentation took place on April 13th, 2015 for local Brooklyn residents residing in senior housing. The presentation was conducted in Spanish. The presentation discussed Medicare, Medicaid, Managed Long Term Care plans (MLTC), and Fully Integrated Dual Advantage plans (FIDA).
Please view the powerpoint in conjunction with the Spanish recording of the presentation.
|
|
27 Apr, 2015
355 kb
Downloads: 3791
|
|