List of FIDA Plans in FIDA Demonstration area (NYC, Long Island and Westchester) with current enrollment in MLTC and MAP plans in demo area (11/2014) CORRECTED 12/17/2014

Letter being sent by State Dept. of Health to over 110,000 MLTC members in NYC and Nassau County. Letter being sent on a rolling basis in batches. (This version includes attached list of FIDA plans for both NYC and Nassau County. Client will only receive the one for their district.
NOTE: DOH failed to include crucial information - rejecting consumer advocacy, including:
* Right to Opt Out of FIDA
* Fact that you will be passively enrolled in FIDA if you don't opt out
* Says FIDA is free but doesn't explain that still owe Spend-down, if you have one - a source of confusion
* Nothing clarifying that must obtain all medical and long term care in-network from plan,
and more..

DOH updates the MLTC plans on FIDA - the only real source of information on what is happening. This update has important info: (1) When will MLTC recipients in NYC and Nassau receive the "announcement" letter starting December 2014 about FIDA and when will they be passively enrolled into FIDA plans - will be on a rolling basis depending on when they renew Medicaid for the year (2) NEWS that current NURSING HOME RESIDENTS will NOT be passively enrolled into FIDA plans! Only NEW people who first become PERMANENT NH residents in 2015 will be passively enrolled but not til August 2015.

Live training and webinar on Dec. 3, 2014 on MLTC and FIDA in Manhattan. NOTE CORRECTED ADDRESS

Sept. 2, 2014 Comments on proposed regulations issued July 16, 2014 to comply with court Order requiring State to have procedure to authorize "immediate need" personal care services while Medicaid application is pending.

Consumer Coalition Comments on Draft Quality Strategy of NYS DOH Managed Care Program (JUly 13, 2014)

Medicaid Matters Fact Sheet: Managed Long Term Care in NYS Part I: The Basics - updated August 2014. See also Fact Sheet II - Grievance and Appeal Rights in MLTC
http://www.wnylc.com/health/afile/184/415/.

Effective Nov. 1, 2012, Consumer-Directed Personal Assistance Program (CDPAP) is included in the benefit package for both Mainstream Medicaid Managed Care and Managed Long Term Care. This change affects both people who have Medicaid only and people who have both Medicaid and Medicare ("dual eligibles). See info on CDPAP at http://wnylc.com/health/entry/40/.

(1) Most people STATEWIDE with Medicaid Only (but no Medicare) are already required to enroll in a Mainstream Medicaid Managed Care (MMC) plan. Those plans will now approve, authorize and pay for CDPAP. See http://wnylc.com/health/news/22/

(2) Managed Long Term Care (MLTC)-- See info at http://wnylc.com/health/news/41/.

Since MLTC is now mandatory as of 9/1/2012 in NYC for "dual eligibles" needing personal care, CDPAP recipients in NYC will begin receiving letters giving them 60 days to select an MLTC plan, or they will be auto-assigned to a plan on a random basis. The MLTC plans must contract with CONCEPTS and Chinese-American Planning Council through 10/31/13 so consumers can keep their current aides. See more at http://wnylc.com/health/entry/40/

Notice of Adoption of regulations on April 20, 2011

Letter to CMS from Consumer Advocates August 29, 2012 on protections needed in Managed Long Term Care