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Elderpan, Inc. Adverse Determination Policy MAP - NY
Elderplan MAP AppealsDRAFT.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy is labeled "draft" and has no effective date.
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05 Feb, 2013
89 kb
Downloads: 5626
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Fidelis Appeals of Adverse Determinations (and Grievance information) MAP - NY
Fidelis MAP appeals and grievance policy.pdf
Policy obtained January 2013 through FOIL Request to DOH. Document dated August 2009 labeled "draft." For appeals information see page 9.
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05 Feb, 2013
85 kb
Downloads: 8864
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HealthPlus (Amerigroup) Appeals of Adverse Determinations - MAP - NY
Amerigroup MAP Appeals of Adverse Determinations .pdf
Policy obtained January 2013 through FOIL Request to DOH. Effective date of policy Feb. 1, 2010.
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05 Feb, 2013
101 kb
Downloads: 4452
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HealthFirst CompleteCare Notice of Action and Appeals
Healthfirst MAP Notice of Action and Appeals.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy contains no date.
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05 Feb, 2013
44 kb
Downloads: 5089
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HealthFirst CompleteCare Adverse Determinations Policy - MAP
Healthfirst MAP Adv Determination & Adv Org Determinations 1.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy last revised in Sept. 2011.
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05 Feb, 2013
31 kb
Downloads: 4770
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AmeriGroup Appeals of Adverse Determinations - Policy MLTC
Amerigroup Appeals of Adverse Determinations - MLTC - NY.pdf
Policy Obtained January 2013 through FOIL Request to DOH, last Revised March 24, 2011
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01 Feb, 2013
103 kb
Downloads: 5294
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Performance Standards & Quality Measures for New York FIDA program
Recs re Performance Standards and Quality Measures - with State rec measures 010913.pdf
This document was authored by the New York Coalition to Protect Dual Eligibles as input for the NY State Department of Health's Quality Work Group which was formed in the fall of 2012 to collect stakeholder input on the design of the Fully Integrated Dual Advantage (FIDA) program. The paper focuses on the need to create new quality measures to ensure appropriate measurement of plan performance and to provide incentives to shift care from institutions to the community.
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29 Jan, 2013
154 kb
Downloads: 4093
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NYS Dept. of Health Policy Directive to Managed Long Term Care Plans Jan. 17, 2013 re Transition, Appeal & Aid Continuing Rights
MLTC Policy 2013 01 17 Aid Continuing.pdf
Directive issued by the State to MLTC Plans re Transition Requirement required by Sec. 28(d) of the CMS Special Terms & Conditions of the waiver approving mandatory MLTC at http://www.health.ny.gov/health_care/medicaid/redesign/docs/partnership_amendment_stc.pdf
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25 Jan, 2013
66 kb
Downloads: 5385
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Senior Health Partners MLTC Provider Directory
SHP Provider Directory 7.12.xls
Obtained by Selfhelp in August 2012; not available on Senior Health Partners website.
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10 Jan, 2013
201 kb
Downloads: 11311
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Relocation of HRA Home Care Services Program Relocation
2013-01-03 HCSP Relocation.pdf
HRA Home Care Services Program had been located at 109 East 16th Street, NY, NY 10003.
Effective January 14, 2013, HRA Home Care Services program will be relocated to:
785 Atlantic Avenue, 7th Floor
Brooklyn, NY 11238
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09 Jan, 2013
317 kb
Downloads: 7724
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