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HealthPlus (Amerigroup) Appeals of Adverse Determinations - MAP - NY Download
Amerigroup MAP Appeals of Adverse Determinations .pdf
Policy obtained January 2013 through FOIL Request to DOH. Effective date of policy Feb. 1, 2010.
05 Feb, 2013 101 kb Downloads: 4627
HealthFirst CompleteCare Notice of Action and Appeals Download
Healthfirst MAP Notice of Action and Appeals.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy contains no date.
05 Feb, 2013 44 kb Downloads: 5303
HealthFirst CompleteCare Adverse Determinations Policy - MAP Download
Healthfirst MAP Adv Determination & Adv Org Determinations 1.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy last revised in Sept. 2011.
05 Feb, 2013 31 kb Downloads: 4944
AmeriGroup Appeals of Adverse Determinations - Policy MLTC Download
Amerigroup Appeals of Adverse Determinations - MLTC - NY.pdf
Policy Obtained January 2013 through FOIL Request to DOH, last Revised March 24, 2011
01 Feb, 2013 103 kb Downloads: 5455
Performance Standards & Quality Measures for New York FIDA program Download
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.
29 Jan, 2013 154 kb Downloads: 4239
NYS Dept. of Health Policy Directive to Managed Long Term Care Plans Jan. 17, 2013 re Transition, Appeal & Aid Continuing Rights Download
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
25 Jan, 2013 66 kb Downloads: 5551
Senior Health Partners MLTC Provider Directory Download
SHP Provider Directory 7.12.xls
Obtained by Selfhelp in August 2012; not available on Senior Health Partners website.
10 Jan, 2013 201 kb Downloads: 11576
Relocation of HRA Home Care Services Program Relocation Download
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
09 Jan, 2013 317 kb Downloads: 7902
Personal Care Guidelines for Medicaid Managed Care with application forms Download
NYSDOH Guidelines for Personal Care Services in Medicaid Managed Care.pdf
NYSDOH description of benefit and application/assessment process with forms for use in NYC and ROS
23 Oct, 2012 247 kb Downloads: 2465
Notice to Class Members in Strouchler v. Shah with 21 Days to Request Reinstatement of Split-Shift Personal Care Services Download
homecarenotice.pdf
Notice to Class Members in Strouchler v. Shah with 21 Days to Request Reinstatement of Split-Shift Personal Care Services
05 Oct, 2012 45 kb Downloads: 183
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