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Found 5 result(s) | Articles | Files

	Healthfirst MAP Plan Letter to Member Affected by Mistake in Failing to Schedule Hearing - March 2021 Redacted IAHO healthfirst letter 3-23-21.pdf Redacted sample of a letter sent in late March 2021 to 789 members of the Healthfirst Medicaid Advantage Plus plan explaining the plan's mistake in failing to forward their case for a hearing, as required in the new Integrated Appeal process for MAP plans that began 2020. Read about this new appeal... Files -> Medicaid -> Medicaid Managed Care
	30 Mar, 2021

	"Appeal Decision Notice" for NYS Medicaid Advantage Plus plans (MAP) AppealDenial_NY_MAP FINAL 11.15.19.docx State template for final decisions after the internal plan appeal in the new integrated appeal procedure that began in 2020 for MAP plans. See article at http://www.wnylc.com/health/entry/225/. This form is from a zipped file of MAP notice templates posted at... Files -> Browse By Source -> New York Government
	01 Apr, 2021

	"Coverage Determination Notice" - Official Template for NYS MAP Plans using Integrated Appeal process ICDN_NY_MAP - Coverage Determination Notice 11.15.19.docx Official template for NYS Medicaid Advantage Plus plans to deny an initial request for prior approval for a service or for an increase in a service. See article at http://www.wnylc.com/health/entry/225/. This form is from a zipped file of MAP notice templates posted at... Files -> Browse By Source -> New York Government
	01 Apr, 2021

	Medicaid Advantage Plus "MAP" - New "FIDE" Appeals & Hearing Process began 2020 - Healthfirst Mistake March 2021 ... (“MAP”), which consists of a "FIDE ... Medicare and Medicaid providers. "DUAL FIDE SPECIAL NEEDS PLANS" - Only ... Dual Eligible Special Seeds Plan (FIDE SNP). Some other Dual-SNPs are ... Articles -> Medicaid -> Home Care
	31 May, 2022

	Right to a "Home Hearing" under Varshavsky Case - Special Rights in Fair Hearings Seeking Increases in Medicaid Home Care ... 2020. The appeals are called “FIDE” plan appeals, which stands for ... Integrated Dual Eligible plan. These FIDE hearings are run by a ... more about MAP plans and FIDE appeals see this article. MAP ... Articles -> Medicaid -> Home Care
	08 May, 2024

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