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Medicaid
Relocation of MISCA 34th Offices to Atlantic Ave Brooklyn-Phase IV Download
Medicaid Alert Relocation of MICSA units to brooklyn IV 4-30-13.pdf
Information regarding relocation of MICSA administrative offices from 34th Street to Atlantic Ave in Brooklyn.
07 May, 2013 43 kb Downloads: 5313
Relocation of MICSA 34th Offices to Brooklyn-Phase III Download
Medicaid Alert Relocation of MICSA units to Brooklyn II 4-24-13.pdf
Information regarding relocation of MICSA administrative offices from 34th Street to Atlantic Ave in Brooklyn.
07 May, 2013 360 kb Downloads: 6787
Relocation of MICSA 34th Offices to Brooklyn-Phase I 4-16-13 Download
Medicaid Alert Relocation of MICSA Units to Brooklyn Phase I 4-16-2013.pdf
Information concerning relocation of MICSA administrative offices from 330 W. 34th Street in Manhattan to 785 Atlantic Ave., Brooklyn NY 11238.
07 May, 2013 52 kb Downloads: 5137
NYC MICSA Alert Dec. 28, 2012 -Medicaid Transportation Management for Mainstream Medicaid Managed Care Enrollees Download
MICSA Transportation NYC.pdf
Changes in how Medicaid managed care recipients obtain transportation to doctor or other medical providers in non-emergencies
28 Apr, 2013 324 kb Downloads: 16199
Medical Loss Ratio and Percentage of Premium Spent on Various Services - MLTC Plans - 2011 Download
2011 Premium Allocation - Medical-Case Mgt-Admin- Profi.pdf
Data compiled by Evelyn Frank Legal Resources Program from MMCOR cost reports filed by plans with State Dept. of Health, released through Freedom of Information Request. Data for CY 2011
24 Apr, 2013 19 kb Downloads: 5105
Range of Hours/month of Personal Care & Home Health care provided by MLTC plans - 2011 Download
Percentage PCA-HHA Hours MLTC.pdf
MLTC Plans (Partial Capitation) by Hours of Personal Care & Home Health Aide Services Provided – 2011 (In order of highest percentage of cases > 480 hours/month)(All solely NYC unless otherwise indicated). "Member months" means month in which plan reported providing a member with Personal Care or Home Health aide services. Since many members do not receive these services for an entire calendar year, this figure is more accurate than stating the total number of members who received the specified amount of hours.

Data compiled from MMCOR Reports filed by plans and disclosed to Evelyn Frank Legal Resources Program thru a FOIL request.. Full calendar year 2011.
24 Apr, 2013 25 kb Downloads: 5270
Medicare Advantage, Medicaid Advantage/ MAP/PACE/MLTC enrollment by plan in NYC Feb - March 2013 Download
Medicare Advantage-MA-MA Plus enrollment NYC 2-2013.pdf
Chart showing all Medicare Advantage, Medicaid Advantage, Medicaid Advantage Plus and PACE plans in NYS - IN NEW YORK CITY by borough, with number of Medicare beneficiaries enrolled in each plan.

Medicare Advantage data from Feb. 2013 - http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/index.html

Medicaid plan data from Mar. 2013 - monthly Medicaid Managed Care Enrollment Report - http://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
23 Apr, 2013 11 kb Downloads: 8021
Medicare and Medicaid Managed Care for Dual Eligibles - Enrollment Penetration in Plans in NYS (Outside NYC) Download
MA Chart NYS February 2013 with MAP - MA - MLTC - Outside NYS.pdf
Chart showing all Medicare Advantage, Medicaid Advantage, Medicaid Advantage Plus and PACE plans in NYS - outside NYC by county, with number of Medicare beneficiaries enrolled in each plan.

Medicare Advantage data from Feb. 2013 - http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/index.html

Medicaid plan data from Mar. 2013 - monthly Medicaid Managed Care Enrollment Report
23 Apr, 2013 33 kb Downloads: 7632
Mandatory Enrollment of Long Term Home Health Care Program Consumers into Managed Care Download
2013-04-18 Lombardi MLTC.pdf
23 Apr, 2013 102 kb Downloads: 2725
Medicaid Alert: Medical Evidence for Adult Disability Determination 1-24-13. Download
Medicaid Alert--Medical Evidence Disability 1-2013.pdf
This alert modifies the process for adult disability determinations by requiring medical records (progress notes, testing reports, hospital discharge record, etc.) in addition to the 486T form. The alert also requires three HIPPA OCA 960 forms signed and dated by the consumer. Forms included in the pdf.
21 Mar, 2013 428 kb Downloads: 29956
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