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ElderServe Health Inc. Adverse Determination Appeals - MLTC NY Download
Elderserve Action and Appeal MLTC.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy has no date.
06 Feb, 2013 31 kb Downloads: 3372
Centerlight CCM Select Grievance Policy MLTC - NY Download
CCM Select Grievance Policy APPROVED.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy dated Jan. 19, 2006.
06 Feb, 2013 35 kb Downloads: 1637
Elderpan, Inc. Adverse Determination Policy MAP - NY Download
Elderplan MAP AppealsDRAFT.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy is labeled "draft" and has no effective date.
05 Feb, 2013 89 kb Downloads: 2392
Fidelis Appeals of Adverse Determinations (and Grievance information) MAP - NY Download
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.
05 Feb, 2013 85 kb Downloads: 4749
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: 1454
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: 1920
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: 1648
Centerlight CCM Select Appeals of Adverse Determinations Policy - MLTC - NY Download
CCM Select Appeals policy APPROVED.pdf
Policy obtained January 2013 through FOIL Request to DOH. Policy approved by DOH on Jan. 19, 2006.
05 Feb, 2013 45 kb Downloads: 2038
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: 2477
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: 2124
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