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Medicare Part D
Consumer Advocate Comments on NYS Proposal for Fully Integrated Dual Eligible Waiver (FIDA) Download
Comments re NYSDOH demonstration proposal to integrate care for dual eligible individuals.pdf
Comments submitted to State April 20, 2012 on waiver proposal Demonstration to Integrate Care for Dual Eligibles-- http://www.health.ny.gov/facilities/long_term_care/docs/demo_integrate_care_for_dual_elig.pdf
05 Jun, 2014 2.63 mb Downloads: 2148
Consumer Coalition May 2013 Letter on Changes in Proposed Dual Eligible "FIDA" Demonstration Waiver Download
CPRNYDE comments re addendum May 2013.pdf
Coalition to Protect the Rights of NYS Dual Eligibles Comments on State's revised proposal to coordinate Medicare and Medicaid services for dual eligibles, letter dated May 19, 2013. Issues include enrollment of nursing home residents and protections; objections to "passive enrollment" -- auto-assignment of people who don't voluntarily enroll; and incentives for plans to provide long term care services in the community rather than institutions.
18 Mar, 2014 88 kb Downloads: 1484
Consumer Coalition Letter to NYS and Federal CMS to Nov. 27, 2013 with Comments on Three-Way Contract for FIDA Download
CPRNYDE letter to MMCO and NYSDOH re Contract Priorities FINAL 11-27-13 .pdf
After the Federal CMS agency entered a "memorandum of understanding" with NYS to approve the FIDA proposal to manage care for Dual Eligibles, a 3-way contract had to be approved between the State, the Feds and the FIDA plans. THis is the consumer coalition's comments on what protections are needed in this contract.
16 Jan, 2014 117 kb Downloads: 2127
Comparison of NYS Benchmark Plans 2013-2014 Download
Benchmark Plans 2013-2014 Comparison.pdf
List of Medicare Part D standalone PDP plans offered in New York State that were "benchmark" in 2013, and indicating which plans from 2013 are no longer benchmark in 2014. A benchmark plan means one that will have no premium for someone receiving Extra Help (aka "LIS").
11 Oct, 2013 28 kb Downloads: 6643
2014 SNP (Special Needs Plans) New York City and Long Island Download
2014LandscapeSource file SNP NYC - Long Isl 09172013 counties grouped.xls
Excerpt of statewide SNP list showing which plans cover which boroughs in NYC and in Nassau and Suffolk counties
11 Oct, 2013 112 kb Downloads: 2175
2014 Medicare Advantage Plans in NYC and Nassau Download
MA NYC and Nassau 2014LandscapeSource file.xlsx
List by plan showing in which boroughs of NYC plan, is offered and whether offered in Nassau County. For rest of state see http://www.wnylc.com/health/download/442/
11 Oct, 2013 3.99 mb Downloads: 1174
Medicare Part D - Training Presentation Download
Part D Presentation 2014_131010152018.pdf
This is a PowerPoint presentation used by NYLAG in their annual Medicare Part D training. Updated for 2014 in Oct. 2013.
10 Oct, 2013 1.81 mb Downloads: 2951
Medicare Part D - Appendix of Documents Cited in Training Outline Download
Appendix 2014 ACEP - FINAL.pdf
Selfhelp's Training Outline on Medicare Part D cites documents in an Appendix, such as lists of plans, forms, charts and tables. This Appendix is updated for the 2014 year.
10 Oct, 2013 1.07 mb Downloads: 8571
CMS Reminder Part D and Medicare Advantage Plans - Lift Restrictions due to Hurricane Sandy Download
CMS Sandy Provider Access Memo 11 7 12.pdf
Memorandum dated Nov. 7, 2012 for Part D and MA plans to allow some out-of-network access, lift refill limits, and lift other restrictions because of public health emergency.
08 Nov, 2012 32 kb Downloads: 89
CMS Extension 2013 Enrollment - Hurricane Sandy Download
CMS SEP Enrollment Extension - Hurricane Sandy Memo_11 7 12.pdf
Extends past December 7, 2012 for enrollment for Part D and Medicare Advantage. Dated Nov. 7, 2012. See instructions in PDF>
08 Nov, 2012 119 kb Downloads: 117
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