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MAP-751K Consumer Request to Change Information on File Download
MAP-751K - Consumer request to change info on file (2018-05-14) English.pdf
NYC HRA Form to use any time notifying HRA of change or requesting a change in budgeting. Use for requesting Special Income Disregard for Housing, Spousal Impoverishment budgeting, Pooled Trust budgeting, etc. (5/14/2018)
09 Nov, 2019 45 kb Downloads: 2304
Consumer Directed Personal Assistance Application - NYC HRA Home Care Services Program Download
M-13d - CDPAP Application (2018-04) Fill-able.pdf
From M13d, rev. 4/2018, which a NYC consumer or person directing his/her care must complete and have approved by the CASA in order to enroll in the Consumer Directed Personal Assistance Program (CDPAP). Made fill-in-able by NYLAG EFLRP.
22 Oct, 2019 151 kb Downloads: 3333
State Model " Non-Passive Enrollment" Notice #2 Sent to Members of Only TWO FIDA Plans that FIDA Closing Download
Final FIDA Non-Renewal Model Letter - Non-Passive Enrollment - 09.25.19 ORIGINAL.PDF
Final FIDA Non-Renewal Model Letter - "Non-Passive Enrollment" - "Notice 2" 09.25.19
State Template for notice sent to members of only TWO FIDA plans -- Riverspring and those in Senior Whole Health FIDA who live OUTSIDE the Bronx. The notice says the FIDA program is closing Dec. 31, 2019. This notice tells members of these plans that unless they select a different plan before Dec. 20, 2019, they will be assigned to a Managed Long Term Care plan operated by the same company that operates their FIDA plan. If they do nothing, these members will be assigned not only to an MLTC plan but also randomly assigned to a Medicare Part D drug plan, and enrolled in Original Medicare January 1, 2020.

Members of the other 4 FIDA plans and those in Senior Whole Health who live in the Bronx received "Notice 1" - Passive Enrollment notice, posted at http:// www.wnylc.com/health/download/703/
07 Oct, 2019 340 kb Downloads: 115
State Model "Passive Enrollment" Notice (1) Sent to Members of Most FIDA Plans that FIDA Closing Download
Final FIDA Non-Renewal Model Letter - Passive Enrollment - 09.25.19 ORIGINAL.PDF
State Template for "Notice 1" or "Passive Enrollment" notice sent to members of most FIDA plans that FIDA program is closing Dec. 31, 2019. This notice tells members in this group that unless they select a different plan before Dec. 20, 2019, they will be assigned to the Medicaid Advantage Plus(MAP) plan operated by the same company that operates their FIDA plan. This "Notice 1" sent to members of all FIDA plans EXCEPT Riverspring, and for those in Senior Whole Health FIDA, only members who live in the Bronx received this notice.
07 Oct, 2019 309 kb Downloads: 82
Statewide list of MLTC-MAP-PACE plans by County with Enrollment April 2019 Download
Statewide and NYC MLTC plan list with enrollment 4-2019.pdf
Statewide Contact list of MLTC-MAP-PACE plans by County is at http://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm. This list by county is updated with April. 2019 enrollment data
NYC list is last pages.
29 May, 2019 1.08 mb Downloads: 26327
Number Enrolled in Each MLTC Plan in NYC - 5-Year Comparison - April 2013 to April 2019 Download
NYC MLTC plan list 4-2019 in order of largest enrollment.pdf
Change in enrollment by plan in NYC from 4/2013 to April 2019 - from Source: DOH Medicaid Managed Care Enrollment Reports (Oct 2018)
https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
by
Sorted in 2 ways- A.order of highest enrollment currently, B alphabetivally
29 May, 2019 475 kb Downloads: 2828
NYLAG Testimony on NYS FY 2019-20 Budget - Joint Hearing of the Senate Finance and Assembly Ways and Means Committees Download
NYLAG Health statement JOINT HEARING 2-04-2019.pdf
NYLAG Testimony regarding proposals to eliminate spousal refusal, change the CDPAP program, and reduce other Medicaid benefits impacting low-income seniors and people with disabilities.
04 Mar, 2019 707 kb Downloads: 532
Letter to Members of ICS Jan. 25, 2019 from NYS Dept. of Health re Options for Plan Closing effective April 1, 2019 Download
ics-closure-notice-redacted.pdf
"Official" closing letter to members of the ICS Managed Long Term Care (MLTC) Plan from the NYS Dept. of Health dated Jan. 25, 2019 explaining that those members who did not choose to enroll in an MLTC plan by Mar. 20, 2019 would be assigned to VNS Choice MLTC plan eff. 4/1/19. Letter explains one-year continuity protections at VNS only, and new ICS Health Home that will continue to manage care for some ICS members who transfer to VNS. See http://www.wnylc.com/health/news/78/.
04 Mar, 2019 135 kb Downloads: 605
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2019.pdf
This is basic general information about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. To receive Medicaid home care, you must be both financially and medically eligible. This explains the rules on financial eligibility for the Disabled, Aged 65+, and Blind (DAB) category and gives info on how to apply (updated March 2019).
01 Mar, 2019 670 kb Downloads: 150893
MAPDR-05 (02/20/2018) List of Managed Care & Managed Long Term Care Plans in NYC Download
2019-02-05 MAPDR-05 Managed Care Plan Lists with ID Numbers.pdf
This includes a list of all managed care organizations participating in the following types of Medicaid managed care, including ID and code numbers, contact information, and service areas:
* Medicaid Managed Care
* Health and Recovery Plan Managed Care Plans (HARP)
* Medicaid Advantage (for dual eligibles)
* Managed Long Term Care (MLTC)
* Medicaid Advantage Plus (for dual eligibles, includes MLTC)
* HIV Special Needs Plans (SNP)
* Programs of All-inclusive Care for the Elderly (PACE)
* Fully Integrated Dual Advantage (FIDA)

Updated February 20, 2018
20 Feb, 2019 104 kb Downloads: 46445
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