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NYLAG Comments on Proposed State Regulations to Expedite Medicaid and Personal Care for those with Immediate Need Download
NYLAG Comments Immediate Need PCS 12-9-2015.pdf
Comments filed Dec. 9, 2015 in response to proposed state regulations (10-28-2015) to implement 2015 state law changes requiring expedited 7-day approval of Medicaid for those with immediate need for personal care or consumer directed personal assistance.
21 Dec, 2015 191 kb Downloads: 902
NYS Duals Coalition Statement on Issues in Nursing Home Transition to MLTC and Managed Care (Oct. 2015) Download
Issues in Carve-in Nursing Home Benefit CPRNYDE 10-22-15.pdf
Coalition to Protect the Rights of NY Dually Eligible - Issues and Concerns Related to the Carve-in of Nursing Home Benefit into Mainstream Managed Care and MLTC
22 Nov, 2015 353 kb Downloads: 1471
Table of MLTC & FIDA Enrollment in NYS - OCt. 2015 Download
Enrollment in FIDA and MLTC Plans – October 2015.2.pdf
Excerpt of data from Excel chart posted at http://www.wnylc.com/health/download/588/ For more breakdown re enrollment in MLTC plans in upstate counties see most recent report in https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/ - tab for MLTC plans.
08 Nov, 2015 102 kb Downloads: 534
Spreadsheet with Oct. 2015 Enrollment Data for FIDA and MLTC in NYS Download
Monthly_Report_By_FIDAPlan_2015_10.2.xls
Data from CMS Medicare Advantage monthly data and NYS DOH monthly managed care enrollment data https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Plan.html and https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/

Both for October 2015.
08 Nov, 2015 46 kb Downloads: 342
Caregiver FIDA Fact Sheet (Korean) Download
Caregiver Fact Sheet (Korean) FINAL.pdf
19 Sep, 2015 596 kb Downloads: 2070
MICSA - Renewal Status File Download
HRA Presentation to MLTC Plans - Renewal Status File.pdf
Presentation from NYC Human Resources Administration to managed care plans on the NYC process for helping managed care plans work with their members to renew Medicaid coverage. Describes renewal timeline in general, as well as special weekly data file (RS) sent to plans to help them identify members who need follow-up. May 14, 2012.
27 Jul, 2015 171 kb Downloads: 604
State DOH Templates for MLTC Denials, Reductions, Terminations - effective July 1, 2015 Download
New MLTC Notices of Adverse Action - June 2015.pdf
Combined in one PDF is March 2015 State directive to MLTC plans requiring use of new templates for notifying member of reductions, denials, and terminations of services. Templates should be used by mid-May 2015. PDF includes Directive plus TWO new notice templates and the state's EXAMPLES of how the two templates are used. Also included is a sample of notice that MLTC plans sent to all members in June 2015 notifying of elimination of requirement to "exhaust" internal appeals before requesting fair hearing
25 Jun, 2015 1.2 mb Downloads: 38558
MAP-648 P SUBMISSION OF REQUEST FROM RESIDENTIAL HEALTH CARE FACILITIES (RHCF) Download
MAP-648P NH MA Transmittal 6-2015.pdf
Transmittal form used by HRA Medicaid where the Nursing Home provides HRA with streamlined information about the applicant and the applicant's request for Nursing Home Medicaid coverage.
18 Jun, 2015 147 kb Downloads: 3690
Notice About Elimination of Internal Appeal Requirement Download
ElderServe exhaustion of internal appeals eliminated 7-1-15_Redacted.pdf
Sample notice received by MLTC enrollees (partial cap plans only) in June 2015 explaining that internal appeals are no longer required when a plan takes adverse action.
11 Jun, 2015 296 kb Downloads: 945
Number Enrolled in Each FIDA and MLTC plan in FIDA Demo Area - April - May 2015 Download
MLTC and FIDA Enrollment April May 2015 FIDA plans only.xlsx
Data compiled from CMS site https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/Monthly-Enrollment-by-Plan-Items/Monthly-Enrollment-by-Plan-2015-05.html?DLPage=1&DLEntries=10&DLSort=1&DLSortDir=descending

and DOH site http://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
01 Jun, 2015 16 kb Downloads: 1574
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