Important Numbers. If you have a problem with your health plan, call:

Similar documents
M/WBE Compliance. Tools for Non-For-Profit Grantees

How do I join MLTC? A step-by-step guide

Uniform Assessment System for New York

Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010

Managed Long-Term Care Quality Incentive Workgroup. April 7, 2016

Citizen Budget Commission Special Event New York State Health Home Program. May

Review of Critical Managed Care Contracting, Transition, and Operating Issues

Office of Community Renewal

Application for Approval of Individual Evaluators, Service Providers and Service Coordinators

COUNTIES PROMOTING PUBLIC HEALTH A SPECIAL REPORT

ADMINISTRATIVE DIRECTIVE TRANSMITTAL: 12 OHIP/ADM-5. TO: Commissioners of DIVISION: Office of Health

INSTRUCTIONS for Completing the Health Care Plan for the Administration of Medication for Legally-Exempt Provider

Vital Signs. Health Care Employment Gains Across New York State

Archival Needs Assessment Application Form SAMPLE. Director: Julie Cortland. Organization Name: Willingboro Historical Society

$100 Hospital Ambulatory Surgical Center (ASC) Specialist: $30/visit Chiropractic (Medicare-covered) Podiatry (Medicare-covered)

DIRECTIONS for completing Applicator/Technician Pesticide Annual Report, DEC Form (10/01)

Emergency Management Performance Grant

LIFEPlan CCO NY, LLC Participation Agreement. Provider:

Managed Care Transitions

EXCELLENCE IN IMMUNIZATION

The UAS-NY: Abound in Questions, Challenges and Change

Transition of Nursing Home Populations and Benefits to Medicaid Managed Care. March 20, 2014

Schedule 1E. Schedule 1 General Information. Contents: Directions and Information for all Adult Care Facility Applicants

Vision for Medicaid. Strategies: After the Managed Care Contract is Signed AGENDA. Managed Care - MLTC 5/5/2015

Satellite Downlink Coordinator Packet and Materials

Medicaid Long-Term Care in New York: Variation by Region and County

Elmira City School District. Take on Life and Live Well with MVP Health Care s PPO Gold AnyWhere 2017

Medical Practitioner Training Manual

Tompkins County Soil and Water Conservation District

HEAL NY Medicaid Redesign Grant

The Health Care Workforce in New York, 2005 Trends in the Supply and Demand for Health Workers

Town of Ithaca. Information Technology. Report of Examination. Thomas P. DiNapoli. Period Covered: January 1, 2015 December 22, M-52

PROGRAMS FOR MINORITY- AND WOMEN-OWNED SMALL BUSINESSES AND SERVICE-DISABLED VETERANS

Eileen Franko Division of Safety and Health, Director

Changes to Medicaid Long Term Care. FIDA and mandatory MLTC for nursing home residents

1/8/18 Capital Region RPC Board

Federal Stimulus Program Procurement for Local Highway Projects in the Capital Region

The Evolution of Patient-Centered Medical Homes in New York State: Current Status and Trends as of September 2012

Fully Integrated Duals Advantage (FIDA) Provider Outreach and Education Event September 30, 2015

MANAGED LONG-TERM CARE: ISSUES IN 2016

ANNUAL OSHA/ PESH TRAINING th

Agenda. Call To Order Pledge of Allegiance Timeline Discussion. February 5, 2018

Strategic Assessment of New York State s Regional Population Health Investments

LOCAL HEALTH DEPARTMENT PERFORMANCE INCENTIVE INITIATIVE YEAR New York State Department of Health. Office of Public Health Practice

WHEN A VETERAN PASSES AWAY: A Planning Guide for the Surviving Family

Request for Qualifications for Highway, Bridge, and Related Municipal Engineering Services Designations - Municipalities in NYSDOT Regions 1 through 9

The Changing LTC Delivery and Payment Landscape: Managed Care. Jay Gormley Chief Strategy & Planning Officer

Summary of Benefits Fidelis Dual Advantage (HMO SNP) and Dual Advantage Flex Plan (HMO SNP) January 1, 2018 December 31, 2018 CMS Contract #H3328

Home and Community-Based Services Medicaid Waiver

PUBLIC ACCESS DEFIBRILLATION INFORMATION SHEET

Very large per-capita Medicaid population.

County of Orleans Industrial Development Agency

New York State Medicaid Guide 2018

Managed Care Information for CDPAP Consumers

Legal & Policy Developments Impacting Long Term Care

How to Safely Navigate the River of Cash

The American Legion Department of New York

The Health Care Workforce in New York. Trends in the Supply of and Demand for Health Workers

Annual Notice of Changes for 2018


Nursing Schools of New York State

Accessing Transportation for Medicaid Recipients

Table of Contents. Health Workforce Planning Data Guide i

What is Managed Care and DSRIP?

Leading Age NY CFO Council Managed Care Update

Overcoming Barriers to Successful Implementa6on of Pediatric Pallia6ve Care. Objec6ves. Objec6ve 1 11/14/14

Google Earth High Resolution Imagery Coverage (USA) As of August 9, 2005

What s the State of Primary Care in New York?

Participant Manual. Critical Decision-Making. Participant Manual

The American Legion Department of New York

Mandatory Medicaid Managed Long Term Care (MMLTC): An Overview of Changes Expected. January 2014

Redesign Team. Building a more affordable, cost effective Medicaid program. January 13, 2011

A New World: Medicaid Managed Care

Organizaciónde Latinos Empresarios (Olé)

TOWN OF NIAGARA TOWN BOARD MEETING Tuesday, July 18, :30 PM Town of Niagara Town Hall 7105 Lockport Rd. Niagara Falls, NY 14305

Delivery System Reform Incentive Payment (DSRIP) Program PERFORMING PROVIDER SYSTEMS (PPS) AT A GLANCE

The Adirondack Medical Home Demonstration: A Case Study

STATE UNIVERSITY OF NEW YORK PROCUREMENT OF ELECTRICITY. Report 2007-S-22 OFFICE OF THE NEW YORK STATE COMPTROLLER

2018 Summary of Benefits

Empire State VistA Project OSEHRA June 2017

Statewide Senior Action Conference. Mark Kissinger. Division of Long Term Care Office of Health Insurance Programs.

Mandatory Medicaid Managed Long Term Care (MMLTC): An Overview of Changes for Monroe County. February 25, 2014

HEALTH HOMES OF UPSTATE NEW YORK FINGER LAKES COMMUNITY REFERRAL FOR HEALTH HOME CARE MANAGEMENT SERVICES

Regional Caregiver Forums Caregiving and Respite Across the Lifespan: Linkages and Partnerships April 23, 2018

SUNY Adirondack Jason Enser (COUNCIL VICE PRESIDENT) Dean for Student Affairs 640 Bay Road Queensbury, NY

NYSPANA Administrative Guidelines

Clean Energy Communities Program

State University of New York

Earth Day Grant Application

Don t Let Your Billing Be Managed By Managed Care

REDCs and You. Khris Dodson. Associate Director

HEALTH HOME CARE MANAGEMENT SERVICES ELIGIBILITY HOW TO MAKE A REFERRALTO HHUNY

Meeting the Needs of Justice Involved Veterans in VISN 2

HEALTH HOME CARE MANAGEMENT SERVICES ELIGIBILITY HOW TO MAKE A REFERRALTO HHUNY

NYS Soil & Water Conservation Committee 10B Airline Drive, Albany, NY Telephone (518)

Medicaid Redesign & the Home Care Workforce (updated March, 2012)

Associate Degree Programs Find it faster online at

Employee Contribution Rates

Empty Promises: The Failure of the New York State Health Department to Monitor Medical Errors. New York State s Failure to Adequately Protect Patients

Scholarship Opportunities For Academic Year Fall 2017 Spring 2018

Transcription:

3339 12/15 Department of Health Additional covered services are different depending on the plan you choose. Some MLTC plans pay for hospital stays and doctor visits. or a full list of covered services, F please see http://www.health.ny.gov/ health_care/managed_care/mltc/ coverservices.htm Follow us on: health.ny.gov facebook.com/nysdoh twitter.com/healthnygov youtube.com/nysdoh Nursing home care and more. Social day care and adult day health care Personal emergency response system Home delivered meals Non-emergency transportation to receive medically necessary services Personal care Dental services Home care Care management All MLTC plans arrange and pay for the following health and long-term care services (as long as they are medically necessary): Managed long-term care (MLTC) helps people who are chronically ill or have disabilities and who need health and long-term care services, such as home care or adult day health care, stay in their homes and communities as long as possible. About Managed Long-Term Care http://www.health.ny.gov/ health_care/managed_care/ mltc/consumer_guides/ Copies of this guide are available at: 1-866-712-7197 Long-Term Care New York State Department of Health MLTC Complaint Hotline If you have a problem with your health plan, call: Managed A Consumer s Guide to Important Numbers 2015 Choosing a managed long-term care (MLTC) plan There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same in New York City Bronx Kings New York Queens Richmond Aetna Better Health 1-855-456-9126 AgeWell New York AlphaCare of New York 1-855-652-5742 ArchCare Community Life 1-855-380-2589 CenterLight Select Centers Plan for Healthy Living 1-855-270-1600 Elderplan dba Homefirst www.homefirst.org 1-866-386-4177 ElderServe dba RiverSpring www.elderservehealth.org 1-800-370-3600 Empire BC/BS HealthPlus 1-800-600-4441 Extended MLTC www.extendedmltc.org 1-855-299-6492 Fidelis Care at Home GuildNet Independence Care System Integra MLTC www.integraplan.org 1-855-800-4683 MetroPlus MLTC 1-855-355-6582 Montefiore MLTC www.montefiore.org 1-855-556-6683 North Shore-LIJ Health Plan 1-855-421-3066 Senior Health Partners www.shpny.org 1-800-633-9717 Senior Whole Health Partial United Health Personal Assist www.uhccommunityplan.com 1-855-345-6582 VillageCareMAX VNS Choice Partial WellCare Advocate Partial www.wellcare.com 1-800-288-5441 Elderplan www.elderplan.org 1-866-360-1934 Empire BC/BS HealthPlus MAP 1-866-805-4589 Fidelis Medicaid Advantage Plus GuildNet Medicaid Advantage Plus MHI Healthfirst Complete Care 1-866-463-6743 Senior Whole Health VNS Choice Plus MAP ArchCare Senior Life 1-866-263-9083 CenterLight PACE Aetna Better Health FIDA 1-855-494-9945 AgeWell New York FIDA AlphaCare Signature FIDA 1-855-632-5742 CenterLight Healthcare FIDA Elderplan FIDA Total Care www.elderplanfida.org 1-855-462-3167 FIDA Care Complete 1-800-466-2745 Fidelis Care FIDA 1-800-247-1447 GuildNet Gold Plus FIDA 1-800-815-0000 Healthfirst AbsoluteCare FIDA 1-855-675-7630 ICS Community Care Plus FIDA MetroPlus FIDA 1-844-288-3432 North Shore-LIJ FIDA LiveWell 1-855-776-7545 RiverSpring FIDA www.riverspringfida.org 1-800-950-9000 SWH Whole Health FIDA 1-844-861-3432 VillageCareMAX Full Advantage FIDA VNSNY CHOICE FIDA Complete 1-866-783-1444 WellCare Advocate Complete FIDA fida.wellcareny.com 1-855-595-2063

There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same in Western New York Allegany Cattaraugus Chautauqua Erie Genesee Livingston Monroe Niagara Ontario Orleans Schuyler Seneca Steuben Wayne Wyoming Yates Centers Plan for Healthy Living 1-855-270-1600 Fallon Health Weinberg www.fallonweinberg.org 1-866-882-8185 Fidelis Care at Home icircle www.icirclecny.org 1-844-424-7253 Kalos Health www.kaloshealth.org 1-800-894-2464 United Health Personal Assist www.uhccommunityplan.com 1-855-345-6582 VNA Homecare Options www.vnahomecareoptions.org 1-315-477-4663 VNS Choice Partial WellCare Advocate Partial www.wellcare.com 1-800-288-5441 No MAP plans in this region Catholic Health LIFE www.chsbuffalo.org 1-716-819-5433 Complete Senior Care www.hanci.com 1-716-285-8248 ElderOne www.rochestergeneral.org 1-855-457-4636 Total Senior Care www.totalseniorcare.org 1-866-939-8613 No FIDA plans in this region

There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same in Central New York Broome Cayuga Chemung Chenango Cortland Herkimer Jefferson Lewis Madison Oneida Onondaga Oswego St. Lawrence Tioga Tompkins Fidelis Care at Home icircle www.icirclecny.org 1-844-424-7253 Senior Network Health www.faxtonstlukes.com 1-315-624-4663 United Health Personal Assist www.uhccommunityplan.com 1-855-345-6582 VNA Homecare Options www.vnahomecareoptions.org 1-315-477-4663 VNS Choice Partial No MAP plans in this region PACE CNY www.pacecny.org 1-888-728-7223 No FIDA plans in this region

There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same in Northeast New York Albany Clinton Columbia Delaware Essex Franklin Fulton Greene Hamilton Montgomery Otsego Rensselaer Saratoga Schenectady Schoharie Warren Washington Fidelis Care at Home icircle www.icirclecny.org 1-844-424-7253 Prime Health Choice www.primehealthchoice.com 1-855-777-4630 United Health Personal Assist www.uhccommunityplan.com 1-855-345-6582 VNA Homecare Options www.vnahomecareoptions.org 1-315-477-4663 VNS Choice Partial WellCare Advocate Partial www.wellcare.com 1-800-288-5441 Fidelis Medicaid Advantage Plus Eddy Senior Care www.nehealth.com 1-855-376-7888 No FIDA plans in this region

There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same in the Hudson Valley AgeWell New York AlphaCare of New York 1-855-652-5742 ArchCare Community Life 1-855-380-2589 CenterLight Select Centers Plan for Healthy Living 1-855-270-1600 Elderplan dba Homefirst www.homefirst.org 1-866-386-4177 ElderServe dba RiverSpring www.elderservehealth.org 1-800-370-3600 EverCare Choice www.evercare.org 1-877-255-3678 Fidelis Care at Home GuildNet Hamaspik Choice www.hamaspikchoice.org 1-855-552-4642 Integra MLTC www.integraplan.org 1-855-800-4683 Montefiore MLTC www.montefiore.org 1-855-556-6683 Prime Health Choice www.primehealthchoice.com 1-855-777-4630 Senior Health Partners www.shpny.org 1-800-633-9717 United Health Personal Assist www.uhccommunityplan.com 1-855-345-6582 VNS Choice Partial WellCare Advocate Partial www.wellcare.com 1-800-288-5441 Elderplan www.elderplan.org 1-866-360-1934 VNS Choice Plus MAP CenterLight PACE AgeWell New York FIDA CenterLight Healthcare FIDA Elderplan FIDA Total Care www.elderplanfida.org 1-855-462-3167 Fidelis Care FIDA 1-800-247-1447 GuildNet Gold Plus FIDA 1-800-815-0000 Healthfirst AbsoluteCare FIDA 1-855-675-7630 RiverSpring FIDA www.riverspringfida.org 1-800-950-9000 VNSNY CHOICE FIDA Complete 1-866-783-1444 WellCare Advocate Complete FIDA fida.wellcareny.com 1-855-595-2063 Dutchess Orange Putnam Rockland Sullivan Ulster Westchester

3339 12/15 Department of Health Additional covered services are different depending on the plan you choose. Some MLTC plans pay for hospital stays and doctor visits. For a full list of covered services, please see http://www.health.ny.gov/ health_care/managed_care/mltc/ coverservices.htm Follow us on: health.ny.gov facebook.com/nysdoh twitter.com/healthnygov youtube.com/nysdoh Nursing home care and more. Social day care and adult day health care Personal emergency response system Home delivered meals Non-emergency transportation to receive medically necessary services http://www.health.ny.gov/ health_care/managed_care/ mltc/consumer_guides/ Personal care Dental services Home care Care management All MLTC plans arrange and pay for the following health and long-term care services (as long as they are medically necessary): Managed long-term care (MLTC) helps people who are chronically ill or have disabilities and who need health and long-term care services, such as home care or adult day health care, stay in their homes and communities as long as possible. About Managed Long-Term Care Copies of this guide are available at: in New York 1-866-712-7197 New York State Department of Health MLTC Complaint Hotline If you have a problem with your health plan, call: Long-Term Care City Managed A Consumer s Guide to Important Numbers New York City Richmond Queens New York in New York City Kings There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same Bronx 2015 Choosing a managed long-term care (MLTC) plan Aetna Better Health 1-855-456-9126 AgeWell New York AlphaCare of New York 1-855-652-5742 ArchCare Community Life 1-855-380-2589 CenterLight Select Centers Plan for Healthy Living 1-855-270-1600 Elderplan dba Homefirst www.homefirst.org 1-866-386-4177 ElderServe dba RiverSpring www.elderservehealth.org 1-800-370-3600 Empire BC/BS HealthPlus 1-800-600-4441 Extended MLTC www.extendedmltc.org 1-855-299-6492 Fidelis Care at Home GuildNet Independence Care System Integra MLTC www.integraplan.org 1-855-800-4683 MetroPlus MLTC 1-855-355-6582 Montefiore MLTC www.montefiore.org 1-855-556-6683 North Shore-LIJ Health Plan 1-855-421-3066 Senior Health Partners www.shpny.org 1-800-633-9717 Senior Whole Health Partial United Health Personal Assist www.uhccommunityplan.com 1-855-345-6582 VillageCareMAX VNS Choice Partial WellCare Advocate Partial www.wellcare.com 1-800-288-5441 Elderplan www.elderplan.org 1-866-360-1934 Empire BC/BS HealthPlus MAP 1-866-805-4589 Fidelis Medicaid Advantage Plus GuildNet Medicaid Advantage Plus MHI Healthfirst Complete Care 1-866-463-6743 Senior Whole Health VNS Choice Plus MAP ArchCare Senior Life 1-866-263-9083 CenterLight PACE Aetna Better Health FIDA 1-855-494-9945 AgeWell New York FIDA AlphaCare Signature FIDA 1-855-632-5742 CenterLight Healthcare FIDA Elderplan FIDA Total Care www.elderplanfida.org 1-855-462-3167 FIDA Care Complete 1-800-466-2745 Fidelis Care FIDA 1-800-247-1447 GuildNet Gold Plus FIDA 1-800-815-0000 Healthfirst AbsoluteCare FIDA 1-855-675-7630 ICS Community Care Plus FIDA MetroPlus FIDA 1-844-288-3432 North Shore-LIJ FIDA LiveWell 1-855-776-7545 RiverSpring FIDA www.riverspringfida.org 1-800-950-9000 SWH Whole Health FIDA 1-844-861-3432 VillageCareMAX Full Advantage FIDA VNSNY CHOICE FIDA Complete 1-866-783-1444 WellCare Advocate Complete FIDA fida.wellcareny.com 1-855-595-2063

There are four types of MLTC plans:, Program of All-inclusive Care for the Elderly (PACE),, and. Each plan covers the same on Long Island Aetna Better Health 1-855-456-9126 AgeWell New York CenterLight Select Elderplan dba Homefirst www.homefirst.org 1-866-386-4177 ElderServe dba RiverSpring www.elderservehealth.org 1-800-370-3600 Extended MLTC www.extendedmltc.org 1-855-299-6492 Fidelis Care at Home GuildNet Integra MLTC www.integraplan.org 1-855-800-4683 North Shore-LIJ Health Plan 1-855-421-3066 Senior Health Partners www.shpny.org 1-800-633-9717 VNS Choice Partial WellCare Advocate Partial www.wellcare.com 1-800-288-5441 Elderplan www.elderplan.org 1-866-360-1934 GuildNet Medicaid Advantage Plus MHI Healthfirst Complete Care 1-866-463-6743 VNS Choice Plus MAP CenterLight PACE Aetna Better Health FIDA 1-855-494-9945 AgeWell New York FIDA CenterLight Healthcare FIDA Elderplan FIDA Total Care www.elderplanfida.org 1-855-462-3167 Fidelis Care FIDA 1-800-247-1447 GuildNet Gold Plus FIDA 1-800-815-0000 Healthfirst AbsoluteCare FIDA 1-855-675-7630 North Shore-LIJ FIDA LiveWell 1-855-776-7545 RiverSpring FIDA www.riverspringfida.org 1-800-950-9000 VNSNY CHOICE FIDA Complete 1-866-783-1444 WellCare Advocate Complete FIDA fida.wellcareny.com 1-855-595-2063 Nassau Suffolk