Maximus medicaid ny

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Training Programs for Local Department of Social Service (LDSS) Employees

+ Documentation Requirements (1-day training)

This full-day program reviews the documentation requirements for New York State Medical Assistance Programs. Factors of eligibility that must be documented and those that do not need to be documented are discussed. In addition, Citizenship/Identity policies regarding primary documents and other acceptable levels of documentation are explored. A discussion regarding the Renewal Simplification and Financial Maintenance policies is also included.

As a result of the training, participants will be able to:

  • Understand the documentation policy for Medicaid applicants and recipients who apply through LDSS
  • Differentiate the facts of eligibility that must be verified vs. those that do not require verification
  • Understand the citizenship and identity verification requirements
  • Identify which documents are acceptable forms of verification
  • Recognize applications and/ or renewals which will require clarification of financial requirements

  • + eMedNY: Health Insurance Premium Payments (HIPP)& Medicare Insurance Premium Payments (MIPP) Cost Analysis Training (1 day training)

    This full-day presentation will encompass all the processes involved with determining whether a Medicaid applicant/recipient's health insurance is cost effective and how to create and authorize health insurance payments using the eMedNY HIPP/MIPP application. An explanation for creating new HIPP/MIPP payees, third party policies, writing and authorizing payments is included. Various MOBIUS reports related to these processes will also be discussed.

    As a result of the training, participants will be able to:

  • Review Health Insurance Premium Payment (HIPP)/Medicare Insurance Premium Payment (MIPP)
  • Distinguish the functions of the new eMedNY system including creating payees, policies and payments
  • Demonstrate how to navigate the eMedNY site
  • Indicate which programs require a cost analysis and how to complete one using the eMedNY system
  • Understand the various MOBIUS reports and identify required follow-up actions

  • + Excess Income (1-day training)

    This full-day program covers the basic principles of the Excess Income policy and its application. It will review the impact of the six-month accounting period and provide a number of examples illustrating the application of Excess Income policy. The Pay-In Subsystem and the Principal Provider Subsystem will also be briefly discussed.

    As a result of the training, participants will be able to:

  • Review the Medicaid Excess Income Program policy
  • Explanation of who is eligible to participate with the Excess Income program
  • How the excess income amount is determined
  • Distinguish the types of Medicaid coverage to be authorized
  • Factors which affect applicability of bills
  • Explanation of the Medicaid Pay-In Program
  • Distinguish the functions of the WMS Pay In and Principal Provider Sub Systems

  • + Immigration Eligibility (1-day training)

    This full-day program will review Immigration categories including the Qualified and Permanently Residing Under Color of Law (PRUCOL) immigration status. The session will also assist workers in determining the documentation that supports each immigration status. Emergency Medicaid coverage will also be addressed.

    As a result of the training, participants will be able to:

  • Interpret immigrant eligibility guidelines for government funded health insurance programs
  • Identify the different immigration statuses
  • Recognize immigrants’ concerns
  • Review acceptable forms of documentation
  • Understand WMS coding for each immigrant category

  • + Medicaid Continuations for Supplemental Security Income (½-day training)

    This half-day program will cover Medicaid Continuations that are triggered by the loss of eligibility for Supplemental Security Income (SSI). These situations include Pickle, Disabled Adult Child (DAC), 1619(a) & (b), and Widow/Widower cases.

    As a result of the training, participants will be able to:

  • Understand Auto SDX process
  • Distinguish the different MA Continuation programs specific to SSI individuals
  • Identify the fields on the SDX to determine appropriate MA Continuation program eligibility

  • + Medicare Savings Program (1-day training)

    This full-day program covers eligibility for Qualified Medicare Beneficiaries (QMB), Specified Low-Income Medicare Beneficiaries (SLIMB), and Qualifying Individuals (QI). A brief review of the Qualified Disabled and Working Individuals (QDWI) Category will also be included. The eMedNY system and the entries required by this program will also be addressed in the presentation.

    As a result of the training, participants will be able to:

  • Understand the different parts of Medicare coverage available and the coverage provided
  • Determine who is eligible for the Medicare Savings
  • Understand the benefits available with each MSP category
  • Review and make entries into the eMedNY system

  • + Real Property (½-day training)

    This half-day program will review a variety of issues related to homesteads and other non-income producing real property. Included will be the definition of a homestead, Medicaid policy on mortgages held by Applicant/Recipients (A/Rs), life estate issues, reverse mortgages and liens on homesteads and non-income producing real property.

    As a result of the training, participants will be able to:

  • Interpret the interaction of home-based assets on eligibility
  • Explain when a homestead is exempt
  • Discuss life estates, mortgages and promissory notes.

  • + Resource Analysis (1-day training)

    This full-day program reviews resources most commonly found in Chronic Care cases, including stocks, bonds, and brokerage accounts. A method for tracking assets moved from one investment instrument to another (selling stock in one brokerage account, moving the resulting funds to a bank account or re- investing the money into other stocks or bonds) will be reviewed for use in identifying transfers during the look-back period. Treatment of Retirement Funds and Annuities as an income or a resource is covered as well as Income Producing Property. Life Insurance, Burial Funds and Irrevocable Pre-Need Funeral Agreements will also be reviewed.

    As a result of the training, participants will be able to:

  • Interpret SSI-Related policies related to proper sequence to be used in the assessment of burial funds and space items as resources
  • Determine the value of an annuity
  • Distinguish between the treatment of an annuity with transactions before and after DRA legislation
  • Track and assess a variety of resources for possible transfer
  • Evaluate types and values of resources, including life insurance, burial funds, stocks, bonds, and mutual funds

  • + Resource Attestation (½-day training)

    This half-day program reviews the Medicaid benefit package available for different levels of resource documentation. A discussion of appropriate application and the Welfare Management System (WMS) coding required for each benefit package will also be included.

    As a result of the training, participants will be able to:

  • Indicate which applicant/recipients are subject to a Resource Test.
  • Distinguish the difference between the three different resource verification options. Attestation, documentation of current resources, and full resource review.
  • Understand the various Medicaid Coverage Choices for SSI-R applicant/recipients.
  • Explain how to authorize Medicaid Coverage in WMS based on the coverage choice and type of resource verification received.
  • Demonstrate the appropriate process for an SSI-R recipient who has a change in need.

  • + Retirement Income and Annuities (1-day training)

    This full-day program will review the types of tax-qualified funds (including pensions, supplemental retirement funds and individual retirement accounts) that may be owned by clients applying for Medicaid benefits. The Medicaid policy on these holdings will be discussed including Spousal Impoverishment situations. This program will also review the basic annuity terms, the types and uses of annuities, Medicaid policy on annuities, and transfer implications.

    As a result of the training, participants will be able to:

  • Determine the value of a Retirement fund
  • Determine the value of Annuity
  • Distinguish between the treatment of an Annuity with transactions before and after DRA legislation

  • + Self-Employment (1-day training)

    This full-day program addresses the treatment of income and resources associated with various self- employment situations, including sole proprietorships, partnerships, S corporations and rental property. The program includes a discussion on income tax schedules associated with the various self- employment situations, allowable income and resource disregards and exemptions for MAGI-Like, SSI-Related, and ADC-Related categories

    As a result of the training, participants will be able to:

  • Identify deductions allowed by IRS to arrive at net profit
  • List steps necessary to determine net income when a business is new or when tax returns are not filed
  • Understand the Self-Employment worksheet to be used by applicants/recipients (A/Rs) to calculate their monthly business income
  • Complete the 6%-rate-of-return test
  • Identify IRS forms and schedules used to calculate Sole Proprietorship, partnership and “S” corporation profits/losses

  • + Spousal Impoverishment (1-day training)

    This full-day program reviews the budgeting methodology for Spousal Impoverishment cases. The program includes completion of the Spousal Budgeting forms including the calculation of the Community Spouse Resource Allowance (CSRA), countable resources, Monthly Maintenance Needs Allowance (MMNA), Family Member Needs allowance, and Net Available Monthly Income (NAMI) for the Institutionalized Spouse. Increasing the CSRA to meet a shortfall in MMNA is also discussed.

    As a result of the training, participants will be able to:

  • Explain the spousal impoverishment budgeting process
  • Complete processes related to institutionalized and community spousal budgeting
  • Explain the budget options for individuals participating in a HCBS Waiver Program

  • + Supplemental Security Income-Related Budgeting (Income) (1-day training)

    This full-day program reviews deeming and allocation, Spouse-to-Spouse deeming (i.e. eligibility for Supplemental Security Incomes (SSI)-Related adults) and Parent-to-Child deeming (i.e. eligibility for SSI-Related children). The focus will be on the income budgeting and manual Medicaid Eligibility Budgeting Logic (MBL) budgets also will be used in the review. A brief review of the Medicaid Buy-In Program for Working People with Disabilities (MBI-WPD) will also be included.

    As a result of the training, participants will be able to:

  • Identify allowable income exemptions and disregards for persons eligible for SSI-related Community budgeting
  • Understand the household size policy for SSI-Related Community budgeting
  • Describe the Allocation and Deeming Process of the SSI-Related Budgeting Process
  • Identify the appropriate MABEL codes needed for an SSI-Related Community Budget
  • Demonstrate how MABEL calculates income eligibility for SSI-Related Community Budgets

  • + Transfer of Assets (1-day training)

    This full-day program covers the basic Transfer policy: the look-back period, what constitutes a transfer, allowable transfers, Undue Hardship provisions, and resources vs. stream of income, determination of the Uncompensated Value (UV), calculation of the penalty period, and the implementation and impact of transfer penalty. Also included are the new rules and regulations enacted in 2006 from the Federal Deficit Reduction Act of 2005, including Promissory Notes and Life Estates.

    As a result of the training, participants will be able to:

  • Explain the procedures related to transfers of assets for applicants/recipients
  • Distinguish between the treatment of an annuity with transactions before and after DRA legislation as they relate to transfer policies
  • Explain the effects of Life Estate on transfer

  • + Trusts (1-day training)

    This full-day program reviews the types of trusts most often encountered in Medicaid caseloads. Definition of common trust terms, the role of trustee and his/her discretion, treatment of trusts where the Applicant/Recipient (A/R) is grantor and/or beneficiary, Medicaid Qualifying trusts, Omnibus Budget Reconciliation Act (OBRA) '93 trusts, and Exception and Supplemental Needs Trusts will be discussed.

    As a result of the training, participants will be able to:

  • Identifying types of Trusts funds
  • Distinguish the difference between MQT’s and OBRA 93 Trusts
  • Distinguish the difference between Revocable and Irrevocable Trusts
  • Distinguish the difference between individual Exception Trusts and Pooled Exception Trusts
  • Determine countable income/resources of Trusts
  • Sours: https://www.nytrainingservices.com/ldss-employees
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    Original Contract Approved/Filed DateMAXIMUS CONSULTING SERVICES INCOffice of Information Technology ServicesC000489

    $861,067.00

    $678,631.27

    08/16/201708/15/2018Cost Allocation and Accounting Services for one yearConsultant - Audit, Accounting, Actuarial And Related Services08/16/2017MAXIMUS CONSULTING SERVICES INCOffice of General Servicest003737

    $48,000.00

    $47,706.01

    01/03/201712/31/2018Rate Setting BSC and SFSContracts Not Subject to OSC Pre-Audit03/01/2017MAXIMUS CONSULTING SERVICES INCDivision of the BudgetC000451

    $666,801.00

    $171,707.38

    06/01/201812/31/2024Cost Allocation Consulting SrvConsultant - Audit, Accounting, Actuarial And Related Services10/10/2018MAXIMUS CONSULTING SERVICES INCOffice of General Services - Purchasing ContractsPS67829

    $5,000,000.00

    $599,522.55

    08/01/201707/31/2022COST ALLOCATION & RATE SETTINGContracts Not Subject to OSC Pre-Audit07/27/2017MAXIMUS CONSULTING SERVICES INCDivision of the BudgetC000391

    $622,212.00

    $584,423.00

    06/16/200806/30/2015STATEWIDE CENTRAL COST ALLOCATION PLAN CONSULTING SERVICESConsultant - Audit, Accounting, Actuarial And Related Services07/01/2008MAXIMUS CONSULTING SERVICES INCDepartment of HealthT030593

    $47,495.00

    $47,495.00

    09/01/201508/31/2016Maximus Consulting ServicesContracts Not Subject to OSC Pre-Audit01/08/2016MAXIMUS CONSULTING SERVICES INCDivision of the BudgetC000426

    $948,370.00

    $894,692.25

    06/01/201312/31/2020Cost Allocation Consulting ServicesConsultant - Audit, Accounting, Actuarial And Related Services06/04/2013MAXIMUS CONSULTING SERVICES INCDivision of the BudgetC000421

    $2,046,145.00

    $1,685,830.76

    09/17/201208/31/2016Shared Services Accounting ModelConsultant - Audit, Accounting, Actuarial And Related Services10/17/2012MAXIMUS FEDERAL SERVICES INCWorkers' Compensation BoardC140387

    $7,700,000.00

    $2,245,615.00

    09/26/201909/25/2022Utilization Review ServicesConsultant - Medical Related Services09/26/2019MAXIMUS HEALTH SERVICES INCDepartment of HealthC034998

    $8,854,434.46

    $1,098,386.93

    01/01/202012/31/2024Training services for New York State of HealthConsultant - Miscellaneous Consultant Services01/24/2020MAXIMUS HEALTH SERVICES INCDepartment of HealthC027557

    $1,867,323,648.73

    $714,278,246.13

    10/01/201109/30/2024OHIP/ENROLLMENT BROKER SERVICESConsultant - Miscellaneous Consultant Services12/30/2011MAXIMUS HEALTH SERVICES INCDepartment of HealthC032807

    $2,870,000.00

    $2,277,345.00

    12/01/201711/30/2022Pre Admission Screen and Resident Review (PASRR) Level II EvaluationsConsultant - Medical Related Services11/17/2017MAXIMUS HEALTH SERVICES INCDepartment of HealthC032862

    $4,069,166.00

    $2,937,552.94

    11/01/201710/31/2022New York State Physician Profile ServicesConsultant - Information And Technology Solutions And Services01/08/2018MAXIMUS HEALTH SERVICES INCDepartment of HealthC029243

    $348,912.00

    $348,891.64

    08/15/201408/14/2015Analysis of Converting Women, Infants & Children (WIC) Benefits to Electronic Benefit Transfer (EBT)Consultant - Miscellaneous Consultant Services11/06/2014MAXIMUS HEALTH SERVICES INCDepartment of HealthT036212

    $90,000,000.00

    $62,678,611.45

    12/19/202012/31/2021COVID-19 Vaccine Call CenterContracts Not Subject to OSC Pre-Audit01/06/2021MAXIMUS HEALTH SERVICES INCDepartment of HealthC026342B

    $5,590,871.44

    $5,390,866.36

    03/01/201310/31/2017Physician Profile web siteConsultant - Miscellaneous Consultant Services09/13/2013MAXIMUS I CONTRACTING CORPOffice of General Services - Design & ConstructionDM2994C

    $226,030.00

    $209,927.00

    07/31/201209/12/2013REPLACE ROOF STOREHOUSE BUILDING 28 BEDFORD HILLS CFConstruction - Building07/31/2012MAXIMUS INCDepartment of HealthC021504

    $209,700,000.00

    $198,400,046.07

    10/01/200609/30/2011INTERGOVERNMENTAL AFFAIRS/OMC BROKER SERVICESConsultant - Miscellaneous Consultant Services10/07/2010MAXIMUS INCOffice of the Medicaid Inspector GeneralC021508

    $464,285.00

    $82,031.25

    01/12/200701/11/2012MEDICAID COMPLIANCE REVIEWConsultant - Audit, Accounting, Actuarial And Related Services05/29/2007MAXIMUS INCDepartment of TransportationT900286

    $12,300.00

    $12,300.00

    10/11/200712/31/2011KOSCIUSZKO BRIDGE QUEENS COUNTY TRN 55Contracts Not Subject to OSC Pre-Audit10/12/2007MAXIMUS INCDepartment of HealthC025147

    $2,562,750,025.00

    $1,827,395,966.74

    08/20/201008/19/2023OPERATE THE ENROLLMENT CENTER FOR NYS HEALTH INSURANCE PROGRAMSService - Other/ Misc. Services08/20/2010
    Sours: https://wwe2.osc.state.ny.us/transparency/contracts/contractresults.cfm?ac=&v=maximus&vo=B&cn=&selOrigDateChoiceOperator=0&txtOrigFromDate=&txtOrigToDate=&selCTDateChoice=0&selCTDateChoiceOperator=0&txtCTFromDate=&txtCTToDate=&selContractAmountChoice=0&txtContractAmount1=&txtContractAmount2=&b=Search
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    People who are dual-eligible (meaning they have both Medicare and Medicaid), age 21 and older, and are in need of home care for more than 120 days are required to enroll in a Managed Long-Term Care (MLTC) plan. These plans are responsible for providing home care and other long-term care services (such as adult day care).

    Different Types of Managed Long Term Care Plans
    Partial MLTC Plans
    PACE (Programs of All-Inclusive Care for the Elderly)
    MAP (Medicaid Advantage Plus)
    Enrolling in a Managed Long-Term Care Plan
    Making Changes in Managed Long-Term Care
    Directory of Managed Long-Term Care Plans

    Get help enrolling in Managed Long-Term Care
    Different Types of Managed Long Term Care Plans

    Medicare and Medicaid recipients are entitled to an extensive list of coverage benefits. There are generally two ways in which beneficiaries may receive these benefits – “straight/non-managed” and “managed”. If someone has “straight/non-managed” Medicare and/or Medicaid, then the government administers these benefits directly – contracting with providers and paying for services. When a recipient enrolls in a “managed” plan, the plan receives a monthly premium from Medicare and/or Medicaid and is in turn responsible for supplying the member’s benefits.

    There are three types of Managed Long-Term Care plans: Partial MLTC, PACE (Programs of All-Inclusive Care for the Elderly), and MAP (Medicaid Advantage Plus). These three plan types can be broken down into two distinct groups – “partially managed” and “fully managed”. Partial MLTC plans only “manage” a portion of their members’ Medicaid benefits. They do not “manage” their members’ Medicare benefits at all. PACE and MAP “manage” all member benefits for both Medicare and Medicaid.

    The following are descriptions of each plan type:

    Partial MLTC Plans

    When someone enrolls in a Partial MLTC plan, the plan becomes responsible for administering a portion of the member’s Medicaid benefits, while the rest of their benefits remain “straight/non-managed” Medicaid. Partial MLTC plans do not affect a member’s Medicare at all. If someone has “straight/non-managed” [Original] Medicare, it will remain that way when they enroll in a Partial MLTC plan.

    Partial MLTC plans manage the following Medicaid benefits:

    • Home Care
    • Adult Day Care
    • Medical Equipment
    • Ambulette transportation to doctor offices and clinics
    • Outpatient physical, occupational, and speech therapy
    • Audiology – including hearing aids and batteries
    • Optometry – including eyeglasses
    • Podiatry
    • Dental
    • Meals
    • Personal Emergency Response System (PERS)
    • Nursing home care (where member is entitled to coverage)

    The following Medicaid benefits remain straight/non-managed Medicaid:

    • All doctors other than the four mentioned above
    • All hospital care – inpatient, outpatient, and emergency room
    • Outpatient clinics
    • Lab tests
    • Radiology tests
    • Prescription drugs
    • Mental health care
    • Assisted living
    • Hospice

    It is important to note that, as always, Medicare will remain the primary health insurance for those that enroll in Partial MLTC plans. Medicaid will serve as a supplement to help cover gaps in Medicare coverage.

    Enrolling in a Partial MLTC plan allows an individual to access long-term care services without affecting their coverage with respect to most other medical care. Their primary care physician (and most types of specialists) need not be in network with their MLTC plan, they can go to any hospital that accepts their Medicare, and they can get radiology and lab tests from any provider that accepts their Medicare.

    Individuals must be age 18 or older to enroll in a Partial MLTC plan.

    PACE (Programs of All-Inclusive Care for the Elderly)

    PACE plans “manage” all member benefits for both Medicare and Medicaid. As a result, members can usually only receive services from in-network providers. Plans have their own “adult day centers” where members see their primary care doctor and receive other services. Members can go to the center to participate in social activities with other plan members.

    It is noteworthy that only two PACE plans exist in New York City.

    Individuals must be age 55 or older to enroll in a PACE plan. Hence the “care for the elderly” in the name.

    MAP (Medicaid Advantage Plus)

    MAP plans “manage” all member benefits for both Medicare and Medicaid. As a result, members can usually only receive services from in-network providers.

    Individuals must be age 18 or older to enroll in a MAP plan.

    Enrolling in a Managed Long-Term Care Plan

    Those wishing to enroll in a MLTC plan must go through a two-stage process. First, they must undergo an nurse’s assessment from the Conflict-Free Evaluation and Enrollment Center (CFEEC). The CFEEC is administered by Maximus, NY State’s vendor, also known as NY Medicaid Choice. The purpose of the evaluation is to verify that the person seeking enrollment in fact requires long-term care.

    Once Maximus approves a patient to enroll in MLTC, the patient will be given the opportunity to select a MLTC of their choice. Then, that MLTC will send another nurse so the MLTC can make their own evaluation. After the plan completes their assessment the patient can be enrolled into MLTC.

    Enrollments are done on a monthly basis on the first of the month. Ostensibly, if all assessments and paperwork are completed by the 20th of a given month, a patient can be enrolled for the coming month. For logisitical reasons, this is not always the case in reality. If someone is hoping to enroll in MLTC for the coming month, having their assessments completed earlier in the month can enhance their chances of enrollment.

    Making Changes in Managed Long-Term Care

    Beginning December 1, 2020, consumers who enroll in a Partial MLTC plan are allowed to switch plans for a 90 day grace period. After 90 days, they cannot switch plans for 9 months except for what is considered “good cause“. This “Lock-In” does not affect consumers that wish to enroll in a PACE or MAP plan and these plans do not have a “lock-in” period.

    Changes in MLTC plans are made on a monthly basis and are effective on the first of the month. The process of making a change is as follows:

    A consumer may contact any plan and request to switch to that plan. The enrolling MLTC plan will then send a nurse to evaluate the potential member. During the evaluation, the evaluating nurse will call NY Medicaid Choice together with the enrolling member to receive approval for the switch. After the evaluation, the enrolling plan will submit necessary enrollment paperwork to NY Medicaid Choice, who will approve and complete the enrollment. If someone needs assistance with selecting a plan, they can call NY Medicaid Choice directly at 888-401-6582. TIP: If a consumer is happy with the licensed home care services agency (LHCSA) that is sending the home health aide or personal care aide, or the CDPAP Fiscal Intermediary (FI) that is providing their CDPAP services, they can call the LHCSA or CDPAP FI directly and ask for their assistance in switching to a plan with whom they are contracted. This will help ensure that they remain the provider for the home attendant once the change is made.

    Similar to new enrollments, ostensibly, a change can be effective for the coming month if everything is completed by the 20th of the previous month. Here too, this is not always the case in reality. If someone is hoping to change plans for the coming month, having their assessment completed earlier in the month can enhance their chances of the change going through.

    It is important to be aware that just because a plan sends a nurse to evaluate you to switch to them, that does not obligate you to go through with the change. If you are not satisfied with the services being offered by the new plan, you may choose to decline the change.

    We provide free assistance with enrolling in Managed Long-Term Care. If you would like assistance for yourself, a loved one, or a client, please give us a call.Call Us Now! 718-838-3838

    Sours: https://hpsny.org/learning-center/home-care/managed-long-term-care-mltc-plans/
    MAXIMUS Video

    Commentary: Don't let Cuomo push through another Maximus extension

    But while New York has been cutting Medicaid payments to health care providers and restricting services, we’re shoveling billions of dollars to a huge, little-known company called Maximus. Those contracts have been granted, renewed, and expanded, over and over, without competitive bidding, and with none of the oversight state contracts typically receive.

    Maximus administers social service programs for most states. In New York, it operates a laundry list of programs for the Department of Health, as well as Medicaid administration. It now also runs the state’s COVID-19 vaccine call centers. Its largest New York contracts are for the customer call centers to help people enroll in Medicaid and the Affordable Care Act. Maximus also decides whether a frail elderly person or someone with disabilities can receive home health care services under Medicaid.

    Over the past decade, these contracts have ballooned in value from $340 million to over $3.6 billion, with the call center contract increasing from a five-year deal for $170 million to $2.56 billion. This outrageous cost increase for call center services is being paid for by taxpayers. It does nothing to help the clinics, hospitals or home health care providers who actually provide direct services for Medicaid recipients.

    How did this happen?

    In state budget negotiations, at the 11th hour when almost everything is wrapped up, the governor’s staff announces that there’s just one more thing: Let the health department extend whatever Maximus contract is expiring, without any bidding or the ordinary review or approval by the state comptroller.

    The governor says put that in, or there’s no budget agreement.

    The laws the governor insists on pushing aside are important safeguards against corruption and waste. What has happened with Maximus is no surprise.

    A 2014audit by the comptroller concluded that Maximus’ contract lacked detailed budgets, rate schedules, or other basic protections. Maximus was taking a profit of nearly 18 percent, charging 14 percent for “administration,” and billing the state for $500-a-night luxury hotel rooms, among other excessive costs.

    But then the governor did it again: In 2016 and 2018, he inserted last-minute language into the budget to extend Maximus’ ever-expanding contracts.

    Kansas recently dropped Maximus for poor performance, and Pennsylvania, Texas, and North Carolina are among states that have had significant problems with Maximus, including improperly dropping health coverage for children, failing to provide essential services for seniors and people with disabilities, wage theft, and other mistreatment of workers.

    Officials must not shrug their shoulders and say the state can’t function without Maximus and there’s just no way to hold it accountable.

    This is a grave risk of the massive privatizing and outsourcing we have seen in health care, social services, and other programs.

    Should New York just say we’ve let Maximus grow so big that we have no choice but to leave it in charge? That is not acceptable.

    It is long past time to draw the line. Right now, Cuomo may be getting ready to try to push another midnight extension of the Maximus deal, evading proper legal and financial safeguards. The Legislature must say no.

    Assembly Member Richard N. Gottfried, D-Manhattan, chairs the Assembly Health Committee.

    Sours: https://www.timesunion.com/opinion/article/Commentary-Don-t-let-Cuomo-push-through-16053955.php

    Ny maximus medicaid

    Medicaid

    MEDICAID

    Only certain individuals can now apply for Medicaid assistance at their local DSS including the following:   individuals whose eligibility is based on being blind or certified disabled, those 65 and older, individuals needing coverage for long-term care services or nursing homes, waiver recipients, those in receipt of Medicare and individuals looking for enrollment in the Medicare Savings Program.  Individuals not falling into those categories are now required to have their eligibility determined by the NYSOH Healthcare Exchange.

    A Maximus representative has an office at our agency Monday through Friday to help those who need to apply with NYSOH.  We also have other representatives on different days of the week to assist with NYSOH enrollment, as well.

    1. New York State of Health:   1-855-355-5777

               Hours:  Monday thru Friday – 8:00AM to 8:00PM

                              Saturday – 9:00AM to 1:00PM

               Or Apply Online at:  https://nystateofhealth.ny.gov

    1. Kate O’Brien Carreon, Maximus at DSS Monday thru Friday, 8:30AM to 4:30PM - (315) 376-5713
    2. Gretchen Farney, United Health Care: (315) 271-1426 and at DSS every Tuesday
    3. Chelsea Rowsam, Fidelis: (315) 383-9686 and at DSS every Wednesday
    4. Megan Hrim, MVP Healthcare: (315) 222-3103 and at DSS every Thursday
    5. Evelyn Fargo, NC Prenatal/Perinatal Council: (315) 788-8533
    6. Brandy Snyder, ACR Health: (315) 785-8222 ext. 371

    If you contact our agency for Medicaid coverage, you will be screened to see where you need to apply for assistance.

    Those applying for Medicaid at our agency will need to provide verification of their citizenship, identity, residency, gross income, any other health insurance (including Medicare) and may have to provide additional information about their resources and other items, depending on the various program eligibility requirements.

    The income guidelines vary by program, household size and composition, disability status, and living situation.

    For more information on Medicaid and FAQ’s, please visit https://www.health.ny.gov/health_care/medicaid/ or contact us at (315) 376-5400 (ask for the Medicaid Unit.)

    Sours: https://www.lewiscounty.org/departments/dss/medicaid
    New York Medicaid Update

    Ny Medicaid Maximus Phone Number

    Listing Results Ny Medicaid Maximus Phone Number

    Contact Us Maximus NYMC

    800-505-5678

    9 hours agoMedicaid members. Call: 1-800-505-5678, Monday - Friday, 8:30 am to 8:00 pm, Saturday, 10:00 am to 6:00 pm. . If you are calling about Long Term Care Plans. Call: 1-888-401-6582, Monday - Friday, 8:30 am to 8:00 pm, Saturday, 10: am to 6:00 pm.. Health Plan …

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    New York Medicaid Choice (MAXIMUS)

    800-342-9871

    5 hours ago Tel: 1-800-342-9871. Find Local Offices. Logout. My Account. Welcome, Karol Test. New York Medicaid Choice (MAXIMUS) NY Connects is your trusted place to go for free, unbiased information about long term services and supports in New York State for people of all ages or with any type of disability. Learn More.

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    Medicaid Program Important Phone Numbers New York State

    6 hours agoMedicaid Program Important Phone Numbers Fraud. Medicaid Fraud Hotline 1–877–87 FRAUD; Consumer. Medicaid Helpline 1–800–541–2831; Medicaid Managed Care. New York Medicaid Choice 1–800–505–5678; New York State Department of HealthMedicaid Managed Care; Provider – Medicaid Billing Assistance Practitioner Services. 1–800

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    New York Medicaid Choice (Maximus)

    9 hours ago Name: New York Medicaid Choice (Maximus) Description: NY Medicaid Choice is New York State's managed care enrollment program. The CFEEC (Conflict Free Evaluation and Enrollment Center) is a program that determines client's eligibility for Medicaid community-based long term care, run by Maximus. The organization conducting the evaluations for

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    Contact Us Maximus

    Just NowContact Us. Thank you for contacting Maximus. We welcome your questions and comments. Learn more about our services or opportunities to partner with us. Let's do business. Maximus.

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    Medicaid New York State Department of Health

    855-355-5777

    7 hours ago If your Medicaid is with the Marketplace (NY State of Health) and you need to order a new benefit card please call the call center at 1-855-355-5777. Members residing in the five boroughs of NYC can call the HRA Infoline at 1 (718) 557-1399 or the HRA Medicaid Helpline at 1 (888) 692-6116.

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    CONTACT US medicareappeals.com

    585-348-3300

    9 hours ago Pittsford, NY 14534-1302. Phone: 585-348-3300. SENDING AN EMAIL . Any document that contains the identity of an enrollee or a provider is confidential. For this reason, Maximus Federal Services cannot accept case files or additional information sent via facsimile or e-mail transmission.

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    Maximus NYMC

    3 hours ago Choose the planThat's Right For You. New York Medicaid Choice is New York State's managed care enrollment program. Find all your health plan choices.

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    Program Conflict Free Evaluation and Enrollment Center:

    Just Now The CFEEC (Conflict Free Evaluation and Enrollment Center) is a program that determines client's eligibility for Medicaid community-based long term care, run by Maximus. The organization conducting the evaluations for New York State is not affiliated with any managed care plan, or with any provider of health care or long term care services.

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    How to Enroll Maximus NYMC

    800-505-5678

    Just Now 1. By Phone. Enroll by phone or TTY. If you are enrolling into a Medicaid Health Plan: Call 1-800-505-5678. TTY: 1-888-329-1541. If you are joining a Managed Long Term Care Plan (MLTC Plan): Call 1-888-401-6582. TTY: 1-888-329-1541 2. Online Click on Enroll on the menu to your left. You can join a Medicaid health plan on this website.

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    MLTC Medicaid Plan Maximus NYMC

    1 hours ago Call New York Medicaid Choice to enroll in a MLTC Medicaid Plan over the phone or TTY. Counselors will ask if you want to join a plan that works with the home care agency or other provider you have now. Make a list of your providers and have it handy when you …

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    New York Maximus

    7 hours ago A New York state of mind. Maximus is proud to have been a partner to the State of New York since 1998. Our people are friends and neighbors of the New Yorkers they serve and we have vested interest in ensuring that we help the State deliver on its promises to residents. By taking over responsibility for – and consolidating – most citizen

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    Getting Care Maximus NYMC

    9 hours ago Your PCP’s phone number is on your plan card. If you chose a Long Term Care Plan, your Care Manager will work with you and anyone you want, to develop your Plan of Care. During the first 90 days in a Long Term Care Plan, your Care Manager will arrange for you to keep the same services you had before you joined the plan.

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    ConflictFree Evaluation and Enrollment Center (CFEEC

    5 hours ago Specifically, under the Centers for Medicare and Medicaid Services (CMS) Special Terms and Conditions (STCs), which set forth the states obligations to CMS during the life of the Demonstration, New York State must implement an independent and conflict-free long term services and supports evaluation system for newly eligible Medicaid recipients. Q5.

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    Important Phone Numbers for Patients and Providers

    800-698-4543

    2 hours ago Important Phone Numbers for Patients and Providers. Contacts. Phone Number. Child Health Plus. 1-800-698-4KIDS (1-800-698-4543) 1-877-898-5849 (TTY) Client Advocacy Line, NYS Office of Alcoholism and Substance Abuse Services. 1-800-553-5790.

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    Complaints and Appeals Managed Care New York State

    1 hours ago Complaints and Appeals. Managed Long–Term Care; External Appeals; Managed Care Bill of Rights; Contact Your Plan. If you are dissatisfied with your plan or any of its employees, providers, or contractors, or your plan´s services, determination of benefits, or the health care treatment received through the plan, you can file a complaint or grievance with your plan.

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    Careers Maximus

    866.307.1477

    7 hours ago In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and are in need of assistance in order to apply for a position with Maximus, please email our HR Support Center, [email protected]maximus.com, or call 1.866.307.1477 Monday through Friday between the hours of 8:00 a.m. and 6:00 p.m. ET. TTY users, please

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    New York Medicaid Office

    800-541-2831

    Just Now The phone number to call the New York Medicaid office is 800-541-2831 or in state call 518-473-3782. Fax is 518-474-6773.

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    ConflictFree Evaluation and Enrollment Center HPS NY

    7 hours ago Whenever a Medicaid consumer wants to enroll in Managed Long Term Care (e.g. to receive home care), they must first receive an assessment by the CFEEC. The CFEEC is administered by Maximus, a vendor for NY State. The CFEEC will send a nurse to evaluate the patient and ensure they meet the requirements for Managed Long-Term Care (MLTC).

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    Maximus mltc phone number winnertimes.in

    (800) 662-1220

    7 hours ago (TTY users should call (800) 662-1220). Plans do not have to include both the plan phone number and enrollment broker number in their marketing materials. Plans may

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    Our Company Maximus

    1 hours agoMaximus offers the unique advantage of having a global presence with a local focus while maintaining a clear understanding of the communities in which we serve. Highlights of our work include: Leading administrator of Medicaid enrollment broker services in the U.S. Answer more than 7 million calls per month at our contact centers

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    Clinical Services Maximus

    7 hours agoMaximus is the foremost PASRR authority to help state officers successfully manage every detail of their state's PASRR program and all affiliated long-term care services. We conduct a variety of specialized screenings, assessments, evaluations, and reviews to accurately determine care and …

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    Welcome to Otsego County, NY

    800-342-9871

    3 hours ago NY CONNECTS. Get help for your long term services and support needs. BY PHONE: 1-800-342-9871 Interpretation and translation services are free. Individuals who are deaf or hard of hearing can use NY Relay System 7-1-1 ONLINE: WWW.NYCONNECTS.NY.GOV. MEDICAID IN HOME SERVICES Personal Care Services & Consumer Directed Personal Assistance Program

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    Maximus mltc phone number fireandvinehospitality.com

    8 hours ago New York City Managed Long Term Care Plans (PDF) New York State Benefit/ New York State Medicaid Choice Phone Number – Important Notice, Aviso Importante (PDF) Managed Long Term Care Brochure (May 2013) (PDF) ** New Brochure available. Questions or comments: [email protected] An enrollment nurse will arrange a visit with you to gather information …

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    Explanation of the CFEEC and MLTC Evaluation Process for

    855-222-8350

    2 hours ago REQUEST CFEEC phone 1-855-222-8350 Monday – Friday 8:30 am to 8:00 pm Saturday 10:00 am to 6:00 pm. When you call this phone number to arrange for the evaluation through CFEEC, please have the following information about your client: Full name, address, DOB, SSN, Medicaid number, phone number.

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    Medicaid & CHIP Members Texas Health and Human Services

    800-335-8957

    7 hours ago Their phone number and website will be listed on your health plan ID card. If you don’t have a health plan and need help, call the Medicaid Helpline 800-335-8957. Your Health Plan. Adoption and Permanency Care Assistance. Choosing a Health Plan. Health Plan Changes. Managed Care Report Cards. Your Services. Get a Ride.

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    Maximus mltc phone number vietlifehealthcare.vn

    9 hours ago Selecting an MLTC Plan. Learn more about our services or opportunities to partner with us. Thanks, your message has been sent to … The organization conducting the evaluations for New York State is not affiliated with any managed care plan, or with any provider of health care or long term care services. 3 KNOW YOUR RIGHTS! View MLTC benefits, handbook, drug list and more. To complete

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    Maximus mltc phone number imperialsymphony.org

    Just Now MetroPlus Managed Long-Term Care is a health care plan especially designed for people 21 years or older, who live in the Bronx, Brooklyn, Queens, Manhattan, and now Staten Island who need long-term care services, and have Medicaid. Plans do not have to include both the plan phone number and enrollment broker number in their marketing materials. 349. so basicly you can use it for domestic? To

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    Maximus mltc phone number admasuniversity.com

    4 hours agoMAXIMUS P.O. Through Integra Managed Care, you will have access to a wide array of services that can be tailored to meet your needs. The Keyword Search helps you find long term services and supports in your area. Phone Number: Email: Title of referrer: (i.e. In joining a medicare for new evaluation and conflict enrollment center stc and alternatives presented by phone numbers of. Plans may

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    Maximus mltc phone number regalsecurities.com

    4 hours agoContact Us; Login . Broker Login; RBC Client Login; HTS Client Login; maximus mltc phone number. May 20, 2021 Uncategorized

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    Maximus medicaid phone number

    800-505-5678

    7 hours agoMedicaid clients should contact MAXIMUS to access in-home personal care services in Delaware County. If you are enrolling into a Medicaid Health Plan: Call 1-800-505-5678.. TTY: 1-888-329-1541 If you are joining a Managed Long Term Care Plan (MLTC Plan): Call 1-888-401-6582.TTY: 1-888-329-1541 2. SENDING AN EMAIL We partner with the Division of Medicaid to perform Level II on-site …

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    Maximus mltc phone number axisclinicals.com

    7 hours ago Contract Research Organization. Home; About Us. Our DNA; Our Core Values; Your Preferred Partner of Choice – WHY?

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    Ny medicaid choice phone number iccleveland.org

    2 hours ago ny medicaid choice phone number https://iccleveland.org/wp-content/themes/icc/images/empty/thumbnail.jpg 150 150 ICC ICC https://iccleveland.org/wp-content/themes/icc

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    Expedited Medicaid Managed Care Enrollment for Individuals

    7 hours ago enrollment and select a Medicaid managed care plan. b) The Part 820 Program staff will work with the consumer directly, or their LDSS representative to call the Maximus phone number (see below); and, c) During this call the Part 820 Program Staff will inform the Maximus representative that

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    Nebraska MLTC Provider Registration Portal

    844-374-5022

    9 hours agoPhone Number: 1-844-374-5022: Fax Number: 1- 844-374-5026: E-mail: [email protected]maximus.com : Version: (NE Production) Site Best Viewed at 1024x768 Screen Resolution. Maximus Nebraska Medicaid Provider Enrollment …

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    Maximus enrollment phone number k8fafa.com

    8 hours ago If you do not have an HFS Medical Card and would like to ask a question or send a comment, you should contact the Department of Healthcare and Family Services (HFS). As the state’s enrollment broker, Maximus provides program education to newly enrolled members, counseling on how to select a managed care entity (health plan), and health plan assignment for those members who choose not to

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    Ny medicaid choice phone number mnlawpatan.org

    800-698-4543

    2 hours ago We also have charts that will help you compare plans. You may ask for a conference by calling New York Medicaid Choice at 1–888–401–6582, TTY: 1–888–329–1541. 1-800-698-4KIDS (1-800-698-4543) 1-877-898-5849 (TTY) Client Advocacy Line, NYS Office of Alcoholism and Substance Abuse Services. 1-800-553-5790. Please tell them to call VNSNY CHOICE MLTC at 1-855-AT-CHOICE (TTY: 711

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    Maximus mltc phone number

    4 hours ago Recapagem de Pneus. Reformar pneus custa em média 30% do valor de um novo e atende as mesmas exigências de segurança. Isso significa redução de custos para as empresas e tranquilidade para os usuários.

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    Medicaid Ontario County, NY Official Website

    4 hours ago The total number of Medicaid applications registered in 2014 was 3502, a decrease of 30% below 2013. The caseloads changed as follows: Community Medicaid (+5%), Family Health Plus (-45%), SSI Medicaid (-2%), SSI Food Stamps, now known as SNAP (-1%), and Chronic Care (+0%). In 2014 223 children transitioned from Child Health Plus to Medicaid.

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    Maximus mltc phone number autobahnperf.com

    (954-771-5181

    9 hours ago Tap here to call us (954-771-5181) Home; Services. Vehicle Inspection; Pre-Purchase Checkup; Diagnostic Services; Performance Upgrades

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    Maximus assessment phone number

    888-401-6582

    3 hours ago A: More information on this can be found on the PASRR Technical Assistance Center's (PTAC) website, www.pasrrassist.org. We’re here to help. Select Service. Call 1-888-401-6582. Nursing Facilities must complete the PASRR within 30-days of admission. r %`jX r Ny $ ; …

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    Need long term care? What you should know about the CFEEC

    855-222-8350

    9 hours ago Call the CFEEC at 1-855-222-8350. TTY: 1-888-329-1546. You may call anytime Monday – Friday, from 8:30 AM to 8:00 PM or Saturday, from 10:00 AM to 6:00 PM. Counselors speak all languages. The phone call and help are free. When you call to make an appointment, think about a time that would be convenient for you to be evaluated.

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    Frequently Asked Questions

    Who is maximus in new york state medicaid choice?

    About: New York Medicaid Choice (Maximus) The CFEEC (Conflict Free Evaluation and Enrollment Center) is a program that determines client's eligibility for Medicaid community-based long term care, run by Maximus. The organization conducting the evaluations for New York State is not affiliated with any managed care plan,...

    How to contact maximus long term care nymc?

    Call: 1-800-505-5678, Monday - Friday, 8:30 am to 8:00 pm, Saturday, 10:00 am to 6:00 pm. If you are calling about Long Term Care Plans Call: 1-888-401-6582, Monday - Friday, 8:30 am to 8:00 pm, Saturday, 10: am to 6:00 pm.

    What are the phone numbers for medicaid in new york?

    New York Medicaid Choice 1–800–505–5678. New York State Department of Health – Medicaid Managed Care.

    Where can i find maximus managed care services?

    Maximus Federal Services Medicare Managed Care & PACE Reconsideration Project 3750 Monroe Avenue Suite 702

    Sours: https://www.webcontactus.com/ny-medicaid-maximus-phone-number/

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