Managed Care

Focus groups with individuals with I/DD and parents to inform our work

As part of the work with the Managed Care Community of Practice, Medicaid Matters conducted focus groups in June regarding information and outreach related to the State’s transition to Medicaid Managed Care for people with intellectual/developmental disabilities (I/DD).  The focus groups with individuals and parents (which were done separately) in New York City and Binghamton were intended to help inform our work on stakeholder engagement, education and outreach related to the transition…

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Education and outreach for individuals with developmental disabilities and their families

New York State is implementing a system of Medicaid Managed Care for people with intellectual and developmental disabilities (I/DD).  The New York Alliance for Inclusion and Innovation is currently undertaking a project to prepare providers of services to people with I/DD for the move to managed care.  Referred to as the Managed Care Community of Practice (MC-COP), the project aims to provide readiness training and technical assistance to any interested provider…

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MLTC Report

Mis-Managed Care: Fair Hearing Decisions on Medicaid Home Care Reductions by Managed Long Term Care Plans, June-December 2015 With the New York Chapter of the National Academy of Elder Law Attorneys, MMNY issued a report to shed light on the findings of an extensive study of fair hearing decisions on reductions of personal care and Consumer Directed Personal Assistance services hours by Managed Long Term Care (MLTC) plans.  The report makes specific policy recommendations to address the…

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Statewide survey on community engagement in DSRIP

MMNY conducted a survey to assess the degree to which CBOs are engaged in DSRIP.  This information will be used to help MMNY assess what the needs are around the state for advancing community interests in local DSRIP regions.  It will also allow MMNY to conduct state level advocacy to ensure that the DSRIP process engages CBOs in ways that recognizes their strengths and addresses barriers to their participation.

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The Need and Vision for a New York State Medicaid Managed Care Ombudsman Program

The creation of the State’s “Care Management for All” initiative represents a sea change in how and where people with disabilities or chronic illnesses access care through the Medicaid program.  This creates the need for an advocacy program specializing in consumer education, community training, and advocacy services tailored to meet the unique needs of these populations. Medicaid Matters New York proposes a Medicaid Managed Care Ombudsman Program to meet the advocacy needs of people…

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Managed Care in Medicaid Redesign

It is clear the State is interested in moving more populations into mandatory Medicaid managed care and reducing the number of services that are excluded, or carved out, of the managed care benefit package.  We support efforts to increase care coordination and integration.  However, any proposal to increase care management must include critical elements if it is to be successful in improving outcomes and reducing costs, particularly for consumers with multiple, high-cost service…

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