NYS Informational Webinar Next Week: Service Authorization and Appeal Changes for Medicaid Managed Care

 

The New York State Department of Health Office of Health Insurance Programs will implement several changes related to Medicaid managed care service authorization, appeals, fair hearings and grievances (complaints) as required by the Center for Medicare and Medicaid Services Medicaid and Children’s Health Insurance (CHIP) Programs Final Rule published May 6, 2016, amending federal rules at 42 CFR Part 438. This has a significant impact on the majority of New Yorkers enrolled in the state’s Medicaid managed care programs. These changes apply to New York’s mainstream Medicaid managed care, Health and Recovery Plans (HARPs), HIV Special Needs Plans, Managed Long-Term Care Partial Capitation, Medicaid Advantage, and Medicaid Advantage Plus.

Next week, the Office of Health Insurance Programs will host a free informational webinar for providers, community representatives and enrollees to learn more about the new appeals process.

42 CFR 438 Service Authorizations and Appeals Public Training

Wednesday, March 28, 2018 at 1PM EST

Link to Join: Click Here
Call: US Toll Free: 1-844-633-8697
Access code: 646 221 892

 

Friday, March 30, 2018 at 10AM EST

Link to Join: Click Here
Call: US Toll Free: 1-844-633-8697
Access code: 645 278 217

 

No registration is required. The same information will be provided on both dates. This session will also be recorded and shared at a later date.