vnsny choice member handbook
VNSNY is a Learning Healthcare System 2021 MEMBER HANDBOOK: YOUR EVIDENCE OF COVERAGE VNSNY CHOICE Total (HMO D-SNP) ©2021 VNSNY CHOICE PRA Disclosure Statement According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. EMAIL: grievence.appeals@vnsny.org. Yes, in order to treat VNSNY CHOICE Medicare members, providers must be approved by the Centers for Medicare and Medicaid Services (CMS) to treat Medicare Advantage members. that govern the management of VNSNY CHOICE members while serving as a resource for any questions you have about our programs. WellCare Advocate MLTC: Appeals information available here. Member handbook beginning page 29. Your CHOICE MLTC Member Handbook gives you loads of information about the benefits of being a CHOICE member. PROTECTS YOU! SelectHealth also has the highest viral load suppression rate among similar plans in New York. Member handbook available here. This manual covers the benefits and services available to 1199SEIU members in the 1199SEIU National Benefit Fund for Health and Human Service Employees, the 1199SEIU Greater New York Benefit Fund and the 1199SEIU National Benefit Fund for Home Care Employees. This Member Handbook, along with your signed Enrollment Application and Agreement, are your contract with VNSNY CHOICE, your managed long term care plan. No individuals have an ownership or controlling interest in VNSNY CHOICE (CHOICE) as described in 42 C.F.R. VNSNY CHOICE will offer one Medicare Advantage plan in 2021: Total VNSNY CHOICE Medicare (HMO D-SNP) Medicare Advantage Basics. 3. WellCare Advocate Complete 866-661-1232 Evidence of Coverage available here. VNSNY CHOICE MLTC Member Materials & Forms. Q. VNSNY CHOICE health plans are for people who have complex health needs, which include living with chronic illnesses, living with HIV, physical disabilities, or are of transgender experience, gender non-conforming or homeless. Box 31384 Tampa, FL 33631-3384: TEL: 877-395-4282 . ; Fax the Hospice Referral Form to 1-212-290-1825.; Call our Referral Center at 1-212-609-1900. ii. Member handbook here. Have your VNSNY CHOICE Member ID Card ready, and follow the simple instructions provided on the site. These Funds contract directly with you as a Member Choice or a Panel Provider. Member handbook here. No individuals have an ownership or controlling interest in VNSNY CHOICE (CHOICE) as described in 42 C.F.R. No worries! through EthicsPoint Hotlines: a. VNSNY: (212) 290-4773 b. Rather, CHOICE is controlled solely by its direct and indirect sole corporate members, which are charitable nonprofit corporations. VNSNY CHOICE MLTC Grievance and Appeals P.O. VNSNY Choice MLTC: Member handbook beginning page 58. CHOICE Compliance Team: CHOICEComplianceTeam@vnsny.org 2. VNSNY CHOICE Total VNSNY CHOICE SelectHealth Member Handbook Insert YOUR MEMBER HANDBOOK HAS BEEN CHANGED TO INCLUDE NEW SERVICES FOR MEMBERS UNDER 21 Children and Family Treatment and Support Services (CFTSS) Starting January 1, 2020, VNSNY CHOICE SelectHealth will cover more Children and Family Treatment and Support Services (CFTSS). You will be able to call VNSNY's caregiver help line, which is available 24/7. Depending on your health needs, you . CHOICE: (888) 634-1558 c. Online: www.vnsny.ethicspoint.com VNSNY Policy Regarding Non-Retaliation and Non-Intimidation. CHOICE Compliance Team: CHOICEComplianceTeam@vnsny.org 2. FAX: 212-337-5711. VNSNY CHOICE Total 866-597-6674 Member handbook available for download here. The Visiting Nurse Service of New York (VNSNY) is one of the nation's largest not-for-profit home- and community-based health care organizations, serving the five boroughs of New York City, and Nassau, Suffolk, and Westchester Counties. The VNSNY Center for Home Care Policy & Research advances the national knowledge base underpinning home- and community-based services by conducting scientifically rigorous research and supporting informed decision making by providers, policymakers, and consumers. Box 445 Elmsford, NY 10523: TEL: 800-469-6292. For over 125 years, VNSNY has been committed to improving the health and well-being of people through high-quality, cost-effective health care in the . A. Email: grievance.appeals@vnsny.org. . Help us prevent Fraud . More specifically, Institutional Provider and Supplier Certification is required. VNSNY CHOICE 2020 Medicare The FIDA Complete Plan will terminate the end of 2019 FIDA Complete VNSNY CHOICE Medicare-X Medicaid. Email: grievance.appeals@vnsny.org. Your items will be ordered and delivered to your home at no cost to you. VNSNY CHOICE Health Plans complies with Federal civil rights laws. ii. VNSNY Hospice Referral Form. You generally can expect to receive your order in 7 to 10 business days. anonymously. VNSNY Choice MLTC: Member handbook beginning page 58. 23 Conflict of Interest •The Code of Conduct identifies an expectation that you have a duty of loyalty and commitment to VNSNY. Thus there is no information to post on the website for this requirement. NEW YORK STATE HIV SPECIAL NEEDS PLAN MEMBER HANDBOOK Approved: 11/08/2019 . Rather, CHOICE is controlled solely by its direct and indirect sole corporate members, which are charitable nonprofit corporations. VNSNY CHOICE Assisted the Member Communications team in the drafting and editing of VNSNY CHOICE's 2015 member materials for all lines of business; including Member Handbook, Provider and Pharmacy. To report Compliance concerns or issues contact us . through EthicsPoint Hotlines: a. VNSNY: (212) 290-4773 b. To refer a patient to VNSNY Hospice and Palliative Care, please use one of the following three options: Submit electronically with the Hospice e-Referral Form. VNSNY CHOICE Total: MAP Please note that phone and online orders may only be placed once a month. Member Handbook is mailed in December. SelectHealth is dedicated to serving people with complex health needs. § 455.104. We celebrate our dedicated healthcare providers and amazing members for working together to end the HIV epidemic. Program for All Inclusive Care for the Elderly (PACE) Information on Appeals or . * VNSNY CHOICE Medicare Maximum is a New York State Medicaid Advantage Plan ** Copayments covered by Medicaid Benefit Medicare Maximum* (HMO SNP) Medicare Preferred (HMO SNP) Medicare Total* Help us prevent Fraud . WellCare Appeals Department P.O. VNSNY CHOICE 2020 Medicare VNSNY CHOICE will offer one Medicare Advantage product in 2020: Total VNSNY CHOICE . As part of the VNSNY family, CHOICE can draw upon VNSNY's unmatched clinical and care coordination expertise. For more recent information or other questions, please contact VNSNY CHOICE Medicare Member Services at 18667831444 or for TTY. Box 445 Elmsford, NY 10523: TEL: 800-469-6292. 23 Conflict of Interest •The Code of Conduct identifies an expectation that you have a duty of loyalty and commitment to VNSNY. ©2020 VNSNY CHOICE MEMBER HANDBOOK SelectHealth Revised October 2019 . VillageCareMAX Appeals 112 Charles Street New York, NY 10014. Box 31384 Tampa, FL 33631-3384: TEL: 877-395-4282 . SelectHealth from VNSNY CHOICE is part of the Visiting Nurse Service of New York, a trusted organization that has been helping New Yorkers for over 125 years. VNSNY CHOICE MLTC Grievance and Appeals P.O. WellCare Advocate MLTC: Appeals information available here. Medicare Advantage Basics Medicare Advantage plans are •Private insurance plans also known as Medicare Part C •Offered to beneficiaries eligible for Original Medicare When you call, you can talk to a hospice nurse and arrange for them to come as soon as possible if there is an emergency. We transform data into information for action. ABOUT US. It describes the benefits of membership, eligibility for the program, and our policies and procedures. Just follow this link to read the Member Handbook online . Can't find your copy at home? Please put this handbook where you can find it when you need it. We assign every member a care coordinator who supports their needs. Thus there is no information to post on the website for this requirement. Otc Smartcard Full OTC . CHOICE: (888) 634-1558 c. Online: www.vnsny.ethicspoint.com VNSNY Policy Regarding Non-Retaliation and Non-Intimidation. • Evidence of Coverage (Member Handbook) § 455.104. 2016 pr This Provider and Pharmacy Directory was updated on 08/2015. Do I have to be approved by CMS to treat VNSNY CHOICE Medicare members? PROTECTS YOU! ©2020 VNSNY CHOICE MEMBER HANDBOOK VNSNY CHOICE Managed Long Term Care MEMBER HANDBOOK Managed Long Term Care Revised September 2020 _____ _____ _____ Important names and phone numbers For easy reference, use this space to write down the names, addresses and telephone numbers of your Primary Care Physician and other providers . Senior Whole Health M/M Plus 877-353-0185 Member handbook available here. WellCare Advocate MLTC . This handbook will tell you how to use your VNSNY CHOICE SelectHealth plan. VNSNY Choice MLTC: Member handbook beginning page 58. TEL: 800-469-6292. With Steps, you can earn valuable rewards for completing certain health activities, like dental visits, eye exams, recommended screenings, and taking your medications as prescribed. Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of VNSNY CHOICE Total (HMO D-SNP). VNSNY: (212) 290-4773 CHOICE: (888) 634-1558 Online: www.vnsny.ethicspoint.com REMEMBER: VNSNY Policy Regarding Non-Retaliation and Non-Intimidation PROTECTS YOU! As a member of SelectHealth from VNSNY CHOICE, you're automatically enrolled in our Steps to a Healthier Life rewards program. The list below includes links to a variety of materials for VNSNY CHOICE MLTC members. You can get a printed copy of any Member Material by calling 1-888-867-6555 (TTY: 711 ), 9 am - 5 pm, Monday - Friday. If VNSNY CHOICE updates any of the information in this manual, we will provide bulletins, as necessary, and post the changes on our website (https://www.vnsnychoice.org), where you can also find a copy of this manual. This booklet givesyou the details aboutyourMedicareand Medicaid health care and prescription drug coverage from January1 - December 31, 2021. HIV Special Needs Plan Member Handbook WELCOME to VNSNY CHOICE SelectHealth a HIV Special Needs Plan We are glad that you enrolled in VNSNY CHOICE SelectHealth (which we will refer to as "SelectHealth" throughout this handbook). VNSNY: (212) 290-4773 CHOICE: (888) 634-1558 Online: www.vnsny.ethicspoint.com REMEMBER: VNSNY Policy Regarding Non-Retaliation and Non-Intimidation PROTECTS YOU! If you need to replace your hard copy, please call us. Box 445 Elmsford, NY 10523: TEL: 800-469-6292. VNSNY CHOICE MLTC Grievance and Appeals P.O. Stay Informed About Member News To report Compliance concerns or issues contact us . anonymously. 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