Member handbook here. If you need to replace your hard copy, please call us. VNSNY CHOICE Health Plans complies with Federal civil rights laws. 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. 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. Email: grievance.appeals@vnsny.org. The list below includes links to a variety of materials for VNSNY CHOICE MLTC members. VNSNY CHOICE will offer one Medicare Advantage plan in 2021: Total VNSNY CHOICE Medicare (HMO D-SNP) Medicare Advantage Basics. Box 31384 Tampa, FL 33631-3384: TEL: 877-395-4282 . Box 445 Elmsford, NY 10523: TEL: 800-469-6292. Thus there is no information to post on the website for this requirement. More specifically, Institutional Provider and Supplier Certification is required. You can get a printed copy of any Member Material by calling 1-888-867-6555 (TTY: 711 ), 9 am - 5 pm, Monday - Friday. PROTECTS YOU! 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. 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. Q. § 455.104. WellCare Advocate MLTC: Appeals information available here. FAX: 212-337-5711. SelectHealth is dedicated to serving people with complex health needs. This booklet givesyou the details aboutyourMedicareand Medicaid health care and prescription drug coverage from January1 - December 31, 2021. A. 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). VNSNY Choice MLTC: Member handbook beginning page 58. These Funds contract directly with you as a Member Choice or a Panel Provider. Member Handbook is mailed in December. VNSNY: (212) 290-4773 CHOICE: (888) 634-1558 Online: www.vnsny.ethicspoint.com REMEMBER: VNSNY Policy Regarding Non-Retaliation and Non-Intimidation PROTECTS YOU! VNSNY: (212) 290-4773 CHOICE: (888) 634-1558 Online: www.vnsny.ethicspoint.com REMEMBER: VNSNY Policy Regarding Non-Retaliation and Non-Intimidation PROTECTS YOU! This handbook provides important information about caring for your loved one when they are on hospice and about what you should do in an emergency. through EthicsPoint Hotlines: a. VNSNY: (212) 290-4773 b. This Member Handbook, along with your signed Enrollment Application and Agreement, are your contract with VNSNY CHOICE, your managed long term care plan. Email: grievance.appeals@vnsny.org. ©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 . that govern the management of VNSNY CHOICE members while serving as a resource for any questions you have about our programs. . 23 Conflict of Interest •The Code of Conduct identifies an expectation that you have a duty of loyalty and commitment to VNSNY. CHOICE: (888) 634-1558 c. Online: www.vnsny.ethicspoint.com VNSNY Policy Regarding Non-Retaliation and Non-Intimidation. Do I have to be approved by CMS to treat VNSNY CHOICE Medicare members? Box 445 Elmsford, NY 10523: TEL: 800-469-6292. 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. You will be able to call VNSNY's caregiver help line, which is available 24/7. We transform data into information for action. Help us prevent Fraud . WellCare Appeals Department P.O. ; Fax the Hospice Referral Form to 1-212-290-1825.; Call our Referral Center at 1-212-609-1900. PROTECTS YOU! 23 Conflict of Interest •The Code of Conduct identifies an expectation that you have a duty of loyalty and commitment to VNSNY. You generally can expect to receive your order in 7 to 10 business days. To report Compliance concerns or issues contact us . VillageCareMAX Appeals 112 Charles Street New York, NY 10014. Rather, CHOICE is controlled solely by its direct and indirect sole corporate members, which are charitable nonprofit corporations. 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). TEL: 800-469-6292. Senior Whole Health M/M Plus 877-353-0185 Member handbook available here. VNSNY CHOICE MLTC Grievance and Appeals P.O. anonymously. Depending on your health needs, you . Member handbook here. No individuals have an ownership or controlling interest in VNSNY CHOICE (CHOICE) as described in 42 C.F.R. WellCare Advocate MLTC . As a member of SelectHealth from VNSNY CHOICE, you're automatically enrolled in our Steps to a Healthier Life rewards program. VNSNY CHOICE Total Rather, CHOICE is controlled solely by its direct and indirect sole corporate members, which are charitable nonprofit corporations. VNSNY Choice MLTC: Member handbook beginning page 58. Your items will be ordered and delivered to your home at no cost to you. anonymously. Thus there is no information to post on the website for this requirement. For more recent information or other questions, please contact VNSNY CHOICE Medicare Member Services at 18667831444 or for TTY. VNSNY is a Learning Healthcare System Please put this handbook where you can find it when you need it. • Evidence of Coverage (Member Handbook) Help us prevent Fraud . We assign every member a care coordinator who supports their needs. VNSNY Hospice Referral Form. No worries! 3. It describes the benefits of membership, eligibility for the program, and our policies and procedures. SelectHealth also has the highest viral load suppression rate among similar plans in New York. Box 445 Elmsford, NY 10523: TEL: 800-469-6292. As part of the VNSNY family, CHOICE can draw upon VNSNY's unmatched clinical and care coordination expertise. WellCare Advocate MLTC: Appeals information available here. Please note that phone and online orders may only be placed once a month. VNSNY CHOICE Total 866-597-6674 Member handbook available for download here. To report Compliance concerns or issues contact us . VNSNY CHOICE 2020 Medicare The FIDA Complete Plan will terminate the end of 2019 FIDA Complete VNSNY CHOICE Medicare-X Medicaid. Just follow this link to read the Member Handbook online . VNSNY CHOICE MLTC Member Materials & Forms. ABOUT US. WellCare Appeals Department P.O. 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. Have your VNSNY CHOICE Member ID Card ready, and follow the simple instructions provided on the site. 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. No individuals have an ownership or controlling interest in VNSNY CHOICE (CHOICE) as described in 42 C.F.R. § 455.104. Stay Informed About Member News VNSNY CHOICE 2020 Medicare VNSNY CHOICE will offer one Medicare Advantage product in 2020: Total VNSNY CHOICE . Program for All Inclusive Care for the Elderly (PACE) Information on Appeals or . Your CHOICE MLTC Member Handbook gives you loads of information about the benefits of being a CHOICE member. Member handbook available here. 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. This handbook will tell you how to use your VNSNY CHOICE SelectHealth plan. WellCare Advocate Complete 866-661-1232 Evidence of Coverage available here. through EthicsPoint Hotlines: a. VNSNY: (212) 290-4773 b. VNSNY CHOICE Total: MAP * 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* VNSNY CHOICE MLTC Grievance and Appeals P.O. CHOICE Compliance Team: CHOICEComplianceTeam@vnsny.org 2. Medicare Advantage Basics Medicare Advantage plans are •Private insurance plans also known as Medicare Part C •Offered to beneficiaries eligible for Original Medicare 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. NEW YORK STATE HIV SPECIAL NEEDS PLAN MEMBER HANDBOOK Approved: 11/08/2019 . CHOICE Compliance Team: CHOICEComplianceTeam@vnsny.org 2. Can't find your copy at home? ©2020 VNSNY CHOICE MEMBER HANDBOOK SelectHealth Revised October 2019 . We celebrate our dedicated healthcare providers and amazing members for working together to end the HIV epidemic. Box 31384 Tampa, FL 33631-3384: TEL: 877-395-4282 . EMAIL: grievence.appeals@vnsny.org. VNSNY CHOICE MLTC Grievance and Appeals P.O. CHOICE: (888) 634-1558 c. Online: www.vnsny.ethicspoint.com VNSNY Policy Regarding Non-Retaliation and Non-Intimidation. 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. ii. ii. Member handbook beginning page 29. 2016 pr This Provider and Pharmacy Directory was updated on 08/2015. 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 . 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