Implementation of New York State’s Independent Assessor for MLTC Plan Enrollment & CBLTSS Begins May 16, 2022
16.05.2022
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Posted by Provider Relations
Effective May 16, 2022, the need for Community Based Long Term Services and Supports (CBLTSS), including personal care services and Consumer Directed Personal Care Services (CDPAS, and enrollment into a Managed Long Term Care plan will be based on the completion of a Community Health Assessment (CHA) and Clinical Appointment (CA) by an Independent Practitioner who will complete a Physicians Order (PO) through New York State’s Independent Assessor (NYIA).
- Members calling into Fidelis Care requesting initial authorization for Personal Care Services or CDPAS will be referred to a Fidelis Care Intake Coordinator to assist the member with contacting NYIA to schedule an initial assessment.
- Providers or members can call the NYIA toll free helpline directly at (855) 222-8350 to initiate the request for initial assessment Monday-Friday 8:30AM-8:00PM and Saturday 10:00AM-6:00PM
For additional information, please reference the tip sheets below:
New York State DOH NYIA Website: https://www.health.ny.gov/health_care/medicaid/redesign/nyia/index.htm
If you have any questions, please contact our Provider Call Center at 1-888-FIDELIS (1-888-343-3547) or your local Provider Relations Specialist.