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Provider Webinar Resources

July 23, 2024 Provider Webinar: Whose Life Plan is it Anyway? - Collaborative Best Practices for Life Plan Develop

In this webinar, we share Care Management best practices for ensuring providers are engaged and your valuable input is included in individuals’ Life Plans. Care Design NY and Partners Health Plan’s Care Management teams review the collaborative Life Plan process and the connection between the Life Plan and Staff Action Plan.

PRESENTED BY: Danielle Mazza, AVP of Care Management for Upstate NY; Ernie McNutt, AVP of Care Management for Downstate NY

Provider Webinar Slides

April 25, 2024 Provider Webinar: Medicaid Eligibility: Maintaining Benefits for the Intellectually and Developmentally Disabled in New York State

This webinar was in collaboration with Care Design NY and focused onchanges to Medicaid eligibility and recertifications, as well as the unwinding of the Public Health Emergency (PHE) as it relates to Medicaid coverage.

PRESENTED BY: Kristina Cunningham, Assistant Vice President of Member Benefits and Enrollment

SUPPORTING DOCUMENTS:

2024 Maximum Monthly Benefit Amounts
2024 SSI and Personal Allowance Amounts
MAGI and Non-MAGI Income Standards
Provider Webinar Slides

October 26, 2023 Provider Webinar: Best Practices for IDD-Tailored Medical Care

This webinar was The webinar was in collaboration with Partners Health Plan, and focused on how individuals with Intellectual and Developmental  Disabilities (IDD) have unique patterns of health-related risks and conditions and how they can benefit from some distinct approaches to annual wellness and healthcare maintenance. Based on a review of the literature, this presentation summarized some practical approaches to supporting and improving the quality of health of those with IDD.

PRESENTED BY: Stephen Merahn, MD, Medical Director

Provider Webinar Slides

August 22, 2023 Provider Webinar
Medicaid Eligibility: Maintaining Benefits for the Intellectually and Developmentally Disabled in New York State

This webinar was in collaboration with Partners Health Plan and focused on changes to Medicaid eligibility and recertifications, as well as the unwinding of the Public Health Emergency (PHE) as it relates to Medicaid coverage.

PRESENTED BY: Kristina Cunningham, Assistant Vice President of Member Benefits and Enrollment

SUPPORTING DOCUMENTS:

Qualifying Expenses - Spenddowns
2023 Spenddown Calculation Example
2023 SSI and Personal Allowance Amounts
2023 Federal Poverty Level Guidelines
Provider Webinar Slides

June 14, 2023 Provider Webinar: Medication Related Risk in the IDD Population

This webinar was in collaboration with Care Design NY and focused on: 

  • Medication Risks for the IDD Population
  • PHP’s clinical pharmacy program
  • Comprehensive Medication Therapy Reviews (CMTRs)
  • What is a CMTR and how it is used
  • Clinical Pharmacy program outcomes

PRESENTED BY: Scott Doolan RN BSN, MBA, Assistant Vice President of Health Care Management

Provider Webinar Slides

March 22, 2023 Provider Webinar: What is IDD Care Management and What Does It Mean To Me?

This webinar was in collaboration with Partners Health Plan and focused on how Care Management is different when in support of someone with an Intellectual or Developmental Disability (IDD) and the importance of collaboration between IDD Care Managers and the provider community.

PRESENTED BY: Steven Merahn, MD, Medical Director

Provider Webinar Slides

September 22, 2022 Provider Webinar: Medicaid Eligibility Issues and Resolutions

Topics Included:

  • Medicaid Overview
  • Obtaining Coverage
  • Medicaid Spenddowns
  • OPWDD’s HCBS Waiver and Medicaid
  • Disabled Adult Child (DAC)
  • Types of Coverage Available
  • Managed Care
  • Liability for Services regulations (14 NYCRR 635-12)
  • Fair Hearings

PRESENTED BY: Kristina Cunningham, Assistant Vice President of Member Benefits and Enrollment

Provider Webinar Slides

June 15, 2022 Provider Webinar: Understanding the CCO's Role in Healthcare

This Webinar reviewed and answered questions around the Care Manager's required role in the health care coordination of Care Design NY members, and how providers and Care Managers can collaborate to ensure positive health outcomes for the individuals we support.

Topics Included:

  • The CCO as a Health Home
  • Health Home Requirements
  • The Role and Scope of the CCO Health Home Care Manager
  • Social Determinants of Health
  • How CCOs and Providers Can Collaborate
  • How CCOs Can Support Providers

PRESENTED BY: Danielle Mazza, CDNY Assistant Vice President of Care Management for Upstate NY, Ernie McNutt, CDNY Assistant Vice President of Care Management for Downstate NY, Bridget Virkler, Network Development and Provider Relations Account Manager

Provider Webinar Slides
Provider Webinar Q&A

February 24, 2022 Provider Webinar in Collaboration with Partners Health Plan:
The Life Plan Process

This webinar reviewed the CDNY & PHP alignment, the Life Plan process, the CDNY and PHP escalation process, and how to ensure effective communication and timely resolution.

Presented by: Megan O’Connor-Hebert, Chief Administrative Officer – CCO/HH and FIDA-IDD, Diane Marrone, Chief of Care Coordination- CCO/HH and FIDA-IDD, Danielle Mazza, CDNY Assistant Vice President of Care Management for Upstate NY, Ernie McNutt, CDNY Assistant Vice President of Care Management for Downstate NY, Natalia McGarry, PHP Assistant Vice President of Care Management, Kim Carroccia, PHP Director of Network Development & Provider Relations, Stephen Schneider PHP Senior Director of Network Development and Provider Relations.

Provider Webinar Slides
Provider Webinar Q&A

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