Follow Us

Search

MRT 101 - Develop initiatives to integrate and manage care for eligible duals

Fully Integrated Duals Advantage (FIDA) Enrollment Update

After a joint review of the plans’ readiness for the FIDA Demonstration, NYS Department of Health (NYSDOH) and Centers for Medicaid and Medicare Services (CMS) have agreed to adjust the start date to January 1, 2015.

NYSDOH and CMS have set high standards for plans to participate in the FIDA Demonstration. The plans need to meet all of the requirements set by NYSDOH and CMS for the FIDA Demonstration. These standards go beyond existing Medicare and Medicaid requirements and so additional time will allow plans an opportunity to meet them.

It is the priority for NYSDOH and CMS to make participants’ transition to the FIDA Demonstration as smooth as possible, without any interruption to provision of current services including long-term care services and supports. NYSDOH and CMS have decided to give the plans three additional months to complete readiness review activities and cure remaining deficiencies before FIDA will begin. The additional time will allow NYSDOH and CMS to make sure that participants are educated about the FIDA Demonstration, have a robust choice of providers, and receive high-quality services. It will also ensure that plans and providers are trained and ready to implement the FIDA Demonstration.

  • Individuals in Bronx, Kings, Nassau, New York, Queens, and Richmond counties will be able to join the FIDA Demonstration on January 1, 2015. Passive enrollment will be phased in beginning April 1, 2015, until all eligible individuals are enrolled.
  • Individuals in Suffolk and Westchester will be able to join the FIDA Demonstration no earlier than April 1, 2015. Passive enrollment will begin no earlier than July 1, 2015, until all eligible individuals are enrolled.

Fully Integrated Dual Advantage (FIDA) Demonstration

Memorandum of Understanding (MOU)

FIDA Funding Opportunity

The New York State Department of Health (NYSDOH) recently issued a Request for Applications to announce a funding opportunity for a statewide Ombudsman Program for Managed Long-Term Care (MLTC) and Fully Integrated Duals Advantage Program (FIDA) Participants. Additionally, this program will also provide Ombudsman services for beneficiaries of Long-Term Support Services (LTSS) in Mainstream Managed Care (MMC) plans.

The Ombudsman will be an independent, conflict-free entity that will act as a resource and advocate for MLTC, FIDA and LTSS MMC participants and their families/caregivers. NYSDOH intends to award one contract for the Ombudsman Program. The anticipated multi-year contract period is: May 1, 2014 – April 30, 2019.

For more information please click on the NYSDOH funding link below: http://www.health.ny.gov/funding/rfa/1312200945/index.htm

  • Applications Due Date: 4/11/2014 by 4:00 PM
  • Deadline to Submit Questions: 3/21/14
  • Questions and Answers and Updates posted: 3/28/14
  • Contract term: May 1, 2014 – April 30, 2019
  • Contact: Karis Browder at FIDA@health.state.ny.us

FIDA Update Webinar

August 29, 2013 - FIDA Stakeholder Webinar

Fully-Integrated Duals Advantage (FIDA) Stakeholder Workgroup

  • In response to many questions from entities in regard to the Fully Integrated Duals Advantage program (FIDA) the state will be posting frequently asked questions documents shortly, however we can clarify one question.
    • Q: Will an applicant be disqualified from participating in the program if they are unable to upload a state license ?
    • A: No; An applicant will not be disqualified from participating in the 2014 Capitated Financial Alignment program (FIDA in NYS) for failure to upload a state license or other document to CMS by the February 21, 2013 application deadline. Rather, the lack of a State license on February 21st will be treated as a deficiency that can be remedied during the cure period pursuant to section 2.3.4 of the instructions.

Workgroup on Plan Qualifications and Quality Metrics Meeting Summary

Workgroup on Navigation/Appeals/Grievances Meeting Summary

Workgroup on Outreach/Enrollment/Consumer Engagement Meeting Summary

Workgroup on Finance and Reimbursement Meeting Summary

Please Note

Some documents on this page are saved in the Portable Document Format (PDF). If it's not already on your computer, you'll need to download the latest free version of Adobe Reader.