Service Authorization and Appeals

For Mainstream Medicaid Managed Care Plans, HARP, and HIV SNP

Webinars

  • 42 CFR 438 MMC Service Authorization and Appeals – MMC/HIV SNP/HARP

Guidance for Health Plans

DOH Model Notices for Mainstream Medicaid Managed Care Plans, HARP, and HIV SNP

Medicaid managed care plans are required to submit templates for these notice types to the Department for approval prior to use. Templates will only be accepted from the health plan and must include a unique identifier on each page. A completed and signed cover sheet must accompany each template submitted. Submit templates and cover sheets to: MMCModelNotices@health.ny.gov.

Contact MMCModelNotices@health.ny.gov for any questions on this page.