DRAFT

Attachment 7: 60-Day Notice

  • Notice is also available in Portable Document Format (PDF, 97KB)

New York Medicaid Choice

New York State´s Medicaid managed care enrollment program

1-888-401-6582
P.O. Box 5009, New York, NY 10274-5009
Ask • Choose • Enroll

<Date>

<Barcode><Letter Code>
<Name>
<Address>
<City>, <State>, <Zip>

IMPORTANT! You Must Join a Managed Long Term Care Plan <or Medicaid Managed Care Plan>

Dear <Consumer Name>:           <CIN>

We are writing to remind you that the Medicaid Program is changing the way you get Nursing Home Transition and Diversion (NHTD)/Traumatic Brain Injury (TBI) Waiver services. You will be required to join a Managed Long Term Care Plan <or Medicaid Managed Care Plan> (also called a Plan) to continue receiving your services. The plan you select will make sure you get the services you need. Please look over the information we sent about the plans and the NHTD/TBI and other services they arrange for their plan members.

It is important that you join a Plan by <choose date>. If you do not choose a plan by this date, one will be selected for you.

If you have questions, call New York Medicaid Choice. Counselors will be glad to assist you. To speak to a counselor, please cal1: 1-888-401-6582 or TTY services: 1-888-329-1541. All languages are spoken..

More information about choosing a plan

  • Choosing a plan is an important decision. Share this letter with your family or someone who knows about your health care needs.
  • You may also speak to your Regional Resource Development Center (RRDC) or your service coordinator. They also know about this change and can keep you informed.

New York Medicaid Choice - we are here to help. Counselors can tell you about the different types of plans, their services and how they work. They can also:

  • help you choose a Plan that works with your home care agency or other providers listed on Page 14 of your Guide.
  • enroll you in a plan over the phone or TTY.

Questions?
Please call:
1-888-401-6582 or TTY services: 1-888-329-1541
Monday - Friday, from 8:30 am - 8:00 pm and Saturday, from 10:00 am - 6:00 pm.