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New York

New York Fully Integrated Duals Advantage (FIDA) and FIDA Intellectual and Developmental Disabilities (IDD) Demonstrations

 

Key Dates

August 23, 2013 - The Centers for Medicare & Medicaid Services (CMS) and New York sign MOU for FIDA model

October 21, 2014 - CMS, New York and participating plans execute three-way contract for FIDA model

January 1, 2015 - Start of opt-in enrollment in Bronx, Kings, Nassau, New York, Queens, and Richmond Counties for FIDA model

April 1, 2015 - Start of passive enrollment in Bronx, Kings, Nassau, New York, Queens, and Richmond Counties for FIDA model

November 5, 2015 - CMS and New York sign MOU for FIDA-IDD model

December 9, 2015 - CMS and New York release new flexibilities for the FIDA model, including a suspension on future passive enrollment. For more information, please visit the FIDA Capitated Duals Demonstration web site at this link: http://www.health.ny.gov/health_care/medicaid/redesign/mrt_101.htm

January 14, 2016 - CMS, New York and the participating plan execute three-way contract for FIDA-IDD model

April 1, 2016 - Start of opt-in enrollment in New York, Long Island, Rockland and Westchester Counties for FIDA-IDD model

November 7, 2016 - The New York FIDA-IDD model IDT policy was released

Early 2017 - Enrollment began in Suffolk and Westchester Counties for the FIDA model for one plan. Initially, enrollment was available in one plan - additional plans became available in Westchester County in the summer of 2017.

FIDA model

On August 26, 2013, CMS announced that the New York State Department of Health (NYSDOH) will partner with CMS to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, also called Fully Integrated Duals Advantage (FIDA), New York and CMS will contract with health plans to coordinate the delivery of and be accountable for all covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. As of December 2014, approximately 78,000 individuals were eligible for passive enrollment into the FIDA Demonstration.

Information for Plans:

Information for Beneficiaries and Providers

Information from the state of New York:

Funding Support

FIDA IDD model

On November 5, 2015, CMS announced their partnership with NYSDOH and the Office for People with Developmental Disabilities (OPWDD) to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience. Approximately 20,000 Medicare-Medicaid IDD enrollees in the New York downstate region (New York City, Long Island, Rockland and Westchester Counties) will have an opportunity to receive more coordinated care as a result of this new program.

Information for the Plan:

Information from the state of New York: