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                    "post_date": "2022-07-19 16:18:42",
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                    "ID": 12566,
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                    "post_date": "2021-09-22 18:14:06",
                    "post_date_gmt": "2021-09-22 22:14:06",
                    "post_content": "<!-- wp:acf\/hero {\n    \"id\": \"block_5f6b6da6418b3\",\n    \"name\": \"acf\\\/hero\",\n    \"data\": {\n        \"background_image_image\": \"\",\n        \"_background_image_image\": \"field_hero_background_image_image\",\n        \"background_image_caption\": \"\",\n        \"_background_image_caption\": \"field_hero_background_image_caption\",\n        \"background_image\": \"\",\n        \"_background_image\": \"field_hero_background_image\",\n        \"heading\": \"Grievances and Appeals\",\n        \"_heading\": \"field_hero_heading\",\n        \"subheading\": \"\",\n        \"_subheading\": \"field_hero_subheading\",\n        \"text\": \"\",\n        \"_text\": \"field_hero_text\",\n        \"button\": \"\",\n        \"_button\": \"field_hero_button\"\n    },\n    \"align\": \"\",\n    \"mode\": \"edit\",\n    \"wpClassName\": \"wp-block-acf-hero\"\n} \/-->\n\n<!-- wp:heading -->\n<h2 id=\"h-vnsny-choice-easycare-hmo-and-vnsny-choice-easycare-plus-hmo-d-snp-grievances-and-appeals\">VNSNY CHOICE EasyCare (HMO) and VNSNY CHOICE EasyCare Plus (HMO D-SNP) Grievances and Appeals<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you have Medicare and get assistance from Medicaid, the information below applies to&nbsp;<strong>all&nbsp;<\/strong>of your Medicare and Medicaid benefits. You do not have to use one process for your Medicare benefits and a different process for your Medicaid benefits. This is sometimes called an \u201cintegrated process\u201d because it integrates Medicare and Medicaid processes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-filing-an-organization-determination-also-known-as-a-coverage-decision-or-an-action\">FILING AN ORGANIZATION DETERMINATION (ALSO KNOWN AS A \u201cCOVERAGE DECISION\u201d OR AN \u201cACTION\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A Coverage Determination is when the plan, or delegated vendor has made an organization determination when it makes a decision about whether items or services are covered or how much you have to pay for covered items or services. Organization determinations are called \u201ccoverage decisions.\u201d &nbsp; You, your representative, or any provider that furnishes, or intends to furnish, services to you, may request an organization determination by filing a request with VNSNY CHOICE.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-filing-a-part-d-exception-which-is-also-a-coverage-decision-or-an-action\">FILING A PART D EXCEPTION (WHICH IS ALSO A \u201cCOVERAGE DECISION\u201d OR AN \u201cACTION\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If a drug is not covered in the way you would like it to be covered, you can ask VNSNY CHOICE to make an \"exception.\" &nbsp;An exception is a type of coverage decision. Similar to other types of coverage decisions, if we turn down your request for an exception, you can appeal our decision.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>When you ask for an exception, your doctor or other prescriber will need to explain the medical reasons why you need the exception approved. We will then consider your request. Here are three examples of exceptions that you or your doctor or other prescriber can ask us to make:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Covering a Part D drug for you that is not on our plan's <em>List of Covered Drugs<\/em> <em>(Formulary)<\/em><\/li><li>Removing a restriction on the plan's coverage for a covered drug<\/li><li>Changing coverage of a drug to a lower cost-sharing tier<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 id=\"h-timeframes-for-coverage-decisions\">TIMEFRAMES FOR COVERAGE DECISIONS:<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><li>Standard Coverage Decision - Generally, on a request for a medical item or service, we will give you our answer within <strong>14 calendar days<\/strong> after receiving your request. If your request is for a Medicare Part B prescription drug, we will give you an answer <strong>within 72 hours <\/strong>of receiving your request.<\/li><li>For Medical Item or Service - Fast Coverage Decision is called an integrated expedited determination. A fast coverage decision means we will answer within <strong>72 hours<\/strong> of your request for a medical item or service. If your request is for a Medicare Part B prescription drug, we will answer within <strong>24 hours.<\/strong><\/li><li>For coverage decision about the drug(s) or payment - Fast Coverage Decision is called an expedited coverage determination: We will give you an answer within <strong>24 hours<\/strong> after we receive your doctor's statement.<\/li><li>Claim Coverage Determinations - Notification of a decision will be made within <strong>30 calendar days<\/strong> of receipt if they are submitted by you, or on your behalf or are claims that are not furnished under a written agreement between the plan and the provider. Claims from non-contracted providers must be paid or denied within <strong>60 calendar days<\/strong> from the date of the request.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-filing-an-appeal\">FILING AN APPEAL<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If we say no to your coverage decision, you have the right to ask for an appeal. Asking for an appeal means asking us to reconsider \u2014 and possibly change \u2014 the decision we made. You may also ask for an appeal if you disagree with our decision to stop services that you are receiving. For example, you could file an appeal if:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>We refuse to cover or approve a service you think we should cover.<\/li><li>We refuse to pay for a service that was provided to you and you think we should pay for the service.<\/li><li>We reduce or cut back on a service you have been receiving.<\/li><li>You think we are stopping your coverage for a service too soon.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 id=\"h-timeframes-for-appeals\">TIMEFRAMES FOR APPEALS:<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>You must make your appeal request within <strong>60 calendar day<\/strong>s<strong> <\/strong>from the date on the written notice we sent to tell you our answer to your request for a coverage decision. If you miss this deadline and have a good reason for missing it, we may give you more time to make your appeal. Please include your reason in your appeal request.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our timeframes to respond to your appeal are as follows:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>\u201cFast\u201d Appeal: When we are using the fast deadlines, we must give you our answer <strong>within 72 hours after we receive your appeal, <\/strong>this includes \"fast appeals\" for Medicare Part B drugs<strong>. <\/strong>If you ask for more time, or if we need to gather more information that may benefit you, we <strong>can take up to 14 more calendar days <\/strong>if your request is for a medical item or service. If we decide to take extra days to make the decision, we will tell you in writing. We can\u2019t take extra time to make a decision if your request is for a Medicare Part B prescription drug or a payment appeal.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><li>Standard Appeals: If we are using the standard deadlines, we must give you our answer on a request for a medical item or service <strong>within 30 calendar days<\/strong> after we receive your appeal if your appeal is about coverage for services you have not yet received. If your request is for a Medicare Part B prescription drug, we will give you our answer <strong>within 7 calendar days <\/strong>after we receive your appeal if your appeal is about coverage for a Part B prescription drug you have not yet received. We will give you our decision sooner if your health condition requires us to.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><li>If you ask for more time or if we need to gather more information that may benefit you, we can take up to <strong>14 more calendar days<\/strong> if your request is for a medical item or service. If we decide we need to take extra days to make the decision, we will tell you in writing. We can\u2019t take extra time to make a decision if your request is for a Medicare Part B prescription drug or a payment appeal.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><li>If you believe we should not take extra days, you can file a \u201cfast complaint\u201d about our decision to take extra days. When you file a \"fast complaint,\" we will give you an answer to your complaint within <strong>24 hours<\/strong>.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><li>If we do not give you an answer by the applicable deadlines above (or by the end of the extended time we took on your request for a medical item or service), we are required to send your request on to Level 2 of the appeals process. Then an independent outside organization will review it. For more information, please refer to your Member Handbook or call your CHOICE Care Team.<br><ul><li>Provider Claim Appeals: Please refer to the <a href=\"https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/claims-billing-and-payments\/\">Claims, Billing, and Payments section<\/a>.<\/li><\/ul><\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-filing-a-complaint-also-known-as-filing-a-grievance\">FILING A COMPLAINT&nbsp;(ALSO KNOWN AS \u201cFILING A GRIEVANCE\u201d)<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>A complaint is a process our members can use for certain types of problems <em>only.<\/em> This includes problems related to quality of care, waiting times, and the customer service you receive. If your problem is related to benefits, coverage decisions, or payment, please refer to the coverage decision and appeal sections above. Some examples of problems that would follow the complaint process are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>You are treated rudely by anyone connected with your care such as your doctors, pharmacy, other healthcare providers, or plan representatives.<\/li><li>You are unable to reach someone by phone or get the information you need.<\/li><li>You are unhappy with the quality of care you received from a doctor or healthcare facility such as a clinic or hospital.<\/li><li>You have a problem with your doctor\u2019s office, whether it is the condition or cleanliness of the doctor's office, or you are kept too long in the waiting room.<\/li><li>We took too long to answer your coverage decision request, or appeal.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>For more information, see&nbsp;Common Questions about Filing an Appeal or Complaint, below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":4} -->\n<h4 id=\"h-timeframes-for-filing-complaints\">TIMEFRAMES FOR FILING COMPLAINTS:<\/h4>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Whether you call or write, you should contact&nbsp;us&nbsp;right away. The complaint must be made <strong>within 60 calendar days<\/strong> after you&nbsp;had&nbsp;the problem you want to complain about.&nbsp; We recommend that you file your complaint as soon as you are able to and provide as much information as you can to help us understand your problem and help resolve it sooner.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our timeframes to respond to complaints are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>\u201cFast\u201d Complaints: If you are making a complaint because we denied your request for a \u201cfast coverage decision\u201d or a \u201cfast appeal,\u201d or if we extended the timeframe of your coverage decision or appeal, we will automatically give you a \u201cfast complaint\". If you have a \u201cfast\u201d complaint, it means we will give you an answer within <strong>24 hours<\/strong>.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:list -->\n<ul><li>Standard Complaints: Notification of a decision will be given within <strong>30 calendar days<\/strong> of receiving the written or oral complaint. VNSNY CHOICE EasyCare or EasyCare Plus may extend the <strong>30 calendar day<\/strong> timeframe by up to <strong>14 calendar days <\/strong>if you or a provider on your behalf (written or oral) requests the extension or if VNSNY CHOICE justifies a need for additional information because it is in your best interest.&nbsp;<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-common-questions-about-filing-an-appeal-or-complaint\">COMMON QUESTIONS ABOUT FILING AN APPEAL OR COMPLAINT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Below are frequently asked questions about filing an appeal or complaint.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\n    \"id\": \"block_5f5ecd259de46\",\n    \"name\": \"acf\\\/faq\",\n    \"data\": {\n        \"heading\": \"\",\n        \"_heading\": \"field_faq_heading\",\n        \"items_0_question\": \"What is the difference between a \u201cstandard\u201d and a \u201cfast\u201d or \u201cexpedited\u201d coverage decision for Medical Care? \",\n        \"_items_0_question\": \"field_faq_items_question\",\n        \"items_0_answer\": \"<p>You can ask for a fast coverage decision only if you or any doctor believes that waiting for a standard coverage decision could cause serious harm to your health or hurt your ability to function. Fast decisions apply only to requests for medical care. You cannot get a fast decision on requests for payment for care you have already received.<\\\/p>\",\n        \"_items_0_answer\": \"field_faq_items_answer\",\n        \"items_1_question\": \"What if my request for an expedited review is denied?\",\n        \"_items_1_question\": \"field_faq_items_question\",\n        \"items_1_answer\": \"<p>If VNSNY CHOICE denies your request to file an expedited coverage decision, we will process the request under the standard timeframe and make a decision within <strong>14 calendar days<\\\/strong>. The Plan will notify you orally and in writing within <strong>3 calendar days<\\\/strong> that your expedited request will be handled under the standard timeframe, the member\u2019s right to file an expedited complaint; including the process and timeframe, the right to resubmit a request for an expedited determination and that if the member obtains any physician support indicating that applying the standard timeframe for making a determination could cause serious harm to you or hurt your ability to function, the request will be expedited.<\\\/p>\",\n        \"_items_1_answer\": \"field_faq_items_answer\",\n        \"items_2_question\": \"What if I want to appeal a discharge from Facility Based Care?\",\n        \"_items_2_question\": \"field_faq_items_question\",\n        \"items_2_answer\": \"<p>You have the right, by law, to ask for a review (an appeal) of a discharge date from the Hospital, Skilled Nursing Facility, Home Health Aide services, or Comprehensive Outpatient Rehabilitation Facility. You must contact the Quality Improvement Organization (QIO) for review. If you believe that you are being discharged too soon and appeal, you will receive a Detailed Notice of Discharge. The Detailed Notice of Discharge explains the specific reasons for the discharge. You can see a sample notice online at\u00a0<a href=\\\"https:\\\/\\\/www.cms.gov\\\/Medicare\\\/Medicare-General-Information\\\/BNI\\\/HospitalDischargeAppealNotices.html\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">www.cms.gov\\\/Medicare\\\/Medicare-General-Information\\\/BNI\\\/HospitalDischargeAppealNotices.html<\\\/a>.<\\\/p>\\r\\n<p>If you do not ask the QIO for a \\\"fast appeal\\\" by the deadline (no later than\u00a0<strong>noon\u00a0<\\\/strong>on the day after the date your Medicare coverage ends), you may ask VNSNY CHOICE EasyCare or EasyCare Plus for a \\\"fast appeal\\\" of the discharge. For more information on member appeal and complaint rights, please refer to the <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-hmo\\\/2022-plan-materials\\\/\\\">EasyCare Member Handbook (Evidence of Coverage)<\\\/a>,\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-plus-hmo-d-snp\\\/easycare-plus-2022-plan-materials\\\/\\\"> EasyCare Plus Member Handbook (Evidence of Coverage<\\\/a>,\u00a0or\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/contact-us\\\/\\\">contact us<\\\/a>.<\\\/p>\",\n        \"_items_2_answer\": \"field_faq_items_answer\",\n        \"items_3_question\": \"How do I File a Complaint or Appeal?\",\n        \"_items_3_question\": \"field_faq_items_question\",\n        \"items_3_answer\": \"<p>To file a complaint or request an appeal, please either: Call us at <a href=\\\"tel:1-866-783-1444\\\">1-866-783-1444<\\\/a> (TTY: <a href=\\\"tel:711\\\">711<\\\/a>). 8 am \u2013 8 pm, 7 days a week; or,<br \\\/>\\r\\nMembers may also submit their appeals or complaints in writing and mail or fax to:<br \\\/>\\r\\n<br \\\/>\\r\\nMedicare Grievance &amp; Appeals<br \\\/>\\r\\nPO Box 445<br \\\/>\\r\\nElmsford, NY 10523<br \\\/>\\r\\nFax: 1-866-791-2213<\\\/p>\\r\\n<p>If you are not satisfied with the outcome of your appeal, details regarding your right to further appeal and your next steps will be included in your decision letter. Please refer to the <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-hmo\\\/2022-plan-materials\\\/\\\">EasyCare Member Handbook (Evidence of Coverage)<\\\/a>, <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-plus-hmo-d-snp\\\/easycare-plus-2022-plan-materials\\\/\\\">EasyCare Plus Member Handbook (Evidence of Coverage)<\\\/a>, the <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-hmo\\\/2022-plan-materials\\\/\\\">EasyCare Summary of Benefits<\\\/a>, <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-plus-hmo-d-snp\\\/easycare-plus-2022-plan-materials\\\/\\\">EasyCare Plus Summary of Benefits)<\\\/a>, or for more information, please contact us. To appoint a representative to act on your behalf, please use the Appointment of Representative form (CMS-1696) <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/Appointment-of-Representative-form_CMS-1696-English.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">in English<\\\/a>, <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/Appointment-of-Representative-form_CMS-1696_Spanish.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">en espa\u00f1ol<\\\/a> or <a class=\\\"leading-none text-base text-gray-dark hover:text-tertiary-dark transition\\\" href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/Appointment-of-Representative-form_CMS-1696_Chinese.pdf\\\">\u4e2d\u6587<\\\/a>.<\\\/p>\",\n        \"_items_3_answer\": \"field_faq_items_answer\",\n        \"items_4_question\": \"How do I file an external complaint?\",\n        \"_items_4_question\": \"field_faq_items_question\",\n        \"items_4_answer\": \"<p>You or your authorized representative may also file an external complaint with the Centers for Medicare and Medicaid Services (CMS) by:<br data-rich-text-line-break=\\\"true\\\" \\\/>\\r\\n<br data-rich-text-line-break=\\\"true\\\" \\\/>\\r\\nPhone: <a href=\\\"tel:1-800-633-4227\\\">1-800-MEDICARE <\\\/a>(<a href=\\\"tel:1-800-633-4227\\\">1-800-633-4227<\\\/a>), 24 hours a day, 7 days a week. TTY\u00a0users should call <a href=\\\"tel:1-877-486-2048\\\">1-877-486-2048<\\\/a>.<br data-rich-text-line-break=\\\"true\\\" \\\/>\\r\\n<br data-rich-text-line-break=\\\"true\\\" \\\/>\\r\\nSubmit complaints:\u00a0<a href=\\\"file:\\\/\\\/\\\/C:\\\/Users\\\/35166\\\/AppData\\\/Local\\\/Microsoft\\\/Windows\\\/INetCache\\\/Content.Outlook\\\/DYNAHDXZ\\\/www.medicare.gov\\\/MedicareComplaintForm\\\/home.aspx\\\">www.medicare.gov\\\/MedicareComplaintForm\\\/home.aspx<\\\/a>.<\\\/p>\",\n        \"_items_4_answer\": \"field_faq_items_answer\",\n        \"items_5_question\": \"How can I obtain the total number of complaints, appeals, and exceptions filed with the plan?\",\n        \"_items_5_question\": \"field_faq_items_question\",\n        \"items_5_answer\": \"<p>To obtain the total number of complaints, appeals, and exceptions filed with the plan, please call us at <a href=\\\"tel:1-866-783-1444\\\">1-866-783-1444<\\\/a> (TTY; <a href=\\\"tel:711\\\">711<\\\/a>), 8 am \u2013 8 pm, 7 days a week. <br \\\/>\\r\\n<br \\\/>\\r\\nOr reach us by mail at: <br \\\/>\\r\\nVNSNY CHOICE <br \\\/>\\r\\nMedicare Appeals and Grievances <br \\\/>\\r\\nP.O. Box 445 Elmsford, NY 10523 <br \\\/>\\r\\n<br \\\/>\\r\\nFor more information, please refer to the <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-hmo\\\/2022-plan-materials\\\/\\\">EasyCare Member Handbook (Evidence of Coverage)<\\\/a> or the <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/our-plans\\\/what-is-vnsny-choice-medicare-easycare-plus-hmo-d-snp\\\/easycare-plus-2022-plan-materials\\\/\\\">EasyCare Plus Member Handbook (Evidence of Coverage)<\\\/a>.<\\\/p>\",\n        \"_items_5_answer\": \"field_faq_items_answer\",\n        \"items_6_question\": \"Who can I contact if I have questions about the process, or if I have status questions?\",\n        \"_items_6_question\": \"field_faq_items_question\",\n        \"items_6_answer\": \"<p>Call your VNSNY CHOICE Care Team at <a href=\\\"tel:1-866-783-1444\\\">1-866-783-1444<\\\/a> (TTY: <a href=\\\"tel:711\\\">711<\\\/a>), 7 days a week, from 8 am \u2013 8 pm.<\\\/p>\",\n        \"_items_6_answer\": \"field_faq_items_answer\",\n        \"items_7_question\": \"What are my protections in this plan?\",\n        \"_items_7_question\": \"field_faq_items_question\",\n        \"items_7_answer\": \"<p>All Medicare Advantage Plans agree to stay in the program for a full year at a time. Each year, the plans decide whether to continue for another year. Even if a Medicare Advantage Plan leaves the program, you will not lose Medicare coverage. If your plan decides not to continue, it must send you a letter at least <strong>90 days<\\\/strong> before your coverage will end. The letter will explain your options for Medicare coverage in your area.<br data-rich-text-line-break=\\\"true\\\" \\\/>\\r\\n<br data-rich-text-line-break=\\\"true\\\" \\\/>\\r\\nIf you have Medicare and get assistance from Medicaid, the information below applies to\u00a0<strong>all\u00a0<\\\/strong>of your Medicare and Medicaid benefits. You do not have to use one process for your Medicare benefits and a different process for your Medicaid benefits. This is sometimes called an \u201cintegrated process\u201d because it integrates Medicare and Medicaid processes.<\\\/p>\",\n        \"_items_7_answer\": \"field_faq_items_answer\",\n        \"items\": 8,\n        \"_items\": \"field_faq_items\"\n    },\n    \"align\": \"\",\n    \"mode\": \"edit\",\n    \"wpClassName\": \"wp-block-acf-faq\"\n} \/-->",
                    "post_title": "2021 VNSNY CHOICE Medicare Grievances and Appeals",
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                    "post_modified": "2022-01-03 15:49:07",
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                    "post_title": "CHOICE Provider Join Our Network Form",
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                    "post_author": "6",
                    "post_date": "2021-11-19 14:39:17",
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                    "post_content": "<!-- wp:acf\/hero {\n    \"id\": \"block_619c258d004f0\",\n    \"name\": \"acf\\\/hero\",\n    \"data\": {\n        \"background_image_image\": \"\",\n        \"_background_image_image\": \"field_hero_background_image_image\",\n        \"background_image_caption\": \"\",\n        \"_background_image_caption\": \"field_hero_background_image_caption\",\n        \"background_image\": \"\",\n        \"_background_image\": \"field_hero_background_image\",\n        \"slanted_image_effect\": \"0\",\n        \"_slanted_image_effect\": \"field_hero_slanted_image_effect\",\n        \"image_to_edge\": \"0\",\n        \"_image_to_edge\": \"field_hero_image_to_edge\",\n        \"logo\": \"\",\n        \"_logo\": \"field_hero_logo\",\n        \"highlighted_text\": \"\",\n        \"_highlighted_text\": \"field_hero_highlighted_text\",\n        \"yellow_text\": \"0\",\n        \"_yellow_text\": \"field_hero_yellow_text\",\n        \"heading\": \"CHOICE Provider Form\",\n        \"_heading\": \"field_hero_heading\",\n        \"subheading\": \"\",\n        \"_subheading\": \"field_hero_subheading\",\n        \"text\": \"\",\n        \"_text\": \"field_hero_text\",\n        \"button\": \"\",\n        \"_button\": \"field_hero_button\"\n    },\n    \"align\": \"\",\n    \"mode\": \"edit\",\n    \"wpClassName\": \"wp-block-acf-hero\"\n} \/-->\n\n<!-- wp:heading -->\n<h2 id=\"h-choice-provider-model-of-care-training-and-attestation-form\">CHOICE Provider Model of Care Training and Attestation Form<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Every year, providers in the CHOICE Medicare network are required to take a Model of Care training from VNSNY CHOICE. For your convenience, we have combined the 2021 and 2022 Medicare Advantage provider education trainings into one PDF. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>There are two steps to completing your training:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>Download and review the <a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/11\/VNSNY-CHOICE-Model-of-Care_2021-2022-Provider-Training.pdf\"><strong><span style=\"text-decoration: underline\" class=\"underline\">2021-2022 Models of Care Training<\/span><\/strong><\/a>. <\/li><li>Complete the attestation form below by <strong>December 31<\/strong>, to let us know that you have downloaded and reviewed the 2021-2022 Models of Care Training.<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:html -->\n<p align=\"center\"><iframe width=\"640px\" height=\"480px\" src=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUEyfuVuQbANFsRDzgTa3IFNURVlRRkpHSkhDRVJWTzFLTDEwVlQ2R0lORy4u&amp;embed=true\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" style=\"border: none; max-width:100%; max-height:100vh\" allowfullscreen=\"\" webkitallowfullscreen=\"\" mozallowfullscreen=\"\" msallowfullscreen=\"\"> <\/iframe><\/p>\n<!-- \/wp:html -->",
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                    "post_date": "2020-09-17 17:56:59",
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                    "post_content": "<!-- wp:paragraph {\"align\":\"left\"} -->\n<p class=\"has-text-align-left\">Please check back for updates.<\/p>\n<!-- \/wp:paragraph -->",
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                {
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                    "post_date": "2020-07-09 17:19:23",
                    "post_date_gmt": "2020-07-09 17:19:23",
                    "post_content": "<!-- wp:acf\/hero {\"id\":\"block_5f4d3a30d1240\",\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Compliance Program\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<h3><strong>Commitment to Compliance<\/strong><\/h3>\n<p>Consistent with the long tradition of ethical and responsible conduct of the Visiting Nurse Service of New York (VNSNY), VNSNY CHOICE is committed to serving its members, providers and everyone with whom it does business pursuant to the highest ethical, business and legal standards.<\/p>\n<p>To that end, VNSNY CHOICE has implemented a comprehensive\u00a0<a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-Compliance-Program-Structure-and-Guidelines.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Compliance Program<\/a>\u00a0to ensure that legal and ethical conduct is an integral part of our organization\u2019s culture and operations.<br \/><br \/><em>Compliance Program guidelines last updated: 1\/1\/2020.<\/em><\/p>\n<h3><strong>Code of Conduct<\/strong><\/h3>\n<p>The VNSNY\u00a0<a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/04\/VNSNY-Compliance-Program-Code-of-Conduct.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Code of Conduct<\/a>\u00a0is a statement of ethical and compliance principles that guide the daily operations of VNSNY, its subsidiaries and affiliates, including VNSNY CHOICE. The Code of Conduct establishes key ethical principles that we require all directors, officers, employees, contractors, agents, First Tier, Downstream and Related Entities (\u201cFDRs\u201d) and others associated with VNSNY and its FDRs to follow, as well as standards to help ensure compliance with applicable laws and company policies.<\/p>\n<p>The Code of Conduct requires VNSNY CHOICE\u2019s employees, Board members, administrators, physicians, volunteers, and those with whom we do business to report any action(s) that may be unlawful, inappropriate, or in violation of the Code of Conduct, applicable policies and procedures, or applicable laws, rules, and regulations.\u00a0<strong>Be assured, there will be no intimidation of, or retaliation against, anyone who in good faith reports a compliance concern.<br \/><br \/><\/strong><em>Code of conduct last updated: 4\/1\/2021.<\/em><\/p>\n<h3><strong>Compliance Policies and Procedures<\/strong><\/h3>\n<p>VNSNY CHOICE and VNSNY have adopted and implemented numerous compliance policies and procedures that further support our commitment to compliance, as embodied in the Compliance Program and Code of Conduct, and ensure that the Program is operating effectively and with integrity. These policies and procedures include, without limitation:<\/p>\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE_SH_Non-Discrimination-Notice_Eng.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Nondiscrimination\u00a0Notice<\/a><br \/><em>(Last updated: 4\/15\/2022)<\/em><\/p>\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/04\/VNSNY-Non-Retaliation_Non-Intimidation_Whistlebower-Policy.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">VNSNY Policy on Non-Retaliation and Non-Intimidation<\/a><br \/><em>(Last updated: 3\/12021)<\/em><\/p>\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/04\/CHOICE-Fraud-Waste-Abuse-Dection-Manual.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">VNSNY CHOICE Health Plans\u00a0Fraud, Waste, and Abuse\u00a0Detection Manual<\/a><br \/><em>(Last updated: 3\/21\/2022)<\/em><\/p>\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/11\/VNSNY-Fraud-Waste-Abuse.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">The Detection and Prevention of Fraud, Waste and Abuse and Applicable Federal and State Laws (DRA Policy)<\/a><strong><br \/><\/strong><em>(Last updated 1\/1\/2020)<\/em><\/p>\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/04\/VNSNY-Corporate-Policy-Procedures_Sanction-Check.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Sanction Checks<\/a><br \/><em>(Last updated 3\/1\/2021)<\/em><\/p>\n<h3><strong>Policy How to Report a Compliance Concern<\/strong><\/h3>\n<p>Anonymous Hotlines and Online Reporting Tool<\/p>\n<p>VNSNY CHOICE Hotline: (888) 634-1558<\/p>\n<p>VNSNY Online Reporting Tool:\u00a0<a href=\"http:\/\/www.vnsny.ethicspoint.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.vnsny.ethicspoint.com<\/a><\/p>\n<p>Through our Hotline and Online Reporting Tool, individuals can report a compliance concern, including fraud, waste and abuse, or seek guidance about compliance questions:<\/p>\n<ul>\n<li>24 hours, 7 days a week<\/li>\n<li>Anonymously, if you choose<\/li>\n<li>Without worry of retaliation or intimidation<\/li>\n<\/ul>\n<p>Any individual may make a report. All reports will be taken seriously and, if warranted, investigated by Compliance or the Special Investigations Unit.<\/p>\n<p>When making a report, please provide as much detail as possible, such as names, dates, and a description of the issue. Unless you prefer to remain anonymous, please include your name and telephone number so that we may contact you if we have any questions during our investigation.<\/p>\n<h3><strong>Fraud, Waste, and Abuse Detection and Prevention<\/strong><\/h3>\n<p>VNSNY CHOICE has established a comprehensive Fraud, Waste, and Abuse Prevention Program to prevent, detect, and correct fraud, waste, and abuse by employees, members, providers, agents, contractors and FDRs of VNSNY CHOICE. For more information, please see the\u00a0<a href=\"https:\/\/www.vnsnychoice.org\/prevention-and-detection-fraud-waste-and-abuse\/\">Fraud, Waste and Abuse Detection and Prevention<\/a>\u00a0page.<\/p>\n<h3><strong>Compliance Leadership<\/strong><\/h3>\n<p>Individuals can always contact VNSNY CHOICE Compliance directly with any compliance concerns or questions.<\/p>\n<p><strong>VNSNY Chief Compliance and Privacy Officer<\/strong><br \/>Annie Miyazaki-Grant <br \/>SVP, Chief Compliance &amp; Privacy Officer<br \/>(212) 609-7470<br \/><a href=\"mailto:Annie.Miyazaki-Grant@vnsny.org\">Annie.Miyazaki-Grant@vnsny.org<\/a><\/p>\n<p><strong>VNSNY CHOICE Compliance Officer<\/strong><br \/>Doug Goggin-Callahan<br \/>VP, CHOICE Compliance &amp; Regulatory Affairs<br \/>(201) 779-2584<br \/><a href=\"mailto:Doug.Goggin-Callahan@vnsny.org\">Doug.Goggin-Callahan@vnsny.org<\/a><\/p>\n<h3><strong>Other Ways to Contact Compliance<\/strong><\/h3>\n<p>Individuals can also send materials to the CHOICE Compliance Department by fax or mail:<\/p>\n<p>Attn: VNSNY CHOICE Compliance Department<br \/>220 East 42nd Street, 3rd Floor<br \/>New York, NY 10017<br \/>(646) 459-7730 (fax)<\/p>\n<p>VNSNY CHOICE Hotline: <a href=\"tel:(888) 634-1558\">(888) 634-1558<\/a><\/p>\n<p>VNSNY Online Reporting Tool:\u00a0<a href=\"http:\/\/www.vnsny.ethicspoint.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.vnsny.ethicspoint.com<\/a><\/p>\n<p><strong>Helpful Links:<\/strong><\/p>\n<p><a href=\"https:\/\/www.cms.gov\/Medicare\/Compliance-and-Audits\/Part-C-and-Part-D-Compliance-and-Audits\/ComplianceProgramPolicyandGuidance.html\" target=\"_blank\" rel=\"noopener noreferrer\">CMS Compliance Program Policy and Guidance<\/a>\u00a0\u2013 Information on Centers for Medicare and Medicaid Services (CMS) Compliance Program requirements and links to compliance training.<\/p>\n<p><a href=\"https:\/\/omig.ny.gov\/compliance\/compliance-library\" target=\"_blank\" rel=\"noopener noreferrer\">NYS OMIG Compliance<\/a>\u00a0\u2013 New York State Office of the Medicaid Inspector (NYS OMIG) General Bureau of Compliance page, with links to the Compliance Library.<\/p>\n<p><a href=\"http:\/\/www.hhs.gov\/ocr\/privacy\/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">HHS Office of Civil Rights - HIPAA<\/a>\u00a0\u2013 U.S. Department of Health and Human Service Office of Civil Rights website offers information on health information privacy and security.<\/p>\n<p><a href=\"http:\/\/www.health.ny.gov\/\" target=\"_blank\" rel=\"noopener noreferrer\">New York State Department of Health<\/a>\u00a0\u2013 Information about New York State Department of Health, as well as Model Contracts for VNSNY CHOICE\u2019s Medicaid Managed Long Term Care (MLTC) and Medicaid Managed Care Special Needs Plan (SNP) can be accessed here.<\/p>",
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                    "post_date": "2020-07-23 14:06:13",
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                    "post_title": "Contact Us",
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                    "post_date": "2020-12-03 17:49:49",
                    "post_date_gmt": "2020-12-03 22:49:49",
                    "post_content": "<!-- wp:paragraph -->\n<p>Effective 7\/1\/2021: To reach the SelectHealth Foster Care Liaison about a SelectHealth member who is a child in foster care, please use our secure encryption portal. If you are unable to use the secure portal, you can also call <a href=\"tel:1-866-469-7774\">1-866-469-7774<\/a> (TTY: <a href=\"tel:711\">711<\/a>), Monday \u2013 Friday, 9 am \u2013 5 pm, excluding <a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/2022-Holiday-Schedule.pdf\">holidays<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>IMPORTANT: Do not&nbsp;include information about the member in your initial request for access to the portal.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph {\"className\":\"is-style-default\"} -->\n<p class=\"is-style-default\">For access to the portal:&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>When\u00a0requesting secure communication with the SelectHealth Foster Care Liaison, you will be asked to provide your agency's name, your name, your email address, and your phone number.<br><br>Requests for communication are monitored Monday \u2013 Friday, 9 am \u2013 5 pm, excluding <a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/2022-Holiday-Schedule.pdf\">holidays<\/a>. All\u00a0requests will be responded to within two hours. Any request received within two hours of the close of business will be responded to the following morning. Any request received on a weekend or holiday will be responded to the morning of the next business day.<br><br>Note:<strong> You should NOT use this form for urgent issues or emergencies<\/strong>. For urgent issues, call the SelectHealth Foster Care Liaison at <a href=\"tel:1-866-469-7774\">1-866-469-7774<\/a>. If you need to report an emergency, please call 911 immediately.<br><br><a class=\"noExitNotifier\" href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUOt8otVzq3VLg7UbckWGZwBUMDM2UFNMTjkyQ1lWSFlLV0RXV1YyVkUyNS4u\" target=\"_blank\" rel=\"noreferrer noopener\"><u><strong>Use this form<\/strong><\/u><\/a>\u00a0to request secure communication with the SelectHealth Foster Care Liaison.<br>\u00a0<\/li><li>Once we've received your initial request, you'll receive an email with an attachment. Open the attachment and click on the link for Office 365 Message Encryption Portal (OME Portal). You will be asked to create an account, if you don't already have one.<br>\u00a0<\/li><li>Once your\u00a0OME Portal\u00a0account has been created, you will be able to communicate with the SelectHealth Foster Care Liaison by hitting \"Reply\" or \"Reply All\" to your response email.\u00a0All communications through the OME Portal are confidential and are safe for messages that include Protected Health Information about the member.<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you have questions or require assistance setting up your portal account, please call: <a href=\"tel:1-866-469-7774\">1-866-469-7774<\/a>.<\/p>\n<!-- \/wp:paragraph -->",
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                    "post_date": "2020-09-05 19:41:11",
                    "post_date_gmt": "2020-09-05 19:41:11",
                    "post_content": "<!-- wp:paragraph -->\n<p>VNS Health is committed to helping New Yorkers stay safe and healthy. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>What is VNS Health doing to help in the fight against COVID-19?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The safety and health of our team and patients are always a top priority at VNS Health. Our team members are in the community every day and are always vigilant about protecting their\u2014and their patients\u2019\u2014health.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>During the COVID-19 pandemic, VNS Health frontline team members and home health aides from our Personal Care division have remained on the job, continuing to do the crucial work of keeping New Yorkers healthy and at home in these challenging times!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>All team members are also required to screen themselves every day to ensure they do not have a fever or other COVID-19 symptoms\u2014or any other illness that might be passed along to patients or their families.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-what-other-steps-is-vns-health-taking-to-keep-patients-plan-members-and-the-community-safe\">What other steps is VNS Health taking to keep patients, plan members, and the community safe?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>VNS Health has been working with the New York State Department of Health and the CDC to make sure our patients, team members, and the community we serve are supported against COVID-19.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>We follow New York State, CDC, and New York City public health protocols and our employees must comply with COVID-19 vaccine mandates (unless they are legally exempt).<\/li><li>Employees who make home visits wear personal protective equipment, are trained on how to use it, and are required to wear it during visits. They also monitor their health status daily.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-for-more-information\">FOR MORE INFORMATION<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The COVID-19 pandemic is an evolving situation. For updates, please see these resource pages for our Members and Providers and from the&nbsp;<a href=\"https:\/\/www.health.ny.gov\/diseases\/communicable\/coronavirus\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Department of Health<\/a>&nbsp;and the&nbsp;<a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/\" target=\"_blank\" rel=\"noreferrer noopener\">Centers for Disease Control and Prevention<\/a>. New York State has also established a hotline for questions and information:&nbsp;<strong><a href=\"tel:1-888-364-3065\">1-888-364-3065<\/a><\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/DOH-COVID-19-Fact-Sheet.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download this fact sheet for information from the New York State Department of Health about COVID-19 vaccines, tests, and treatments<\/a>. <\/p>\n<!-- \/wp:paragraph -->",
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                    "post_name": "covid-19-information-and-resources",
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                    "post_modified": "2022-08-22 19:11:35",
                    "post_modified_gmt": "2022-08-22 23:11:35",
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                        {
                            "ID": 17346,
                            "post_author": "6",
                            "post_date": "2022-02-08 10:17:07",
                            "post_date_gmt": "2022-02-08 15:17:07",
                            "post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-for-members-of-the-following-plans\"><strong>For members of the following plans:<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p id=\"h-for-members-of-the-following-plans-vnsny-choice-total-hmo-d-snp-vnsny-choice-easycare-plus-hmo-d-snp-vnsny-choice-easycare-hmo-plans\"><strong><strong>VNSNY CHOICE Total (HMO D-SNP)<\/strong><br><strong>VNSNY CHOICE EasyCare Plus (HMO D-SNP)<\/strong><br><strong>VNSNY CHOICE EasyCare (HMO) plans<\/strong><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Here is how to get your at-home COVID-19 tests.<\/strong><br><br><strong>1.<\/strong> <strong>People who have Medicare Part B - Starting on April 4, 2022, you can receive up to eight individual at-home COVID-19 Over-the-Counter (OTC) tests per calendar month<\/strong> from <a href=\"https:\/\/www.medicare.gov\/medicare-coronavirus#300\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline\" class=\"underline\">participating pharmacies and health care providers<\/span><\/a>. <strong>The tests are covered through your Medicare Part B benefit at no cost.<\/strong> Bring the test to the pharmacy counter and show the pharmacist your Medicare ID card (the red, white, and blue card). Do NOT use the register at the front of the store.<br><br><img class=\"wp-image-18608\" style=\"width: 300px; margin: 0 auto;\" src=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/Medicare-Card-Front.jpg\" alt=\"Medicare Health Insurance card\"><br><br>At-home COVID-19 OTC tests must be FDA authorized. <a href=\"https:\/\/www.fda.gov\/medical-devices\/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices\/in-vitro-diagnostics-euas-antigen-diagnostic-tests-sars-cov-2\"><strong><span style=\"text-decoration: underline\" class=\"underline\">Check the link to see which tests are FDA-authorized<\/span><\/strong><\/a>. The list may change as new tests are approved.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>2. Members of CHOICE Total, CHOICE EasyCare Plus and CHOICE EasyCare Medicare plans <\/strong>- <strong>if you purchased at-home COVID-19 OTC tests from January 15, 2022 - April 3, 2022<\/strong>, you can submit a receipt to VNSNY CHOICE for reimbursement using the <a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/02\/VNSNY-CHOICE_At-Home-COVID-19_Test-Reimbursement-Form.pdf\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><span style=\"text-decoration: underline\" class=\"underline\">Request Repayment for at-home COVID-19 OTC Tests form<\/span><\/strong><\/a>. Up to eight individual tests a month are eligible for reimbursement. <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you need help filing a reimbursement form. Call us at <a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>).<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Note:<\/strong> Tests are counted by individual tests and not by package. For example, if a kit contains two tests, it counts as two tests.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>To receive a reimbursement, at-home COVID-19 OTC tests must be FDA authorized.<\/strong> <a href=\"https:\/\/www.fda.gov\/medical-devices\/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices\/in-vitro-diagnostics-euas-antigen-diagnostic-tests-sars-cov-2\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Check the link to see which tests are FDA-authorized<\/strong>.<\/a> The list may change as new tests are approved.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/divider {\"id\":\"block_6202930f96e5c\",\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3><strong>For members of VNSNY CHOICE MLTC:<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><strong>Here is how to get your at-home COVID-19 tests.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>At-Home COVID-19 Over-the-Counter (OTC) tests are covered through your New York State (NYS) Medicaid Benefit card. Bring the test to the pharmacy counter and show the pharmacist your Medicaid ID. Do not use the register at the front of the store.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Note: At-home COVID-19 OTC tests must be FDA authorized.<\/strong> <a href=\"https:\/\/www.fda.gov\/medical-devices\/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medical-devices\/in-vitro-diagnostics-euas-antigen-diagnostic-tests-sars-cov-2\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline\" class=\"underline\"><strong>Check the link to see which tests are FDA-authorized.<\/strong><\/span><\/a> The list may change as new tests are approved.<\/p>\n<!-- \/wp:paragraph -->",
                            "post_title": "At-Home COVID-19 Tests",
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                            "post_name": "how-to-get-your-free-covid-19-tests",
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                            "post_modified": "2022-09-07 15:41:16",
                            "post_modified_gmt": "2022-09-07 19:41:16",
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                            "post_parent": 3416,
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                        {
                            "ID": 3440,
                            "post_author": "6",
                            "post_date": "2020-09-05 20:48:20",
                            "post_date_gmt": "2020-09-05 20:48:20",
                            "post_content": "<!-- wp:paragraph -->\n<p>See below for important information and helpful resources about COVID-19 for providers who are a part of the VNSNY CHOICE Provider Network.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"id\":\"block_5f72790acbf50\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Pharmacy Network Provider Billing Guidance (SelectHealth Only) \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/09\/NYS-Medicaid-COVID-Test-Billing-Guidance_08202020.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ePharmacist Administered Test and Specimen Collection Billing Guidance\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/02\/VNSNY-CHOICE-MedImpact-At-home-COVID-testing-billing-guidance.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAt-Home Test Pharmacy Billing\\u003c\/a\\u003e\u00a0\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/02\/NY-Medicaid-COVID-19-Vaccine-Administration-Billing.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCOVID Vaccine Administration and Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/MedImpact-Counseling-for-Unvaccinated-Billing-Guidance_2022.4.29.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCOVID Vaccine Counseling by Pharmacist\\u003c\/a\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/Sample-NCPDP-Universal-Claim-Form.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSample Claim Form\\u003c\/a\\u003e\u00a0\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE_-Monoclonal-Antibodies-Injection-BillingGuidance_2022.4.29.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMonoclonal Antibody Administration and Billing\u00a0\\u003c\/a\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/Sample-NCPDP-Universal-Claim-Form.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSample Claim Form\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/2022-NYS-Medicaid-Oral-Antivirals-Billing-Guidance_1.13.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCOVID Oral Antiviral Treatments Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"For SelectHealth Providers: Encourage Patients with HIV to Get Vaccinated Against COVID-19\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eVisit our \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/covid-19-information-and-resources\/for-hiv-care-providers\/\\u0022\\u003eInfo \\u0026amp; Resources page for HIV Care Providers\\u003c\/a\\u003e for helpful resources\u00a0to use when encouraging patients with HIV to get vaccinated against COVID-19.\u00a0\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Use of Telehealth Services During COVID-19 for CHOICE Total Medicare Providers\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eEffective March 6, 2020, in accordance with CMS guidance, use of telehealth services during COVID-19 is permitted.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eVNSNY CHOICE Total (HMO D-SNP) will expand eligibility coverage of telehealth services for CHOICE Total members. This applies to covered services including those provided by primary care doctors, specialists, therapists, and mental health professionals.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eWhile the information below provides billing-related guidance, VNSNY CHOICE Total expects Providers to check the CMS and NYSDOH websites frequently for the latest guidance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eCoding Information\\u003c\/strong\\u003e \\u003cbr \/\\u003e\\r\\nCHOICE Total is prepared to accept claims for telehealth services that are consistent with previous announcements when modifiers 95 or GT are appended to CPT or HCPCS codes that ordinarily describe face-to-face services, including but not limited to:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eProfessional services related to diagnosis or treatment of COVID-19\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRoutine care\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0Therapy\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMental Health care through our partner Beacon Health\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eReimbursement for our CHOICE Total members will include services under CMS guidance when provided by our in-network providers using interactive audio and video telecommunications system that permits real-time interactive communication; alternative technologies commonly available on smartphones, tablets, and\/or other devices as listed below:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTelehealth Services (Both synchronous audio and visual required)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOnline Patient Portal Communication (Patient-initiated virtual check-ins)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eFor Telehealth services rendered, the provider should bill as follows:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eUse CMS designated place of service (POS) \u201802\u2019.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eUse CMS designated CPT telehealth modifier \u201895\u2019 with any place of service, or \u2018GT\u2019 to the appropriate embed link to these procedure codes. NOTE: This list of services is furnished by the current CMS guidelines and subject to updates and changes by CMS.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFollow current coding guidelines set forth by the American Medical Assistance, Current Procedural Terminology Professional Edition and associated publications and services.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eImportant links for Medicare Providers:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCMS Fact Sheet on Medicare Telemedicine\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCMS Frequently Asked Questions on Telehealth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0Waiver or Modification of Requirements Under Section 1135 of the SSA\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0CMS Provider-Specific Telehealth Fact Sheet NYS DOH Guidance for Medicaid Telehealth\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0CHOICE eblast on Medicaid Telehealth during COVID-19, sent 3\/27\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNYS DOH Medicaid Guidance for Providers\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSee Medicaid Telehealth FAQs\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBehavioral Health\\u003c\/strong\\u003e \\u003cbr \/\\u003e\\r\\nOur partner Beacon Health is issuing new policies to serve our members and ensure access to care.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease visit \\u003ca href=\\u0022http:\/\/www.beaconhealthoptions.com\/coronavirus\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ewww.beaconhealthoptions.com\/coronavirus\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/www.beaconhealthoptions.com\/coronavirus\/provider-resources\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/www.beaconhealthoptions.com\/coronavirus\/provider-resources\\u003c\/a\\u003e for the latest updates.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor questions related to coverage and billing at VNSNY CHOICE Health Plans, please call your dedicated Provider Relations representative.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr call VNSNY CHOICE Provider Services toll free: \\u003ca href=\\u0022tel:1-866-783-0222\\u0022\\u003e1-866-783-0222\\u003c\/a\\u003e. TTY for the hearing impaired: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Use of Telehealth During COVID-19 \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eEffective March 1, 2020, in accordance with published New York State Department of Health (NYS DOH) Medicaid Guidance, all VNSNY CHOICE Health Plans\u2014CHOICE MLTC, CHOICE Total (HMO D-SNP), and SelectHealth\u2014will expand eligibility for coverage of telehealth services to all members.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIn line with this guidance, CHOICE will reimburse providers for telephonic assessment, monitoring, and evaluation and management services provided to members where face-to-face visits may not be recommended and it is appropriate for the member to be evaluated and managed by telephone.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eTelehealth is the use of electronic information and communication technologies (computer, smartphone or tablet) to deliver health care to patients at a distance.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThis definition is now expanded to include telephone conversations.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eMedicaid covered services provided via telehealth include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0assessment\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0diagnosis\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0consultation\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0treatment\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0education\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ecare management and\/or self-management\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eThis applies to all contracted providers serving members under VNSNY CHOICE Health Plans. All telephonic encounters documented as appropriate by the provider would be considered medically necessary for payment purposes.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAll other requirements in delivery of these services otherwise apply.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor more information about how to bill or code for telehealth services, please see this telephonic reimbursement overview from the DOH.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBehavioral Health\\u003c\/strong\\u003e \\u003cbr \/\\u003e\\r\\nOur partner Beacon Health is issuing new policies to serve our members and ensure access to care.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease visit \\u003ca href=\\u0022http:\/\/www.beaconhealthoptions.com\/coronavirus\\u0022\\u003ewww.beaconhealthoptions.com\/coronavirus\\u003c\/a\\u003e for the latest updates.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eAccess to Telehealth Equipment and Digital Services \\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eIf you have patients who are VNSNY CHOICE Health Plan Members who need WiFi, data coverage and\/or a cell phone, please see the DOH's Medicaid Guidance on Telehealth from March 23.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"COVID-19 Guidance for Medicaid Providers \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003ePlease check the following resources with guidance for New York Medicaid providers.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/index.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eThe New York State Department of Health (DOH) posts guidance and resources here\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\u00a0DOH also has a \\u003ca href=\\u0022https:\/\/coronavirus.health.ny.gov\/information-healthcare-providers\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCoronavirus Provider Information Page\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.health.ny.gov\/health_care\/medicaid\/program\/update\/2020\/index.htm\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\u00a0The 2020 DOH Medicaid Updates, including COVID-19 special editions, are posted here\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDOH has published the following contact information for Providers:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eQuestions about COVID-19 can be directed to \\u003ca href=\\u0022mailto:ipc@health.ny.gov\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eipc@health.ny.gov\\u003c\/a\\u003e or the toll-free call center at \\u003ca href=\\u0022tel:888-364-3065\\u0022\\u003e888-364-3065\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eQuestions about guidance relating to COVID-19 may be sent to \\u003ca href=\\u0022mailto:OMCMail@health.ny.gov\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eOMCMail@health.ny.gov\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou can find Medicaid guidance from CMS on their \\u003ca href=\\u0022https:\/\/www.medicaid.gov\/resources-for-states\/disaster-response-toolkit\/coronavirus-disease-2019-covid-19\/index.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMedicaid.gov Disaster Page\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Guidance for Medicare Providers\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003ePlease check the following resources with guidance for Medicare providers.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCMS posts COVID-19 guidance on its \\u003ca href=\\u0022https:\/\/www.cms.gov\/About-CMS\/Agency-Information\/Emergency\/EPRO\/Current-Emergencies\/Current-Emergencies-page\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCurrent Emergencies page\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eYou can also find information in the \\u003ca href=\\u0022https:\/\/www.cms.gov\/newsroom\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCMS newsroom\\u003c\/a\\u003e.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Behavioral Health Update for Providers with members of CHOICE Total and SelectHealth \",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eBeacon is issuing new policies to serve our members and ensure access to care.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease visit\u00a0\\u003ca href=\\u0022https:\/\/www.beaconhealthoptions.com\/coronavirus\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ehttps:\/\/www.beaconhealthoptions.com\/coronavirus\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/www.beaconhealthoptions.com\/coronavirus\/provider-resources\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/www.beaconhealthoptions.com\/coronavirus\/provider-resources\\u003c\/a\\u003e for the latest updates.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items_7_question\":\"Preparedness Strategies for Providers \",\"_items_7_question\":\"field_faq_items_question\",\"items_7_answer\":\"\\u003cp\\u003eAs you are most likely aware, in late 2019, a new coronavirus was identified as\u00a0the cause of an outbreak of acute respiratory illness (COVID-19) in Wuhan,\u00a0China. Since then, an increasing number of COVID-19 cases have been\u00a0reported in other countries, including the United States, and now in New York\u00a0State. The purpose of this guidance is to instruct providers to develop and\u00a0implement strategies for COVID-19 preparedness that ensures timely member\u00a0access to all relevant information and needed health care services.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAdditional guidance will be forthcoming as testing capabilities are\u00a0expanded and other information becomes available. An emergency declaration\u00a0may require changes to this guidance. At this time, providers\u2019 COVID-19\u00a0preparedness strategies should include, at a minimum, the following\u00a0components:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eAn emergency preparedness plan:\\u003c\/strong\\u003e \\u003cbr \/\\u003e\\r\\nReview and update your internal emergency preparedness plan to ensure infrastructure stability and business continuity so that members' care is uninterrupted in the event of the further spread of COVID-19 in New York.\u00a0 \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eProper Aide and Member guidance and education:\\u003c\/strong\\u003e \\u003cbr \/\\u003e\\r\\nHome Health agencies must implement processes to provide information and resources to Aides on how to protect themselves and minimize transmission of the virus and help members understand how and when to access services for COVID-19 care. Any member-related questions should be addressed with their VNSNY CHOICE Care Manager.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf an emergency is declared, this information could change or be added to. We\u00a0will keep you informed as we learn more.\u00a0Thank you for your attention and action on this important matter.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe Department of Health provides public health information and guidance, here: \\u003ca href=\\u0022https:\/\/www.health.ny.gov\/diseases\/communicable\/coronavirus\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ehttps:\/\/www.health.ny.gov\/diseases\/communicable\/coronavirus\\u003c\/a\\u003e, and has\u00a0implemented a Novel Coronavirus Hotline at\u00a0\\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-888-364-3065\\u0022\\u003e1-888-364-3065\\u003c\/a\\u003e\\u003c\/strong\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe Centers for Disease Control\u2019s website offers up to date information at:\u00a0\\u003ca href=\\u0022https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/index.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ehttps:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/index.html\\u003c\/a\\u003e.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have any questions, please contact\u00a0\\u003ca href=\\u0022mailto:omcmail@health.ny.gov\\u0022\\u003eomcmail@health.ny.gov\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_7_answer\":\"field_faq_items_answer\",\"items\":8,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p>The Department of Health provides public health information and guidance, here: <a href=\"https:\/\/www.health.ny.gov\/diseases\/communicable\/coronavirus\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.health.ny.gov\/diseases\/communicable\/coronavirus<\/a>, and has&nbsp;implemented a Novel Coronavirus Hotline at&nbsp;<strong><a href=\"tel:1-888-364-3065\">1-888-364-3065<\/a><\/strong>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The Centers for Disease Control\u2019s website offers up to date information at:&nbsp;<a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/index.html\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/index.html<\/a>.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/DOH-COVID-19-Fact-Sheet.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download this fact sheet for information from the New York State Department of Health about COVID-19 vaccines, tests, and treatments<\/a>.<\/p>\n<!-- \/wp:paragraph -->",
                            "post_title": "COVID-19 Info & Resources for CHOICE Providers",
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                        {
                            "ID": 3427,
                            "post_author": "6",
                            "post_date": "2020-09-05 20:35:51",
                            "post_date_gmt": "2020-09-05 20:35:51",
                            "post_content": "<!-- wp:paragraph -->\n<p>The following is a&nbsp;<a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/02\/NYC-Health-Department-Provider-Letter_COVID-19-Vaccines-for-People-with-HIV.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">message<\/a>&nbsp;from&nbsp;Sarah L. Braunstein, PhD, MPH, Acting Assistant Commissioner and Director, HIV Epidemiology, Bureau of HIV New York City Department of Health and Mental Hygiene.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>All people with HIV who live in New York State (NYS) are now eligible to receive the COVID-19 vaccine. For a list of groups currently eligible for the COVID-19 vaccine in NYS, visit <a href=\"http:\/\/nyc.gov\/covidvaccinedistribution\" target=\"_blank\" rel=\"noreferrer noopener\">nyc.gov\/covidvaccinedistribution<\/a>.<br><br>Encourage patients with HIV to get vaccinated against COVID-19. People with HIV are a priority for vaccination, as many have comorbidities that increase risk of severe COVID-19 and face socioeconomic conditions that may increase risk of exposure. A provider\u2019s recommendation is one of the strongest predictors of a patient receiving a vaccine. Reach out to patients with HIV and help them get access to COVID-19 vaccine.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Resources for Your Patients<\/strong><\/td><\/tr><tr><td>Please feel free to share this <a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/02\/NYC-Health-Department-Guidance-for-People-with-HIV-on-COVID-19-Vaccines.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">guidance from the Department of Health<\/a> with patients who are living with HIV. <\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:paragraph -->\n<p>Help eligible patients get vaccinated against COVID-19. If your facility has received vaccine, offer vaccination to eligible patients. Assist patients to navigate the vaccine appointment systems of the NYC Department of Health and Mental Hygiene (NYC Health Department) at <a href=\"http:\/\/vax4nyc.nyc.gov\" target=\"_blank\" rel=\"noreferrer noopener\">vax4nyc.nyc.gov<\/a>, <a href=\"https:\/\/www.nychealthandhospitals.org\/covid-19-vaccines\/\" target=\"_blank\" rel=\"noreferrer noopener\">NYC Health + Hospitals<\/a> and <a href=\"https:\/\/covid19vaccine.health.ny.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">NYS<\/a>. New Yorkers can find a vaccination site and make an appointment at <a href=\"http:\/\/vaccinefinder.nyc.gov\" target=\"_blank\" rel=\"noreferrer noopener\">vaccinefinder.nyc.gov<\/a>. If they need assistance making an appointment at a City-run site, they can call <a href=\"tel:877-829-4692\">877-VAX-4NYC<\/a> (<a href=\"tel:877-829-4692\">877-829-4692<\/a>). Inform patients that vaccine supplies are limited. Encourage them to check regularly as new appointments will be added as more vaccine becomes available.<br><br>Patients need to bring proof that they live in NYS or NYC and are eligible for the COVID-19 vaccine. If they are eligible because they have HIV and are being vaccinated by their health care provider, their medical records can serve as proof of eligibility. Otherwise, when scheduling an appointment, patients will need to complete a <a href=\"https:\/\/www1.nyc.gov\/assets\/doh\/downloads\/pdf\/covid\/covid-19-vaccine-attestation.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">certification<\/a> confirming they have an underlying health condition that makes them eligible for vaccination. They do not need to state which health condition or provide any other evidence to demonstrate which condition they have. For more information on proof of eligibility, visit <a href=\"http:\/\/nyc.gov\/covidvaccine\" target=\"_blank\" rel=\"noreferrer noopener\">nyc.gov\/covidvaccine<\/a>.<br><br>HIV care providers do not need to clear their patients to receive the COVID-19 vaccine. Currently, the Moderna and Pfizer-BioNTech vaccines are only contraindicated by history of allergic reaction to the vaccine, one of its components or polysorbate. Clinical trials established the general safety and efficacy of these vaccines, but only the Moderna trial included people with HIV. Following <a href=\"https:\/\/www.cdc.gov\/vaccines\/covid-19\/clinical-considerations\/covid-19-vaccines-us.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fvaccines%2Fcovid-19%2Finfo-by-product%2Fclinical-considerations.html\" target=\"_blank\" rel=\"noreferrer noopener\">Centers for Disease Control and Prevention guidance<\/a>, inform patients that we lack sufficient data on vaccine safety or effectiveness specific to people with HIV and people who are immunocompromised. Counsel immunocompromised people (including people with HIV with low CD4 counts) that because we do not know whether the vaccine will work as well for them, they should be especially cautious to avoid potential exposure to COVID-19, even after vaccination.<br><br>Continue to engage patients in HIV care and other necessary health care. Immunocompromised people may be at increased risk of severe COVID-19. While New Yorkers should limit activities outside the home, no one should forgo regular HIV care or other necessary care. Make sure patients with HIV are screened for viral load and CD4 count at least every six months and have regular opportunities to discuss any barriers to care. HIV care clinics can provide some care through telehealth or video chat. See guidance for providers of HIV services during COVID-19 from the <a href=\"https:\/\/www1.nyc.gov\/assets\/doh\/downloads\/pdf\/imm\/covid-19-maintain-hiv-sti-services.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">NYC Health Department <\/a>and the <a href=\"https:\/\/clinicalinfo.hiv.gov\/en\/guidelines\/covid-19-and-persons-hiv-interim-guidance\/interim-guidance-covid-19-and-persons-hiv?view=full\" target=\"_blank\" rel=\"noreferrer noopener\">U.S. Department of Health and Human Services<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Ensure equal access to care. HIV and COVID-19 disproportionately affect communities of color. In NYC, 86% of people with HIV diagnosed with COVID-19 are Black or Latino, and these groups have greater mortality associated with HIV and with COVID-19. Furthermore, in NYC, Black and Latino people are less likely to have received a COVID-19 vaccine. Counsel patients with HIV, particularly those who are Black or Latino, that COVID-19 vaccines are safe and effective and provide critical protection for their health<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For more information on COVID-19, visit <a href=\"http:\/\/nyc.gov\/health\/coronavirus\" target=\"_blank\" rel=\"noreferrer noopener\">nyc.gov\/health\/coronavirus<\/a>. Select \u201cInformation for Providers\u201d for Dear Colleague updates, health alerts and advisories, webinars and other resources.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Novel Coronavirus and People with HIV<\/strong><\/td><\/tr><tr><td>Please download this&nbsp;<a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/09\/Letter-to-HIV-Care-Providers.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">message<\/a>&nbsp;from&nbsp;Oni Blackstock, MD, MHS Assistant Commissioner Bureau of HIV,&nbsp;New York City Department of Health and Mental Hygiene and Charles Gonzalez, MD Medical Director&nbsp;AIDS Institute&nbsp;New York State Department of Health.<br><\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->",
                            "post_title": "COVID-19 INFO & RESOURCES FOR HIV CARE PROVIDERS",
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                            "post_modified": "2021-06-25 10:15:49",
                            "post_modified_gmt": "2021-06-25 14:15:49",
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                        {
                            "ID": 3421,
                            "post_author": "6",
                            "post_date": "2020-09-05 19:56:07",
                            "post_date_gmt": "2020-09-05 19:56:07",
                            "post_content": "<!-- wp:paragraph -->\n<p>See below for important information and helpful resources about COVID-19 for members of VNSNY CHOICE Health Plans. (<a class=\"noExitNotifier\" href=\"https:\/\/www.selecthealthny.org\/covid-19-information-and-resources\/\">Members of SelectHealth can find more information, here<\/a>.)<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\n    \"id\": \"block_5f614f9302249\",\n    \"name\": \"acf\\\/faq\",\n    \"data\": {\n        \"heading\": \"\",\n        \"_heading\": \"field_faq_heading\",\n        \"items_0_question\": \"What is the difference between coronavirus and COVID-19?\",\n        \"_items_0_question\": \"field_faq_items_question\",\n        \"items_0_answer\": \"Coronavirus is a term for a group of viruses. Four types of coronavirus cause the common cold. COVID-19 is a disease caused by a coronavirus.\",\n        \"_items_0_answer\": \"field_faq_items_answer\",\n        \"items_1_question\": \"Who is at risk from COVID-19?\",\n        \"_items_1_question\": \"field_faq_items_question\",\n        \"items_1_answer\": \"According to the Centers for Disease Control and Prevention (CDC), people at high risk for developing a more serious case of COVID-19 are older adults and those with chronic medical conditions like heart, lung, or kidney disease.\",\n        \"_items_1_answer\": \"field_faq_items_answer\",\n        \"items_2_question\": \"What are the symptoms of COVID-19?\",\n        \"_items_2_question\": \"field_faq_items_question\",\n        \"items_2_answer\": \"Symptoms of COVID-19 include a fever, cough, and shortness of breath. The CDC believes that symptoms can appear two to 14 days after exposure. Mild cases may seem like a cold or a lower respiratory illness, such as bronchitis. In those with weakened immune systems, including people with chronic illness and the elderly, the virus can cause severe symptoms. These may include difficulty breathing, and high fever and may lead to pneumonia or other severe infections.\",\n        \"_items_2_answer\": \"field_faq_items_answer\",\n        \"items_3_question\": \"What should I do if I think I might have COVID-19?\",\n        \"_items_3_question\": \"field_faq_items_question\",\n        \"items_3_answer\": \"The most important thing is to stay calm.\u00a0<strong>If you develop a fever, cough, or other signs you may have COVID-19 infection, you should immediately contact your doctor and\\\/or local medical center to discuss whether you should get test\u00aded for the virus.<\\\/strong>\",\n        \"_items_3_answer\": \"field_faq_items_answer\",\n        \"items_4_question\": \"What can I do to avoid catching and spreading COVID-19?\",\n        \"_items_4_question\": \"field_faq_items_question\",\n        \"items_4_answer\": \"The best way to prevent illness is to avoid being exposed to this virus, including:\\r\\n<ul>\\r\\n \\t<li>Wash your hands often with soap and water for at least 20 seconds, especially after blowing your nose, coughing, or sneezing.<\\\/li>\\r\\n \\t<li>Clean and disinfect frequently touched objects and surfaces.<\\\/li>\\r\\n \\t<li>\u00a0Follow social distancing recommendations, remaining six feet away from all individuals aside from those in your household.<\\\/li>\\r\\n \\t<li>\u00a0Avoid close contact with people who are sick (stay at least six feet away if possible).<\\\/li>\\r\\n \\t<li>\u00a0Please note that the CDC is advising individuals to stay home when you are sick, particularly if you are experiencing the symptoms of potential COVID-19 infection as described above: fever, cough, and shortness of breath.<\\\/li>\\r\\n \\t<li>\u00a0Avoid touching your eyes, nose, and mouth, especially with unwashed hands.<\\\/li>\\r\\n \\t<li>\u00a0The New York City Department of Health recommends wearing a face covering (such as a scarf, dust mask, or bandana) when out in public. Ideally, wear a clean face covering every day. Please conserve medical-grade masks for our health care workers.<\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_4_answer\": \"field_faq_items_answer\",\n        \"items_5_question\": \"Where can I find behavioral health resources?\",\n        \"_items_5_question\": \"field_faq_items_question\",\n        \"items_5_answer\": \"During this national public health emergency, Beacon is issuing new policies to serve our members and ensure access to care. VNSNY CHOICE Total members can visit <a href=\\\"https:\\\/\\\/www.beaconhealthoptions.com\\\/coronavirus\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">https:\\\/\\\/www.beaconhealthoptions.com\\\/coronavirus<\\\/a> for the latest updates.\",\n        \"_items_5_answer\": \"field_faq_items_answer\",\n        \"items_6_question\": \"Where can I find more information? \",\n        \"_items_6_question\": \"field_faq_items_question\",\n        \"items_6_answer\": \"This is a rapidly changing situation. For updates, please see these resource pages from the\u00a0<a href=\\\"https:\\\/\\\/www.health.ny.gov\\\/diseases\\\/communicable\\\/coronavirus\\\/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">New York State Department of Health<\\\/a>\u00a0and the\u00a0<a href=\\\"https:\\\/\\\/www.cdc.gov\\\/coronavirus\\\/2019-ncov\\\/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Centers for Disease Control and Prevention<\\\/a>. New York State has also established a hotline for questions and information:\u00a0<strong><a href=\\\"tel:1-888-364-3065\\\">1-888-364-3065<\\\/a><\\\/strong>.\",\n        \"_items_6_answer\": \"field_faq_items_answer\",\n        \"items\": 7,\n        \"_items\": \"field_faq_items\"\n    },\n    \"align\": \"\",\n    \"mode\": \"edit\",\n    \"wpClassName\": \"wp-block-acf-faq\"\n} \/-->\n\n<!-- wp:embed {\"url\":\"https:\/\/www.youtube.com\/embed\/d914EnpU4Fo\",\"type\":\"rich\",\"providerNameSlug\":\"youtube\",\"responsive\":true,\"className\":\"is-provider-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"} -->\n<figure class=\"wp-block-embed-youtube wp-block-embed is-type-rich is-provider-embed-handler wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\nhttps:\/\/www.youtube.com\/embed\/d914EnpU4Fo\n<\/div><\/figure>\n<!-- \/wp:embed -->",
                            "post_title": "COVID-19 Resources For CHOICE Members",
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                            "post_modified": "2022-01-24 15:01:43",
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                        {
                            "ID": 8251,
                            "post_author": "6",
                            "post_date": "2021-02-23 19:11:34",
                            "post_date_gmt": "2021-02-24 00:11:34",
                            "post_content": "<!-- wp:paragraph -->\n<p>You may have questions about the COVID-19 vaccines. Is it safe to get the vaccine? What about side effects? You may be unsure if it really works\u2014or question how well it works.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>At VNS Health, we take seriously our mission of protecting the health of our community. We want to make sure our patients and plan members have the best care possible. We also work hard to ensure our employees and our neighbors are safe and healthy as well.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you are not sure if the vaccine is right for you, we understand. Here is important information about the COVID-19 vaccines as you decide.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-the-covid-19-vaccines-work\">The COVID-19 vaccines work.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The COVID vaccines work very well to protect people from getting sick with COVID-19. The Moderna and Pfizer vaccines are given in two doses. The first shot kicks your immune system up to a certain level. The second shot kicks it to an even higher level. The doses need to be a few weeks apart to give your body time to reach that first level. In studies, one dose of the vaccine was 50% effective in preventing COVID-19. After two doses, both vaccines were more than 94% effective.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>In addition, people who are vaccinated are less likely to make other people sick. Getting the vaccine protects you and the people you care about.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-the-covid-19-vaccines-are-safe\">The COVID-19 vaccines are safe. <\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Many countries and many companies worked together to develop the COVID-19 vaccines. The different vaccines went through extensive studies and trials. The FDA and safety boards reviewed data from these trials at every stage.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-you-won-t-get-sick-from-the-vaccine\">You won't get sick from the vaccine. <\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Neither vaccine contains COVID-19 so you won\u2019t get sick from it. However, some people have side effects after they get the vaccine. The most common side effects are:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Soreness at the injection spot<\/li><li>Slight fever<\/li><li>Tiredness<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>These side effects are a sign that the vaccine is working! They show that your body is building protection against the virus. Side effects usually go away after a few days.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Serious side effects are very rare (about 5 people in 1,000 have a bad reaction). <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-how-does-the-covid-19-vaccine-work\">How does the COVID-19 vaccine work?<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>The vaccine tricks your body into thinking you have COVID-19. This kicks your immune system into action to fight the virus. Then, if you are exposed to COVID-19, your immune system recognizes the virus. It knows how to attack and destroy it, so the virus can\u2019t make you sick.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-you-need-two-shots-of-the-pfizer-or-moderna-vaccine-three-or-four-weeks-apart\">You need two shots of the Pfizer or Moderna vaccine, three or four weeks apart. <\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Studies and vaccine trials were done on two doses of the vaccine. We don\u2019t know how effective one dose is, so it is very important that you get both doses of the same vaccine, to be fully protected.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-for-more-information\">For more information <\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>We encourage people to get the vaccine as soon as they are eligible. For information about eligibility and making an appointment to get the vaccine:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>New York City residents should call or visit<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><li>NYC Vaccine Hotline: 1-877-VAX-4NYC (<a href=\"tel:1-877-829-4962\">1-877-829-4692<\/a>)<\/li><li><a href=\"https:\/\/www1.nyc.gov\/site\/doh\/covid\/covid-19-vaccines.page\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www1.nyc.gov\/site\/doh\/covid\/covid-19-vaccines.page<\/a><\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>New York State residents should call or visit<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:list -->\n<ul><li>New York State COVID-19 Vaccination Hotline: 1-833-NYS-4-VAX (<a href=\"tel:1-833-697-4829\">1-833-697-4829<\/a>)<\/li><li><a href=\"https:\/\/covid19vaccine.health.ny.gov\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/covid19vaccine.health.ny.gov\/<\/a><\/li><\/ul>\n<!-- \/wp:list -->",
                            "post_title": "Information About the COVID-19 Vaccine",
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                            "ID": 10161,
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                            "post_date": "2021-06-18 14:10:52",
                            "post_date_gmt": "2021-06-18 18:10:52",
                            "post_content": "<!-- wp:paragraph -->\n<p>Vaccines are an important way to fight COVID-19. Millions of New Yorkers have received their vaccines at clinics, pharmacies, and state-run vaccination sites. In order to reach more New Yorkers, the NYC Department of Health and Mental Hygiene (DOHMH) is administering vaccines to thousands of homebound residents.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-find-out-if-you-qualify-to-receive-a-covid-19-vaccine-at-home\">Find out if you qualify to receive a COVID-19 vaccine at home.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>To be eligible, you must:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Be a New York City resident<\/li><li>Be age 75 or older<\/li><li>Have a disability (you do not need to be homebound)<\/li><li>Have not received any other COVID-19 vaccine<\/li><li>Be unable to get the vaccine any other way (such as from your doctor or another program)<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>If you qualify, the first step is to fill out an interest form. (A caregiver, family member, or friend can fill out the form for the eligible person.) <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/banner-in-body {\n    \"id\": \"block_60cce494519f7\",\n    \"name\": \"acf\\\/banner-in-body\",\n    \"data\": {\n        \"heading\": \"Sign up for NYC\u2019s Homebound COVID-19 Vaccine Program\",\n        \"_heading\": \"field_banner-in-body_heading\",\n        \"description\": \"\",\n        \"_description\": \"field_banner-in-body_description\",\n        \"button\": {\n            \"title\": \"Sign up now\",\n            \"url\": \"https:\\\/\\\/forms.cityofnewyork.us\\\/f\\\/home\",\n            \"target\": \"_blank\"\n        },\n        \"_button\": \"field_banner-in-body_button\"\n    },\n    \"align\": \"\",\n    \"mode\": \"edit\"\n} \/-->\n\n<!-- wp:paragraph -->\n<p><br>You can also call the NYC Vaccine Hotline at <a href=\"tel:8778294692\">1-877-VAX-4NYC<\/a>\u00a0<a href=\"tel:8778294692\">(1-877-829-4692)<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you do not qualify for in-home vaccination, it is still important to get your COVID-19 vaccine! You can find out where they are offered and make an appointment using the&nbsp;<a href=\"http:\/\/nyc.gov\/vaccinelocations\" target=\"_blank\" rel=\"noreferrer noopener\">NYC Vaccine Finder<\/a>.&nbsp;<a href=\"https:\/\/www.cdc.gov\/coronavirus\/2019-ncov\/vaccines\/keythingstoknow.html?s_cid=10493:us%20vaccine:sem.ga:p:RG:GM:gen:PTN:FY21\" target=\"_blank\" rel=\"noreferrer noopener\">Learn more<\/a>&nbsp;about the benefits of the vaccine.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3>The COVID-19 vaccines are safe and free.<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Many countries and many companies worked together to develop the COVID-19 vaccines. The different vaccines went through extensive studies and trials. The FDA and safety boards reviewed data from these trials at every stage.<\/p>\n<!-- \/wp:paragraph -->",
                            "post_title": "NYC\u2019s Homebound COVID-19 Vaccine Program",
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                {
                    "ID": 20168,
                    "post_author": "6",
                    "post_date": "2022-09-26 15:58:15",
                    "post_date_gmt": "2022-09-26 19:58:15",
                    "post_content": "<!-- wp:paragraph -->\n<p>In order to ensure the cultural competence of our provider network, the New York State Department of Health (DOH) requires all SelectHealth from VNS Health providers to take an annual cultural competency training. The training is online, free, and offers several provider-specific programs.&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"id\":\"block_632e00264ad57\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\\u003cu\\u003e\\u003ca href=\\u0022https:\/\/thinkculturalhealth.hhs.gov\/education\\u0022 target=\\u0022_blank\\u0022\\u003eClick Here to Complete the Training\\u003c\/a\\u003e.\\u003c\/u\\u003e\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"About the Training: \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThe \\u003cem\\u003eThink Cultural Health \\u003c\/em\\u003etraining, created for the United States Department of Health and Human Services (HHS), Office of Minority Health education program, offers several provider specific programs:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eLicensed Alcohol and Drug Counselors, Nurses, Psychiatrists, Psychologists, and Social Workers \u2013 four courses\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHealth Care Administrators and Providers \u2013 one course\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMaternal Health Providers \u2013 one course\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNurses \u2013 three courses\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOral Health Professionals \u2013 three courses\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhysicians, Nurse Practitioners, and Physician Assistants \u2013 three courses\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eDOH suggests providers complete the required training that corresponds with their scope of practice. You are only required to take one of the courses if there are multiple courses within the provider training program. Providers can alternate year-to-year between the various courses within the training program.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items\":1,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/divider {\"id\":\"block_6332040bd2d01\",\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-attest-to-completing-the-training\">Attest to Completing the Training<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Once you have completed the training, please use the form below to attest that you have completed the training. You may also use the form to attest on behalf of a provider group. <strong>Please note that you must attest to completing the training for SelectHealth, even if you have already attested to it for another plan.<\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/form-script {\"id\":\"block_61a75643ae27c\",\"name\":\"acf\/form-script\",\"data\":{\"embed_script\":\"\\u003cscript type=\\u0022text\/javascript\\u0022 id=\\u0022jsFastForms\\u0022 src=\\u0022https:\/\/vnschoice.secure.force.com\/services\/apexrest\/VisualAntidote\/FFNEngine\/v1\/?d=PVBL1gdeN%2BHVibZZvb4N5A%3D%3D\\u0022\\u003e\\u003c\/script\\u003e\\r\\n\",\"_embed_script\":\"field_form-script_embed_script\",\"no_script_warning_text\":\"Please enable Javascript to fill out this form.\",\"_no_script_warning_text\":\"field_form-script_no_script_warning_text\"},\"align\":\"\",\"mode\":\"edit\"} \/-->",
                    "post_title": "Cultural Competency Training and Attestation",
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                {
                    "ID": 10229,
                    "post_author": "2",
                    "post_date": "2021-06-25 13:39:01",
                    "post_date_gmt": "2021-06-25 17:39:01",
                    "post_content": "",
                    "post_title": "DISTRIBUTOR CONTENT TEST",
                    "post_excerpt": "",
                    "post_status": "publish",
                    "comment_status": "closed",
                    "ping_status": "closed",
                    "post_password": "test123",
                    "post_name": "distributor-content-test",
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                    "post_modified": "2021-06-25 14:24:41",
                    "post_modified_gmt": "2021-06-25 18:24:41",
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                {
                    "ID": 10880,
                    "post_author": "3",
                    "post_date": "2021-08-10 16:31:39",
                    "post_date_gmt": "2021-08-10 20:31:39",
                    "post_content": "<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>the Bronx<\/td><td>Queens <\/td><\/tr><tr><td>Kings (Brooklyn)<\/td><td>Richmond (Staten Island)<\/td><\/tr><tr><td>Nassau<\/td><td>Suffolk<\/td><\/tr><tr><td>New York (Manhattan)<\/td><td>Westchester<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->",
                    "post_title": "EasyCare and EasyCare Plus Service Area",
                    "post_excerpt": "",
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                    "post_name": "medicare-easycare-easycare-plus-service-area",
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                    "post_modified": "2021-09-23 20:34:48",
                    "post_modified_gmt": "2021-09-24 00:34:48",
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                    "guid": "https:\/\/www.vnsnychoice.org\/?page_id=10880",
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                {
                    "ID": 11904,
                    "post_author": "3",
                    "post_date": "2021-09-08 14:37:22",
                    "post_date_gmt": "2021-09-08 18:37:22",
                    "post_content": "<!-- wp:paragraph -->\n<p>In the event that the Governor of New York, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of emergency in VNSNY CHOICE's service area, you are still entitled to care from CHOICE. This includes access to emergent or urgent care as well as obtaining needed prescriptions.<br><br>For assistance during a state of emergency, please call:<br><br> CHOICE EasyCare<br><a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<br>8:00 am \u2013 8:00 pm, 7 days a week <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p> CHOICE EasyCare Plus<br><a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<br>8:00 am \u2013 8:00 pm, 7 days a week <\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>CHOICE Total<br><a href=\"tel:1-866-783-1444\">1-866-783-1444<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<br>8:00 am \u2013 8:00 pm, 7 days a week<br><br>CHOICE MLTC<br><a href=\"tel:1-888-867-6555\">1-888-867-6555<\/a> (TTY: <a href=\"tel:711\">711<\/a>)<br>9:00 am \u2013 5:00 pm, Monday - Friday<\/p>\n<!-- \/wp:paragraph -->",
                    "post_title": "Emergency Alert Update",
                    "post_excerpt": "",
                    "post_status": "publish",
                    "comment_status": "closed",
                    "ping_status": "closed",
                    "post_password": "",
                    "post_name": "emergency-alert",
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                    "pinged": "",
                    "post_modified": "2021-12-02 07:58:59",
                    "post_modified_gmt": "2021-12-02 12:58:59",
                    "post_content_filtered": "",
                    "post_parent": 0,
                    "guid": "https:\/\/www.vnsnychoice.org\/?page_id=11904",
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                },
                {
                    "ID": 448,
                    "post_author": "3",
                    "post_date": "2020-07-22 17:49:58",
                    "post_date_gmt": "2020-07-22 17:49:58",
                    "post_content": "<!-- wp:acf\/hero {\"id\":\"block_5f189b8757435\",\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Find a Doctor\",\"_heading\":\"field_hero_heading\",\"subheading\":\"Pick your plan below to find a provider in your network. \",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:spacer {\"height\":\"30px\"} -->\n<div style=\"height:30px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:acf\/plan-set {\"id\":\"block_5f187c5691cbf\",\"name\":\"acf\/plan-set\",\"data\":{\"heading\":\"\",\"_heading\":\"field_plan-set_heading\",\"subheading\":\"\",\"_subheading\":\"field_plan-set_subheading\",\"bottom_plan_active\":\"0\",\"_bottom_plan_active\":\"field_plan-set_bottom_plan_active\",\"cards_0_heading\":\"EasyCare (HMO) and EasyCare Plus (HMO D-SNP) Medicare\",\"_cards_0_heading\":\"field_plan-set_cards_heading\",\"cards_0_subheading\":\"\",\"_cards_0_subheading\":\"field_plan-set_cards_subheading\",\"cards_0_description\":\"\\u003cp\\u003eQuestions? 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If you are a TTY\/TDD user and are trying to reach a pharmacy in our network, please contact the New York State Relay Service and an operator will connect you. This pharmacy listing does not guarantee that the pharmacy is still in the network. Please contact us for more information about the pharmacies in our network.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you don\u2019t see the doctor, hospital, or ancillary provider you are looking for, please call us. You can also call to let us know about any information in the directory that is not correct so that we can update it.\\u003c\/p\\u003e\",\"_cards_0_rich_text\":\"field_plan-set_cards_rich_text\",\"cards_1_heading\":\"CHOICE Total \\u003c\/br\\u003e(HMO D-SNP)\",\"_cards_1_heading\":\"field_plan-set_cards_heading\",\"cards_1_subheading\":\"\",\"_cards_1_subheading\":\"field_plan-set_cards_subheading\",\"cards_1_description\":\"\\u003cp\\u003eQuestions? 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TTY: \\u003ca href=\\u0022tel:711\\u0022\\u003e711\\u003c\/a\\u003e. \\u003c\/br\\u003e8 am \\u0026ndash; 8 pm, 7 days a week.\\u003c\/p\\u003e\",\"_cards_1_description\":\"field_plan-set_cards_description\",\"cards_1_use_button_selector\":\"0\",\"_cards_1_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_1_button\":{\"title\":\"Go to Total Provider Search\",\"url\":\"https:\/\/providersearch.vnsnychoice.org\/#\/?plan=map\",\"target\":\"_blank\"},\"_cards_1_button\":\"field_plan-set_cards_button\",\"cards_1_disable_exit_notifier\":\"0\",\"_cards_1_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_1_rich_text\":\"\\u003cp\\u003e\\u003ca href=\\u0022\/choice-total-2020-provider-and-pharmacy-directory-intro\/\\u0022\\u003eCheck here for more information about the VNSNY CHOICE Total Provider and Pharmacy Directory\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eCertain pharmacies are not available to all members (Home Infusion, Long-Term Care, Indian Health and Specialty). If you are a TTY\/TDD user and are trying to reach a pharmacy in our network, please contact the New York State Relay Service and an operator will connect you. This pharmacy listing does not guarantee that the pharmacy is still in the network. Please contact us for more information about the pharmacies in our network.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you don\u2019t see the doctor, hospital, or ancillary provider you are looking for, please call us. You can also call to let us know about any information in the directory that is not correct so that we can update it.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_cards_1_rich_text\":\"field_plan-set_cards_rich_text\",\"cards_2_heading\":\"CHOICE Managed Long Term Care (MLTC)\",\"_cards_2_heading\":\"field_plan-set_cards_heading\",\"cards_2_subheading\":\"\",\"_cards_2_subheading\":\"field_plan-set_cards_subheading\",\"cards_2_description\":\"\\u003cp\\u003eQuestions? Call \\u003ca href=\\u0022tel:1-866-783-1444\\u0022\\u003e1-888-VNS-6555\\u003c\/a\\u003e. TTY: 711. \\u003c\/br\\u003e9 am \\u0026ndash; 5pm, Monday \\u0026ndash; Friday.\\u003c\/p\\u003e\",\"_cards_2_description\":\"field_plan-set_cards_description\",\"cards_2_use_button_selector\":\"0\",\"_cards_2_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_2_button\":{\"title\":\"Go to MLTC Provider Search\",\"url\":\"https:\/\/providersearch.vnsnychoice.org\/#\/?plan=mltc\",\"target\":\"\"},\"_cards_2_button\":\"field_plan-set_cards_button\",\"cards_2_disable_exit_notifier\":\"0\",\"_cards_2_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_2_rich_text\":\"\\u003cp\\u003eVNSNY CHOICE MLTC members can continue seeing their current doctors and are not required to choose network physicians. 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                    "post_title": "Find a Doctor",
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                    "post_date": "2021-08-11 13:07:25",
                    "post_date_gmt": "2021-08-11 17:07:25",
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                    "post_title": "Find a Medication",
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                {
                    "ID": 6552,
                    "post_author": "6",
                    "post_date": "2020-11-25 12:55:13",
                    "post_date_gmt": "2020-11-25 17:55:13",
                    "post_content": "<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\n    \"id\": \"block_5fbe986f847e1\",\n    \"name\": \"acf\\\/faq\",\n    \"data\": {\n        \"heading\": \"\",\n        \"_heading\": \"field_faq_heading\",\n        \"items_0_question\": \"What is the Inovalon Virtual Health Visit? \",\n        \"_items_0_question\": \"field_faq_items_question\",\n        \"items_0_answer\": \"The Virtual Health Visit is a medical appointment you can have from home using your computer, smartphone, or tablet, making it possible to speak with a healthcare provider in a different location. VNSNY CHOICE Total (HMO D-SNP) partners with a company called Inovalon that makes their healthcare providers available for these Virtual Health Visits with you.\",\n        \"_items_0_answer\": \"field_faq_items_answer\",\n        \"items_1_question\": \"How much does a Virtual Health Visit cost? \",\n        \"_items_1_question\": \"field_faq_items_question\",\n        \"items_1_answer\": \"There is no out-of-pocket cost to you. Virtual Health Visits are a benefit of your membership in CHOICE Total.\",\n        \"_items_1_answer\": \"field_faq_items_answer\",\n        \"items_2_question\": \"Why might I need to have a Virtual Health Visit?\",\n        \"_items_2_question\": \"field_faq_items_question\",\n        \"items_2_answer\": \"A Virtual Health Visit lets you meet with an Inovalon healthcare provider to talk about your health history, your medications, and any health concerns that you may have.\u00a0 You will still need to see your own doctors in person for tests, screenings, shots, and other procedures that you normally get. 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When you sign up for a visit, you will be sent a link. Before your appointment, click on the link, which will take you to an online \u201cwaiting room.\u201d\u00a0 The doctor will start your visit at the scheduled time.\",\n        \"_items_4_answer\": \"field_faq_items_answer\",\n        \"items_5_question\": \"Do I need to download any special software or programs? \",\n        \"_items_5_question\": \"field_faq_items_question\",\n        \"items_5_answer\": \"If you are using a laptop or a desktop computer, no download is needed. 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The app is free.\",\n        \"_items_5_answer\": \"field_faq_items_answer\",\n        \"items_6_question\": \"How should I prepare for my scheduled Virtual Health Visit? \",\n        \"_items_6_question\": \"field_faq_items_question\",\n        \"items_6_answer\": \"The Inovalon provider will ask you about your health history, review your medications, and discuss any health concerns that you may have. It\u2019s a good idea to have a list of your current medications in front of you. You should also tell the provider if you are using any monitoring devices to manage your chronic health conditions.\",\n        \"_items_6_answer\": \"field_faq_items_answer\",\n        \"items_7_question\": \"When should I go to my scheduled Virtual Health Visit appointment? \",\n        \"_items_7_question\": \"field_faq_items_question\",\n        \"items_7_answer\": \"Please plan to join five minutes before the scheduled appointment. This will allow you time to follow the link, arrive in the waiting room, and prepare to meet with the provider.\",\n        \"_items_7_answer\": \"field_faq_items_answer\",\n        \"items_8_question\": \"Where is the best place for me to join the Virtual Health Visit appointment? \",\n        \"_items_8_question\": \"field_faq_items_question\",\n        \"items_8_answer\": \"You can join from the comfort of your home or from another private and quiet area where you will not be disturbed.\\r\\n\\r\\nPlease do not join your appointment while driving or from a place where it\u2019s difficult to hear.\\r\\n\\r\\nPlease make sure your device is well charged or connected to a power source before your visit.\",\n        \"_items_8_answer\": \"field_faq_items_answer\",\n        \"items_9_question\": \"Why does the provider appear to look away from the screen sometimes?  \",\n        \"_items_9_question\": \"field_faq_items_question\",\n        \"items_9_answer\": \"The provider is fully focused on you during the visit and is not distracted. 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                    "post_title": "FREQUENTLY ASKED QUESTIONS: <br>The Virtual Health Visit",
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                    "ID": 3464,
                    "post_author": "3",
                    "post_date": "2020-09-05 22:05:17",
                    "post_date_gmt": "2020-09-05 22:05:17",
                    "post_content": "<!-- wp:acf\/hero {\"id\":\"block_5f189b8757435\",\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"slanted_image_effect\":\"0\",\"_slanted_image_effect\":\"field_hero_slanted_image_effect\",\"image_to_edge\":\"0\",\"_image_to_edge\":\"field_hero_image_to_edge\",\"logo\":\"\",\"_logo\":\"field_hero_logo\",\"highlighted_text\":\"\",\"_highlighted_text\":\"field_hero_highlighted_text\",\"yellow_text\":\"0\",\"_yellow_text\":\"field_hero_yellow_text\",\"heading\":\"Grievances and Appeals\",\"_heading\":\"field_hero_heading\",\"subheading\":\"Check below to find out about the grievances and appeals process for your plan\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:spacer {\"height\":\"40px\"} -->\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:acf\/plan-set {\"id\":\"block_614babc364808\",\"name\":\"acf\/plan-set\",\"data\":{\"heading\":\"\",\"_heading\":\"field_plan-set_heading\",\"subheading\":\"\",\"_subheading\":\"field_plan-set_subheading\",\"bottom_plan_active\":\"0\",\"_bottom_plan_active\":\"field_plan-set_bottom_plan_active\",\"cards_0_heading\":\"VNSNY CHOICE Total (HMO D-SNP)\",\"_cards_0_heading\":\"field_plan-set_cards_heading\",\"cards_0_subheading\":\"\",\"_cards_0_subheading\":\"field_plan-set_cards_subheading\",\"cards_0_description\":\"\",\"_cards_0_description\":\"field_plan-set_cards_description\",\"cards_0_use_button_selector\":\"0\",\"_cards_0_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_0_button\":{\"title\":\"Learn about Total Grievances and Appeals\",\"url\":\"https:\/\/www.vnsnychoice.org\/total-grievance-and-appeals\/\",\"target\":\"\"},\"_cards_0_button\":\"field_plan-set_cards_button\",\"cards_0_disable_exit_notifier\":\"0\",\"_cards_0_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_0_rich_text\":\"\",\"_cards_0_rich_text\":\"field_plan-set_cards_rich_text\",\"cards_1_heading\":\"VNSNY CHOICE Managed Long Term Care (MLTC)\",\"_cards_1_heading\":\"field_plan-set_cards_heading\",\"cards_1_subheading\":\"\",\"_cards_1_subheading\":\"field_plan-set_cards_subheading\",\"cards_1_description\":\"\",\"_cards_1_description\":\"field_plan-set_cards_description\",\"cards_1_use_button_selector\":\"0\",\"_cards_1_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_1_button\":{\"title\":\"Learn about MLTC Grievances and Appeals\",\"url\":\"https:\/\/www.vnsnychoice.org\/vnsny-choice-mltc-grievances-and-appeals\/\",\"target\":\"\"},\"_cards_1_button\":\"field_plan-set_cards_button\",\"cards_1_disable_exit_notifier\":\"0\",\"_cards_1_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_1_rich_text\":\"\",\"_cards_1_rich_text\":\"field_plan-set_cards_rich_text\",\"cards_2_heading\":\"VNSNY CHOICE EasyCare (HMO) and EasyCare Plus (HMO D-SNP)\",\"_cards_2_heading\":\"field_plan-set_cards_heading\",\"cards_2_subheading\":\"\",\"_cards_2_subheading\":\"field_plan-set_cards_subheading\",\"cards_2_description\":\"\",\"_cards_2_description\":\"field_plan-set_cards_description\",\"cards_2_use_button_selector\":\"0\",\"_cards_2_use_button_selector\":\"field_plan-set_cards_use_button_selector\",\"cards_2_button\":{\"title\":\"Learn about EasyCare and EasyCare Plus Grievances and Appeals\",\"url\":\"https:\/\/www.vnsnychoice.org\/2021-vnsny-choice-easycare-easycare-plus-grievances-and-appeals\/\",\"target\":\"\"},\"_cards_2_button\":\"field_plan-set_cards_button\",\"cards_2_disable_exit_notifier\":\"0\",\"_cards_2_disable_exit_notifier\":\"field_plan-set_cards_disable_exit_notifier\",\"cards_2_rich_text\":\"\",\"_cards_2_rich_text\":\"field_plan-set_cards_rich_text\",\"cards\":3,\"_cards\":\"field_plan-set_cards\",\"button\":\"\",\"_button\":\"field_plan-set_button\"},\"align\":\"\",\"mode\":\"edit\"} \/-->",
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                    "ID": 916,
                    "post_author": "3",
                    "post_date": "2020-07-30 19:43:19",
                    "post_date_gmt": "2020-07-30 19:43:19",
                    "post_content": "<!-- wp:paragraph -->\n<p>Thank you for being part of the VNSNY CHOICE Provider Network. We appreciate all that you do for our members!<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Have questions?&nbsp; We\u2019re here to help! You can find answers to most of your questions on this page or by clicking on the tabs to the left. If there\u2019s something you don\u2019t understand or need more help with, just call Provider Relations. Or fill out our <a href=\"https:\/\/www.vnsnychoice.org\/contact-us\/\">online contact form<\/a>, which can also be found by clicking the blue \u201cCONTACT US\u201d button at the top right side of this page. We will get back to you as soon as we can.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>This is your gateway to the digital tools, policies, guidance, and materials you and your staff need to deliver high-quality service to your patients and clients in VNSNY CHOICE health plans. We hope these resources make your experience as efficient and rewarding as possible.<br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"id\":\"block_5f58eb8219bce\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Provider Manual\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003eHere in one PDF document are answers to all your questions about VNSNY CHOICE policies and procedures concerning member care, claims, and authorizations, and everything providers should know about working with us.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can view or download the entire \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE_Provider-Manual.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eVNSNY CHOICE Provider Manual (PDF)\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOr you may download individual sections from the VNSNY CHOICE Provider Manual from the list below for quick access to the information you need.\\u003cbr \/\\u003e\\r\\nIf you're looking for an easy way to find the forms and documents referenced in the Provider Manual, just use this list of \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/Helpful-Links-for-VNSNY-CHOICE-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHelpful Links for CHOICE providers\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-1_-Programs-Benefits-and-Covered-Services.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 1 - Programs, Benefits, and Covered Services\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-2_-Provider-Networks.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 2 - Provider Networks\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-3_-Eligbility-and-Membership.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 3 - Eligibility and Membership\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-4_-Regulatory-and-Quality-Reporting-Requirements.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 4 - Regulatory and Quality Reporting Requirements\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-5_-Primary-Care.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 5 - Primary Care\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-6_-Delegated-Vendor-Operations.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 6 - Delegated Vendor Operations\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-7_-Ancillary-and-Other-Special-Services.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 7 - Ancillary and Other Special Services\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-8_-Medical-Management.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 8 - Medical Management\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/08\/VNSNY-CHOICE-Provider-Manual_section-9.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 9 - Billings and Claims Processing\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/VNSNY-CHOICE-Provider-Manual_Section-10_-Grievances-and-Appeals.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSection 10 - Grievances and Appeals\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Providers Quick Reference Guide\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eThe \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/02\/CHOICE-Provider-Reference-Guide_February-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eQuick Reference Guide\\u003c\/a\\u003e is a convenient resource when you have questions about the following:\\u003cbr \/\\u003e\\r\\n\u2022 Claims\\u003cbr \/\\u003e\\r\\n\u2022 Member Services\\u003cbr \/\\u003e\\r\\n\u2022 Medical Management\\u003cbr \/\\u003e\\r\\n\u2022 Utilization\\u003cbr \/\\u003e\\r\\n\u2022 Compliance\\u003cbr \/\\u003e\\r\\n\u2022 Pharmacy\\u003cbr \/\\u003e\\r\\n\u2022 Participating Labs\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSelectHealth providers can also find contact information for troubleshooting provider-related concerns on the \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/SelectHealth-Provider-Reference-Guide_July-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eSelectHealth Provider Reference Guide\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Helpful Links for VNSNY CHOICE Providers\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThis list of \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/helpful-links-for-vnsny-choice-providers\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ehelpful links for providers\\u003c\/a\\u003e offers an easy way to find and access all of the forms and documents you will need as an in-network provider with VNSNY CHOICE.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Provider Portal Access\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp class=\\u0022schema-faq-answer\\u0022\\u003e\\u003ca href=\\u0022https:\/\/apps.availity.com\\u0022\\u003eCheck patient eligibility and benefits and manage your claims\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.availity.com\/Essentials-Portal-Registration\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNot yet registered for portal access? Register now.\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThis portal is for VNSNY CHOICE Health Plan providers. Follow the link, if you wish to \\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/providerlink.hchb.com\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eaccess the VNSNY Physician Web Portal\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Demographic Update Form\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eParticipating PCPs and Specialists: Here's a quick and easy way to let us know about \\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.vnsnychoice.org\/vnsny-choice-provider-demographic-update-form\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003echanges to your demographic information\\u003c\/a\\u003e!\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"HHAeXchange Platform (HHAX)\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eOur partnership with HHAX is designed to streamline the ordering, fulfillment,\u00a0and billing of paraprofessional services for CHOICE providers.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Medication Prior Authorization Request Forms\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eFind \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/vnsny-choice-formulary-search\/\\u0022\\u003edrug formularies\\u003c\/a\\u003e for information about medication coverage and \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/all-forms\/\\u0022\\u003eprior authorization request forms\\u003c\/a\\u003e for drug coverage exceptions and medications.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\"},\"mode\":\"edit\"} \/-->",
                    "post_title": "Health Professionals Overview",
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                        {
                            "ID": 991,
                            "post_author": "3",
                            "post_date": "2020-07-31 17:00:34",
                            "post_date_gmt": "2020-07-31 17:00:34",
                            "post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-availity-portal-for-vnsny-choice-providers\">Availity Portal for VNSNY CHOICE Providers<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><a class=\"noExitNotifier\" href=\"https:\/\/apps.availity.com\" target=\"_blank\" rel=\"noreferrer noopener\">Sign in to determine patient eligibility and manage claims. <\/a>&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a class=\"noExitNotifier\" href=\"https:\/\/www.availity.com\/Essentials-Portal-Registration\" target=\"_blank\" rel=\"noreferrer noopener\">Not yet registered for portal access? Register now.<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons aligncenter\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/apps.availity.com\" target=\"_blank\" rel=\"noopener noreferrer\">Go to the CHOICE Provider Portal <\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:paragraph -->\n<p>Follow this link, if you wish to access the <a class=\"noExitNotifier\" href=\"https:\/\/providerlink.hchb.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">VNS Health Physician Web Portal<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"h-sign-up-for-provider-news-updates\">Sign Up for Provider News Updates<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:html -->\n<!-- Begin Mailchimp Signup Form -->\n<link href=\"\/\/cdn-images.mailchimp.com\/embedcode\/classic-10_7.css\" rel=\"stylesheet\" type=\"text\/css\">\n<style type=\"text\/css\">\n\t#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }\n\t\/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.\n\t   We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. *\/\n<\/style>\n<div id=\"mc_embed_signup\">\n<form action=\"https:\/\/vnsnychoice.us20.list-manage.com\/subscribe\/post?u=0908e20398e11f129a133c95f&amp;id=90f683ec64\" method=\"post\" id=\"mc-embedded-subscribe-form\" name=\"mc-embedded-subscribe-form\" class=\"validate\" target=\"_blank\" novalidate=\"\">\n    <div id=\"mc_embed_signup_scroll\">\n\t\n<div class=\"indicates-required\"><span class=\"asterisk\">*<\/span> indicates required<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-EMAIL\">Email Address  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"email\" value=\"\" name=\"EMAIL\" class=\"required email\" id=\"mce-EMAIL\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-FNAME\">First Name  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"FNAME\" class=\"required\" id=\"mce-FNAME\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-LNAME\">Last Name  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"LNAME\" class=\"required\" id=\"mce-LNAME\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-MMERGE7\">Provider Type  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"MMERGE7\" class=\"required\" id=\"mce-MMERGE7\">\n<\/div>\n\t<div id=\"mce-responses\" class=\"clear\">\n\t\t<div class=\"response\" id=\"mce-error-response\" style=\"display:none\"><\/div>\n\t\t<div class=\"response\" id=\"mce-success-response\" style=\"display:none\"><\/div>\n\t<\/div>    <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->\n    <div style=\"position: absolute; left: -5000px;\" aria-hidden=\"true\"><input type=\"text\" name=\"b_0908e20398e11f129a133c95f_90f683ec64\" tabindex=\"-1\" value=\"\"><\/div>\n    <div class=\"clear\"><input type=\"submit\" value=\"Subscribe\" name=\"subscribe\" id=\"mc-embedded-subscribe\" class=\"button\"><\/div>\n    <\/div>\n<\/form>\n<\/div>\n<script type=\"text\/javascript\" src=\"\/\/s3.amazonaws.com\/downloads.mailchimp.com\/js\/mc-validate.js\"><\/script><script type=\"text\/javascript\">(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[7]='MMERGE7';ftypes[7]='text';}(jQuery));var $mcj = jQuery.noConflict(true);<\/script>\n<!--End mc_embed_signup-->\n<!-- \/wp:html -->",
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                            "ID": 921,
                            "post_author": "3",
                            "post_date": "2020-07-31 15:05:34",
                            "post_date_gmt": "2020-07-31 15:05:34",
                            "post_content": "<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-your-claims-and-remittances\">YOUR CLAIMS AND REMITTANCES&nbsp;<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>At VNSNY CHOICE we understand that easy filing and timely payment of claims are a high priority for our providers. Although you may submit paper claims by mail, there are many benefits to submitting claims electronically, such as improved accuracy, reliability, convenience, and expedited payments.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Claims must be received within 90 days of the date or services (or the time frame stipulated in your contract). If VNSNY CHOICE is not the member\u2019s primary insurance, please submit the claim within 90 days of the date on the Explanation of Payment from the primary carrier.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Important Updates:<\/strong>&nbsp;<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>As of March 27, 2020, all Claim Disputes must be submitted through VNSNY CHOICE\u2019s <a href=\"https:\/\/www.vnsnychoice.org\/vnsny-choice-provider-claims-dispute-form\/\" target=\"_blank\" rel=\"noreferrer noopener\">Provider Claim Dispute Form<\/a>. Disputes that are not sent through our&nbsp;<a href=\"https:\/\/www.vnsnychoice.org\/vnsny-choice-provider-claims-dispute-form\/\" target=\"_blank\" rel=\"noreferrer noopener\">Provider Claim Dispute Form<\/a>&nbsp;will not be addressed. If you are unsure whether to submit a Claim Dispute or Claim Appeal, please click \"Should I Submit a Claim Dispute or Claim Appeal?\" below.<\/li><li>As of 2\/22\/2021, Availity is the preferred EDI and Portal vendor for VNSNY CHOICE Health Plans transactions. Please see \"How to Submit Electronic Claims\" below.<br><\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:html -->\n<h3 id=\"electronic-payment\"><\/h3>\n<!-- \/wp:html -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td>ELECTRONIC PAYMENT FOR PROVIDERS&nbsp;<\/td><\/tr><tr><td>It\u2019s easy to further expedite your claims payments by signing up for electronic funds transfer (EFT) payments that are direct deposited into your bank account. You don\u2019t have to wait for our checks to arrive in the mail or manually sort, reconcile, and deposit checks. <br><br>You will need to complete&nbsp;<strong>both<\/strong>&nbsp;of the following two steps in order to begin receiving EFT payments and remittances:<br><br>1. To set up EFT payments, fill out&nbsp;the <a href=\"https:\/\/www.vnsnychoice.org\/choice-provider-eft-request-form\/\"><span style=\"text-decoration: underline\" class=\"underline\">VNSNY CHOICE EFT Request Form<\/span><\/a>. <br><br>2. <span style=\"font-family: inherit; font-size: inherit; font-weight: inherit;\">To receive ERA files,&nbsp;<\/span><a class=\"noExitNotifier\" href=\"https:\/\/www.availity.com\/provider-portal-registration\" target=\"_blank\" rel=\"noreferrer noopener\"><span style=\"text-decoration: underline;\">enroll with Availity directly<\/span><\/a>. <br><br>For more information, please contact a Provider Services Representative at 1-866-783-0222 or&nbsp;<a class=\"noExitNotifier\" rel=\"noreferrer noopener\" href=\"https:\/\/forms.office.com\/Pages\/ResponsePage.aspx?id=AL-L0-142E2gZbphh3tPUAtgMCupwShCiX0iWyzubARUMTBQSVJWV0JPNEVBUUwxV0dQR1pKQ0dVWS4u\" target=\"_blank\"><span style=\"text-decoration: underline;\">e-mail us<\/span><\/a>.&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-claims-resources\">Claims Resources<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Consult these additional resources for answers to your questions about claim forms, remittances, billing codes, and the transition from ICD-9 codes to ICD-10 codes.<br><br>If you have any questions or require further assistance, please fill out our&nbsp;<a href=\"https:\/\/www.vnsnychoice.org\/contact-us\/\">Contact Us form<\/a>&nbsp;or call Provider Services at 1-866-783-0222, Monday \u2013 Friday, 8 am \u2010 5 pm.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\n    \"id\": \"block_5f595656aa978\",\n    \"name\": \"acf\\\/faq\",\n    \"data\": {\n        \"heading\": \"\",\n        \"_heading\": \"field_faq_heading\",\n        \"items_0_question\": \"How to Submit an Electronic Claim \",\n        \"_items_0_question\": \"field_faq_items_question\",\n        \"items_0_answer\": \"<p>As of 2\\\/22\\\/2021, Availity is the preferred EDI and Portal vendor for VNSNY CHOICE Health Plans transactions. Availity is committed to working with providers and their vendors to ensure there is no disruption in the transmission of your VNSNY CHOICE transactions. For this reason, we\u2019d like to share important information regarding your electronic claim submission, eligibility status verification, electronic remittance advice, and claim status verification. The existing Payer IDs \u2013 77073 and VNSNY \u2013 are not changing and will be used moving forward.<\\\/p>\\r\\n<p>If your current clearinghouse or service provider is unable or not willing to submit transactions through Availity\u2019s EDI Gateway, and no other arrangements are made, potential impacts could include:<\\\/p>\\r\\n<ul>\\r\\n\\t<li>Connectivity \u2013 Your clearinghouse may be unable to transmit any EDI transactions to VNSNY CHOICE after 2\\\/28\\\/2021.<\\\/li>\\r\\n\\t<li>Workflow \u2013 Your clearinghouse may submit your claims via paper, which will delay claim processing, and impact the availability of electronic remittance advice. Other electronic transactions such as eligibility and claim status can also be impacted.<\\\/li>\\r\\n<\\\/ul>\\r\\n<p>VNSNY CHOICE is focused on continuity of service for your EDI transactions.\u00a0 If you are notified of any negative impact to your transactions, please know there are alternate submission options available.<\\\/p>\\r\\n<ul>\\r\\n\\t<li>If you wish to submit directly, you can connect directly to the Availity Gateway at no cost for all VNSNY CHOICE 837, 835, and 27X transactions.<\\\/li>\\r\\n\\t<li>Please visit <a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/apps.availity.com\\\/web\\\/welcome\\\/#\\\/edi\\\">https:\\\/\\\/apps.availity.com\\\/web\\\/welcome\\\/#\\\/edi<\\\/a> and <a class=\\\"noExitNotifier\\\" href=\\\"http:\\\/\\\/www.availity.com\\\/vns\\\">availity.com\\\/vns<\\\/a> to help set up your business or vendor for submitting EDI transactions through Availity.<\\\/li>\\r\\n\\t<li>Availity\u2019s Provider Engagement Portal is accessible for the following transactions as well; eligibility and benefits inquiry, claim submission, claim status inquiry, and electronic remittance advice. Please ensure you are registered with Availity for this access. (<a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/www.availity.com\\\/provider-portal-registration\\\">https:\\\/\\\/www.availity.com\\\/provider-portal-registration<\\\/a>).<\\\/li>\\r\\n<\\\/ul>\\r\\n<p><strong>It may take time to work with a clearinghouse or service provider, so please act now to help ensure the continuity of your EDI transactions.<\\\/strong><\\\/p>\\r\\n<p>If you have additional questions or need assistance, please contact Availity Client Services at <a href=\\\"tel:1-800-282-4548\\\">1-800-Availity<\\\/a> (<a href=\\\"tel:1-800-282-4548\\\">1-800-282-4548)<\\\/a>, Monday - Friday, 8 am \u2013 8 pm, Eastern Time.<\\\/p>\",\n        \"_items_0_answer\": \"field_faq_items_answer\",\n        \"items_1_question\": \"How to Submit a Hard Copy (Paper) Claim \",\n        \"_items_1_question\": \"field_faq_items_question\",\n        \"items_1_answer\": \"<p><strong><em>For hard copy (paper) submissions:<\\\/em><\\\/strong><br \\\/>\\r\\nVNSNY CHOICE Claims<br \\\/>\\r\\nP.O. Box 4498<br \\\/>\\r\\nScranton, PA 18505<\\\/p>\\r\\n<p>Or call us at:<br \\\/>\\r\\n<strong>1-866-783-0222<br \\\/>\\r\\n(TTY: 711)<br \\\/>\\r\\nMonday \u2013 Friday, 8 am \u2013 5 pm<\\\/strong><\\\/p>\\r\\n<p><strong><em>Covered Part D vaccine claims should be mailed to:<\\\/em><\\\/strong><br \\\/>\\r\\nMedImpact Healthcare Systems<br \\\/>\\r\\nP.O. Box 509108<br \\\/>\\r\\nSan Diego, CA 92150-9108<\\\/p>\\r\\n<p>Check our Required Data for Claims Forms below for sample forms and a list of required data elements, MLTC provider billing instructions for MLTC and nursing home providers, and provider codes for Adult Day Care, Chore Services, and Home Delivered Meals providers.<\\\/p>\",\n        \"_items_1_answer\": \"field_faq_items_answer\",\n        \"items_2_question\": \"How to Check Claim Status?\",\n        \"_items_2_question\": \"field_faq_items_question\",\n        \"items_2_answer\": \"<p>It\u2019s easy to check on the status of a claim you\u2019ve submitted by signing into the\u00a0<a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/apps.availity.com\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Provider Portal<\\\/a>.<\\\/p>\\r\\n<p>&nbsp;<\\\/p>\",\n        \"_items_2_answer\": \"field_faq_items_answer\",\n        \"items_3_question\": \"Provider Remittance Guide\",\n        \"_items_3_question\": \"field_faq_items_question\",\n        \"items_3_answer\": \"<p>To receive Electronic Remittance Advice (ERA) files, you\u2019ll need to <u><a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/www.availity.com\\\/provider-portal-registration\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">enroll directly with our EDI clearinghouse Availity<\\\/a><\\\/u>.<\\\/p>\\r\\n<p>Please visit\u00a0<a class=\\\"noExitNotifier\\\" href=\\\"http:\\\/\\\/www.availity.com\\\/vns\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">availity.com\\\/vns<\\\/a>\u00a0for a quick reference guide to exchanging EDI transactions through Availity.<\\\/p>\\r\\n<p>For a line-by-line guide to reading VNSNY CHOICE Remittance Forms, please view our\u00a0<u><a title=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/vnsny-choice-provider-remittance-fact-sheet.pdf\\\" href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/VNSNY-CHOICE-Provider-Remittance-Fact-Sheet.pdf\\\" target=\\\"_blank\\\">Provider Remittance Fact Sheet<\\\/a><\\\/u>.<\\\/p>\",\n        \"_items_3_answer\": \"field_faq_items_answer\",\n        \"items_4_question\": \"Should I Submit a Claim Dispute or Claim Appeal?\",\n        \"_items_4_question\": \"field_faq_items_question\",\n        \"items_4_answer\": \"<p>&nbsp;<\\\/p>\\r\\n<p><strong>When to use the Provider Claim Dispute Form:<\\\/strong><\\\/p>\\r\\n<ul>\\r\\n\\t<li>Coding denials<\\\/li>\\r\\n\\t<li>Underpaid\\\/overpaid claims<\\\/li>\\r\\n\\t<li>Invalid procedure code\\\/revenue code\\\/diagnosis code<\\\/li>\\r\\n\\t<li>Incorrect modifier<\\\/li>\\r\\n\\t<li>Denied for authorization and provider has authorization letter<\\\/li>\\r\\n<\\\/ul>\\r\\n<p>You can also consult <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/08\\\/VNSNY-CHOICE-Provider-Manual_section-9.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Section 9\u00a0of our\u00a0Provider Manual<\\\/a>\u00a0to review the list of requirements needed for filing a dispute.<\\\/p>\\r\\n<p><strong>When to submit a Claim Appeal:<\\\/strong><br \\\/>\\r\\nIf your claim is denied and you wish to challenge the decision, you can use the\u00a0<strong>Grievance and Appeal<\\\/strong>\u00a0Process. This will lead to an internal clinical or administrative review of the denial.<\\\/p>\\r\\n<p>Examples of appealable denials include:<\\\/p>\\r\\n<ul>\\r\\n\\t<li>Services not authorized<\\\/li>\\r\\n\\t<li>Not medically necessary<\\\/li>\\r\\n\\t<li>Non-covered service<\\\/li>\\r\\n\\t<li>Non-covered benefit<\\\/li>\\r\\n\\t<li>Benefit exhausted<\\\/li>\\r\\n\\t<li>Charges previously considered<\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_4_answer\": \"field_faq_items_answer\",\n        \"items_5_question\": \"How to Submit a Claim Dispute\",\n        \"_items_5_question\": \"field_faq_items_question\",\n        \"items_5_answer\": \"<p class=\\\"schema-faq-answer\\\"><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/10\\\/VNSNY-CHOICE-Submit-Claims-Instructions-for-providers.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Please click here for complete instructions for submitting a Provider Claim Dispute.<\\\/a><\\\/p>\\r\\n<ol>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0When submitting a disputed claim, you must include an excel attachment. <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Provider-Payment-Dispute-Template.xls\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Download this template<\\\/a> and use it to enter the information listed in each column. We'll need it in order to process your payment dispute. (Note: if you don't see the template right away, check your browser's download status bar or the download file on your computer.)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Attach the file in the field labeled \\\"File upload\\\" when you submit your dispute using this <a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/vnsny-choice-provider-claims-dispute-form\\\/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Claim Dispute Form<\\\/a>.<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Look for an email confirmation of your submission.<\\\/li>\\r\\n<\\\/ol>\\r\\n<p>You can also consult\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/08\\\/VNSNY-CHOICE-Provider-Manual_section-9.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Section 9\u00a0of our\u00a0Provider Manual<\\\/a>\u00a0to review the list of requirements needed to filing a dispute.<\\\/p>\\r\\n<p>&nbsp;<\\\/p>\",\n        \"_items_5_answer\": \"field_faq_items_answer\",\n        \"items_6_question\": \"How to Submit a Claim Appeal\",\n        \"_items_6_question\": \"field_faq_items_question\",\n        \"items_6_answer\": \"<p class=\\\"schema-faq-answer\\\">If you want to file an appeal, the request must be submitted in writing, via fax or mail.<br \\\/>\\r\\nPlease send your request by fax\u00a0to 1-866-791-2213.<\\\/p>\\r\\n<p>Or by mail to:<\\\/p>\\r\\n<p>VNSNY CHOICE Health Plans<br \\\/>\\r\\nAttn: Grievances &amp; Appeals<br \\\/>\\r\\nP.O. Box 445<br \\\/>\\r\\nElmsford, NY 10523<\\\/p>\\r\\n<p>Consult\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/08\\\/VNSNY-CHOICE-Provider-Manual_section-9.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Section 9\u00a0of our\u00a0Provider Manual<\\\/a>\u00a0to review the list of requirements and time frames needed for filing an appeal.<\\\/p>\\r\\n<p>Claim Appeals: Notification of a decision will be made within 60 calendar days of receiving the appeal. If you are an out-of-network provider filing a claim appeal, a decision may take up to 120 days if a completed <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Waiver-of-Liability-Form.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">Waiver of Liability form<\\\/a> is needed. No extension may be taken on payment appeals and payment appeals cannot be processed as \u201cfast\u201d appeals.<\\\/p>\",\n        \"_items_6_answer\": \"field_faq_items_answer\",\n        \"items_7_question\": \"Required Data for Claims Forms\",\n        \"_items_7_question\": \"field_faq_items_question\",\n        \"items_7_answer\": \"<p class=\\\"schema-faq-answer\\\">The\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CMS-1500_Sample-Provider-Claim.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CMS-1500 claim form<\\\/a>\u00a0(sample<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CMS-1500_Sample-Provider-Claim.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">)<\\\/a>\u00a0and\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/UB-04_Sample-Provider-Claim.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">UB-04 claim form<\\\/a>\u00a0(sample) can be used to bill fee-for-service encounters. The UB-04 form should be used by facilities and by facilities billing on behalf of employed providers.<\\\/p>\\r\\n<p>Please be sure your claim has these\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/Required-Data-CHOICE-Provider-Claims.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">required data\u00a0elements<\\\/a>\u00a0before submitting your form. This information is needed for claims to be processed correctly.<\\\/p>\\r\\n<p>You can find instructions for submitting your claim\u00a0by clicking on\u00a0How to Submit Claims, above.<\\\/p>\",\n        \"_items_7_answer\": \"field_faq_items_answer\",\n        \"items_8_question\": \"Claim Submission Instructions for VNSNY CHOICE Providers\",\n        \"_items_8_question\": \"field_faq_items_question\",\n        \"items_8_answer\": \"<div id=\\\"faq-question-1596204710788\\\" class=\\\"schema-faq-section\\\">\\r\\n<p class=\\\"schema-faq-answer\\\">In-network providers should follow these <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Providers-Billing-Procedures.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">billing procedures<\\\/a> when submitting claims to VNSNY CHOICE.<\\\/p>\\r\\n<\\\/div>\",\n        \"_items_8_answer\": \"field_faq_items_answer\",\n        \"items_9_question\": \"ICD-10 FAQs\",\n        \"_items_9_question\": \"field_faq_items_question\",\n        \"items_9_answer\": \"<p>These are the most frequently asked questions about the\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/ICD-10_FAQ-VNSNY-CHOICE.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">transition from ICD<\\\/a><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/ICD-10_FAQ-VNSNY-CHOICE.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">-<\\\/a><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/ICD-10_FAQ-VNSNY-CHOICE.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">9 codes to ICD-10\u00a0codes<\\\/a> and how it affects in-network providers for VNSNY CHOICE.<\\\/p>\",\n        \"_items_9_answer\": \"field_faq_items_answer\",\n        \"items_10_question\": \"I am a physician with a CHOICE Total patient in hospice care. Whom do I bill for my services?\",\n        \"_items_10_question\": \"field_faq_items_question\",\n        \"items_10_answer\": \"<p>If you are a physician who ordinarily provides primary or specialty care services to a patient who is now in hospice, you should bill CHOICE directly. You do not need to bill both CMS and CHOICE, unless you are specifically a hospice provider or facility. For more detailed information, see our <strong><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/hospice-benefit\\\/\\\">Hospice Benefit FAQs<\\\/a><\\\/strong>.<\\\/p>\",\n        \"_items_10_answer\": \"field_faq_items_answer\",\n        \"items_11_question\": \"Billing Instructions for Nursing Home Providers\",\n        \"_items_11_question\": \"field_faq_items_question\",\n        \"items_11_answer\": \"<p class=\\\"schema-faq-answer\\\">Check these\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/Billing-Info-Nursing-Home-Providers_CHOICE.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Billing Instructions for Nursing Home Providers<\\\/a>\u00a0for information about billing and claims procedures.<\\\/p>\",\n        \"_items_11_answer\": \"field_faq_items_answer\",\n        \"items_12_question\": \"Claims Layout Information and Provider Codes\",\n        \"_items_12_question\": \"field_faq_items_question\",\n        \"items_12_answer\": \"<div id=\\\"faq-question-1596204768185\\\" class=\\\"schema-faq-section\\\">Please find provider codes and claims layout information for:<\\\/div>\\r\\n<div id=\\\"faq-question-1596204787186\\\" class=\\\"schema-faq-section\\\">\\r\\n<p class=\\\"schema-faq-answer\\\"><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Claims-Provider-Codes_Adult-Day.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Adult Day Care Providers<\\\/a><br \\\/>\\r\\n<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Claims-Provider-Codes_Chore-Services.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Chore Service Providers<\\\/a><br \\\/>\\r\\n<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Claims-Provider-Codes_Home-Delivered-Meals.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Home Delivered Meals Providers<\\\/a><\\\/p>\\r\\n<\\\/div>\",\n        \"_items_12_answer\": \"field_faq_items_answer\",\n        \"items\": 13,\n        \"_items\": \"field_faq_items\"\n    },\n    \"mode\": \"edit\",\n    \"wpClassName\": \"wp-block-acf-faq\"\n} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-\"><\/h3>\n<!-- \/wp:heading -->",
                            "post_title": "Claims and Payment Information and Resources",
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                            "post_modified": "2022-02-22 17:22:51",
                            "post_modified_gmt": "2022-02-22 22:22:51",
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                        {
                            "ID": 19513,
                            "post_author": "6",
                            "post_date": "2022-07-26 09:52:53",
                            "post_date_gmt": "2022-07-26 13:52:53",
                            "post_content": "<!-- wp:paragraph -->\n<p>The VNSNY CHOICE Medicare hospice approach focuses on early identification of individuals in advanced stages of an illness who may benefit from improved care coordination between their health plan, their primary care physician and specialists, and the hospice provider.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We will work with you and your patient to transition into hospice care, which can begin at any time after a diagnosis of a terminal illness. We have the experts to help you and your patient through this difficult time toward care that seeks above all to keep your patient comfortable and in familiar surroundings \u2013 preferably at home.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our Hospice Care model includes access to our Palliative Care program, which may be an appropriate transition for patients moving toward end-of-life care. The Palliative Care program may also be appropriate for other patients diagnosed with serious illnesses who do not need to transition to hospice care and may be used alongside curative care.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/comfort-care-options-for-vnsny-choice-medicare-patients\/palliative-care-for-vnsny-choice-medicare-patients\/\">Learn more about palliative care<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/comfort-care-options-for-vnsny-choice-medicare-patients\/hospice-care-for-vnsny-choice-medicare-patients\/\">Learn more about hospice care<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnsnychoice.org\/hospice-benefit\/\">Medicare Hospice Benefit FAQs<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->",
                            "post_title": "Comfort Care Options for VNSNY CHOICE Medicare Patients",
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                            "post_modified": "2022-07-26 10:14:25",
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                                    "ID": 19528,
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                                    "post_date": "2022-07-26 10:09:44",
                                    "post_date_gmt": "2022-07-26 14:09:44",
                                    "post_content": "<!-- wp:paragraph -->\n<p>For patients who are diagnosed with a terminal illness, VNSNY CHOICE Medicare offers a Hospice Benefit.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>VNSNY CHOICE Medicare is one of a handful of designated CMS Innovation Center Model participants for the Hospice Benefit Program, designed to increase patient access to hospice services, simplify payment by moving it from Medicare to the patient\u2019s Medicare Advantage plan, and improve coordination between hospice providers and other clinicians at the patient\u2019s end of life.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The Hospice Benefit component of the Value Based Insurance Design (VBID) Model is an opportunity for VNSNY CHOICE Medicare, physicians, and hospice providers to collaborate and improve care coordination, transparency, and quality of life for our Medicare members at&nbsp;the end of life.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Part of the CHOICE Hospice Benefit includes the provision of <strong>Transitional Concurrent Care (TCC)<\/strong> service for members who elect hospice with an in-network hospice provider. To ease care transitions, CHOICE offers TCC services that are necessary to address continuing care needs, as clinically appropriate, for the treatment of the patient\u2019s terminal condition. Under the TCC benefit, patients who elect hospice care with an in-network hospice provider can choose to maintain their usual curative care for up to one month from the date of hospice election.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>We currently have two in-network hospice providers available to VNSNY CHOICE members:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><a class=\"noExitNotifier\" href=\"https:\/\/www.vnshealth.org\/hospice-care\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><span style=\"text-decoration: underline\" class=\"underline\"><em>VNS Health Hospice Care<\/em><\/span><\/strong><\/a><em><strong><span style=\"text-decoration: underline\" class=\"underline\">.<\/span><\/strong><\/em> For more information or to refer a CHOICE Medicare patient, call <a href=\"tel:212-609-1920\">212-609-1920<\/a>.<\/li><li><strong><span style=\"text-decoration: underline\" class=\"underline\"><a href=\"https:\/\/www.mjhs.org\/our-services\/mjhs-hospice-palliative-care\/hospice-care\/\" target=\"_blank\" rel=\"noreferrer noopener\"><em>MJHS Hospice Care<\/em><\/a><em><u>.<\/u><\/em><\/span><\/strong> For more information or to refer a CHOICE Medicare patient, call <a href=\"tel:855-921-4057\">855-921-4057<\/a>.<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p>Note that out-of-network hospice services are also covered by the patient\u2019s health plan. Other hospice providers may be added to the network at any time.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"id\":\"block_62c6083c7b345\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Hospice Care Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Does hospice care require an end-of-life diagnosis?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eHospice care requires that the patient has a certified prognosis of six or fewer months to live.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do we know when a patient is eligible for hospice care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eHospice care requires that two physicians certify that the patient has less than six months to live, based on the physician's estimate, if the terminal illness runs its course as expected.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Who provides hospice care? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThe hospice care team is a group of specially trained healthcare professionals that includes a physician, nurse, hospice aide, social worker, volunteer, chaplain, and bereavement counselor. This interdisciplinary team works together to ensure that the patient\u2019s needs are met. Among its major responsibilities, the interdisciplinary hospice team:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eManages the patient\u2019s pain and symptoms\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides physical, emotional, and spiritual support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides medications, medical supplies, and equipment\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides coaching to caregivers on how to care for a patient\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDelivers special services like physical therapy when needed\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMakes short-term inpatient care available when caregivers need respite time\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProvides bereavement support \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What services does the Medicare hospice benefit cover?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eDoctor services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNursing care\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedical equipment (such as hospital bed or wheelchair)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMedical supplies (such as bandages and catheters)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDrugs to control pain and other symptoms\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHome health aide and homemaker services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePhysical and occupational therapy\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSpeech therapy (to help with problems such as swallowing)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSocial worker services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDietary counseling\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eEmotional and spiritual counseling\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eRespite care designated to provide family members a short break from caring for their loved one at home\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eTransitional Concurrent Care for patients who elect hospice with an in-network provider\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"What happens after my patient starts receiving hospice care? \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eMost hospice organizations encourage the PCP to remain involved in the patient\u2019s care. PCPs often have the best knowledge of the patient\u2019s overall health and can remain the patient\u2019s primary care physician once the decision to refer to hospice is made. The PCP can offer reassurance and support to the patient and family during the very difficult end of life period. Additionally, the PCP can assist with offering clear communication to the hospice team if the patient or family has any difficulty doing so. In turn, Hospice is a valuable physician resource when it comes to medications, symptom management, and communication with patients and families.\u00a0\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"What resources are available for me or my patients to learn more about hospice care?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eVNSNY CHOICE Resources\\u003c\/strong\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/CHOICE-Understanding-Care-Options-for-Medicare-Patients.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eComfort Care Options (for providers)\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/CHOICE-Health-Plan_VBID-Ops-Guidelines-for-Hospice-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eCHOICE Health Plans VBID Operational Guidelines for Hospice Providers\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eExternal Resources\\u003c\/strong\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.nhpco.org\/hospice-care-overview\/hospice-facts-figures\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNHPCO- Facts-Figures 2021\\u003c\/a\\u003e\\u003c\/span\\u003e (Available in PowerPoint or pdf)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/faq {\"id\":\"block_5fd7924818270\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Frequently Asked Questions for Hospice Care Providers\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"I am a physician with a VNSNY CHOICE Medicare patient in hospice care. Who do I bill for my services?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eIf you are a physician who ordinarily provides primary or specialty care services to a patient who is now in hospice, you should bill\u00a0 VNSNY CHOICE directly. You do not need to bill both CMS and VNSNY CHOICE, unless you are specifically a hospice provider or facility.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"I am a hospice provider. How are notices and claims submitted for beneficiaries in participating plans?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eClaims must be submitted to both VNSNY CHOICE Medicare and to the Centers for Medicare and Medicaid Services (CMS).\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePlease note:\\u003c\/strong\\u003e In addition to your usual Notice of Election (NOE) and Notice of Termination\/Revocation (NOTR) submission to CMS, all providers are also required to submit the NOE to us within 5 days of hospice election and the NOTR within 5 days of hospice termination. Please submit all Hospice NOE and NOTR material to\u00a0\\u003ca href=\\u0022mailto:VNSNYHospiceNotices@vnsny.org\\u0022\\u003eVNSNYHospiceNotices@vnsny.org\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nOr you can mail your Notice of Election to:\\u003cbr \/\\u003e\\r\\nVNSNY CHOICE Membership Eligibility Unit\\u003cbr \/\\u003e\\r\\n220 East 42nd\u00a0Street, 3rd\u00a0Floor\\u003cbr \/\\u003e\\r\\nNew York, NY 10017\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Where are these services offered?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eThese services are offered in the Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk, and Westchester Counties.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Who should I contact if I have questions?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eHospice Network Administrative Contact:\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eJohn Caralyus\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022mailto:john.caralyus@vnsny.org\\u0022\\u003ejohn.caralyus@vnsny.org\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n646-300-2898\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eClinical and Patient Support Contact:\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eEsther Conteh\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022mailto:esther.conteh@vnsny.org\\u0022\\u003eesther.conteh@vnsny.org\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n212-609-1898\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->",
                                    "post_title": "Hospice Care for VNSNY CHOICE Medicare Patients",
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                                    "post_modified": "2022-07-26 10:12:53",
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                                {
                                    "ID": 19516,
                                    "post_author": "6",
                                    "post_date": "2022-07-26 09:55:48",
                                    "post_date_gmt": "2022-07-26 13:55:48",
                                    "post_content": "<!-- wp:paragraph -->\n<p>VNSNY CHOICE Medicare offers specialized palliative care for patients living with a serious illness. The goal is to improve quality of life for patients and their families through strategies to prevent rapid decline, including early identification of the need for palliative care and relief of suffering through the treatment of pain and other challenges, whether physical, psychosocial, or spiritual.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>The patient\u2019s primary care physician (PCP) remains in charge of the patient's overall care, writes orders, and sees the patient for office visits during the course of palliative care. A Palliative Care team works in partnership with the PCP and the patient\u2019s other doctors, to communicate and align on treatment goals and provide support to the patient and their family and\/or caregiver.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you have a VNSNY CHOICE Medicare patient who you think would benefit from palliative care, please email the required information (see directly below) to <a href=\"mailto:VNSNYpalliativecare@vnsny.org\">VNSNYpalliativecare@vnsny.org<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Information required for referral:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Patient\u2019s name and date of birth<\/li><li>Patient\u2019s VNSNY CHOICE ID number (if available)<\/li><li>Patient\u2019s address and phone number<\/li><li>Patient\u2019s diagnosis<\/li><li>Referring physician\u2019s name and phone number<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/faq {\"id\":\"block_62c606c281cca\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"Palliative Care Frequently Asked Questions\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Does palliative care require an end-of-life diagnosis?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003ePalliative care is appropriate at any age and any stage in a serious illness and is based on the needs of the patient, not the prognosis. Unlike the Medicare hospice benefit, palliative care does not have a prognosis restriction and may be provided alongside curative treatment.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"How do we know if a patient needs palliative care?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eVNSNY CHOICE uses proprietary predictive algorithms to identify patients in greatest need of palliative care services. The following criteria are considered:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMultiple co-morbidities\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNeed for pain and\/or symptom management related to a chronic or life-limiting condition\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePsychosocial and\/or spiritual distress of both member and caregivers related to the patient\u2019s condition\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eNeed for Advance Care Planning (including Advance Directives) and clarification of health care goals for member and caregivers\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMembers with end stage illness who have refused the Hospice benefit despite eligibility\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eMultiple hospital admissions or ER visits over the past year\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Who provides palliative care? \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eA specially trained team, led by a nurse practitioner and comprised of doctors, nurses and other healthcare professionals, work together with the patient\u2019s regular doctors to provide an extra layer of support, at no additional cost. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"What services are provided through palliative care?\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMultidisciplinary team providing in-home support (nurse practitioner, registered nurse, social worker, spiritual counselor, health and wellness coaches, and transitional care associates)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eManagement of relief of symptoms, pain, and stress\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e24\/7 access and interdisciplinary team support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eEmotional and spiritual support\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCollaboration with patient\u2019s treatment team (e.g., PCP, specialists)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eLinkages to community-based organizations\/resources\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCurative treatment included for chronic illnesses\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"What happens after I refer my patient to palliative care?\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eYour patient will be assessed for palliative care eligibility. If he\/she meets criteria for the program, you will be notified. As the primary care physician, you are expected to remain in charge of the patient's care, write orders, and see the patient for office visits while the patient in enrolled in a palliative care program.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"What resources are available for me or my patients to learn more about palliative care and hospice care?\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eVNSNY CHOICE Resources\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003ePalliative Care Brochure (for members)\u00a0\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure_Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eSpanish\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/VNSNY-CHOICE_Medicare-Palliative_Care_Brochure_Ch.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eChinese\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/CHOICE-Understanding-Care-Options-for-Medicare-Patients.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eComfort Care Options Flyer (for providers)\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCAPC - What is Palliative Care\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.capc.org\/about\/palliative-care\/\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003ePalliative Care Definition | What is Palliative Care | Center to Advance Palliative Care (capc.org)\\u003c\/span\\u003e\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.nhpco.org\/hospice-care-overview\/hospice-facts-figures\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNHPCO- Facts-Figures 2021\\u003c\/a\\u003e\\u003c\/span\\u003e (Available in PowerPoint or pdf)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items\":6,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->",
                                    "post_title": "Palliative Care for VNSNY CHOICE Medicare Patients",
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                                    "post_modified": "2022-07-26 10:04:55",
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                            "ID": 970,
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                            "post_date": "2020-07-31 15:13:39",
                            "post_date_gmt": "2020-07-31 15:13:39",
                            "post_content": "<!-- wp:paragraph -->\n<p>Credentialing is required for all physicians who provide services to VNSNY CHOICE members, as well as all other health professionals and facilities that are permitted to practice independently under state law and provide services to VNSNY CHOICE members, with the exception of hospital-based healthcare professionals.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>Our credentialing process is designed to protect members and provide continued assurance that potential and\/or currently participating providers meet the requirements necessary for the provision of quality care and service. The objectives of the VNSNY CHOICE Credentialing Program are to ensure that:<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list {\"ordered\":true} -->\n<ol><li>Members who join VNSNY CHOICE will have their care rendered by appropriately qualified providers<\/li><li>Each provider applicant has equal opportunity to participate<\/li><li>Adequate information pertaining to education, training, relevant experience, and other credentialing criteria is reviewed by the appropriate individuals prior to approval or denial by the Credentialing Subcommittee<\/li><\/ol>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><strong>NOTE<\/strong>: If you are one of the providers listed below, you will need to join our network through one of our delegated vendors. Please check here for information about how to <a href=\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/04\/VNSNY-CHOICE-Delegated-Vendor-Services-Contact-Information.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">contact the appropriate delegated vendor<\/a> directly.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li>Behavioral Health Specialist\/OMH or OASAS certified facility\/Substance Abuse provider<\/li><li>Dental provider&nbsp;<\/li><li>Optometrist&nbsp;<\/li><li>Transportation<\/li><li>Pharmacy provider&nbsp;<\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:acf\/faq {\n    \"id\": \"block_5f5a48ac393ca\",\n    \"name\": \"acf\\\/faq\",\n    \"data\": {\n        \"heading\": \"\",\n        \"_heading\": \"field_faq_heading\",\n        \"items_0_question\": \"How to Submit Credentialing Requests (New Practitioners)\",\n        \"_items_0_question\": \"field_faq_items_question\",\n        \"items_0_answer\": \"<div id=\\\"faq-question-1598555101117\\\" class=\\\"schema-faq-section\\\">\\r\\n<p>VNSNY CHOICE participates with\u00a0<a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/proview.caqh.org\\\/Login\\\/Index?ReturnUrl=%2f\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CAQH Proview<\\\/a>. Practitioners are required to complete the CAQH Proview credentialing application and make their information available to VNSNY CHOICE for use.<\\\/p>\\r\\n<p><strong>PLEASE NOTE<\\\/strong>: Once your contract is validated a VNSNY representative will provide a direct link to submit your request along with the supplemental documentation.<\\\/p>\\r\\n<p>To be credentialed, you will need to include the following with your request:<\\\/p>\\r\\n<\\\/div>\\r\\n<ul>\\r\\n\\t<li>Board Certification or Board Eligibility Letter<\\\/li>\\r\\n\\t<li>Copy of Curriculum Vitae\\\/Resume, including work history in a month\\\/year format (Gaps of 6 month or more must be accounted for)<\\\/li>\\r\\n\\t<li>Copy of Drug Enforcement Agency and\\\/or Controlled Dangerous Substances (CDS) certificate<\\\/li>\\r\\n\\t<li>Copy of Current Malpractice Insurance face sheet with required minimum limits<\\\/li>\\r\\n\\t<li>Summary of pending or settled malpractice cases\\\/necessary explanations<\\\/li>\\r\\n\\t<li>Current Hospital Affiliation Letter(s), Collaborative Agreement, or Hospital Admitting Arrangement<\\\/li>\\r\\n\\t<li>Current W9<\\\/li>\\r\\n\\t<li>HIV PCP Attestation (if applicable, SelectHealth Contracted Only)<\\\/li>\\r\\n<\\\/ul>\\r\\n<p><strong>What to Expect Next<br \\\/>\\r\\n<\\\/strong>Once your credentialing request has been submitted, you will hear from a Credentialing Specialist within 5 to 10 business days. You will receive one or more of the following:<\\\/p>\\r\\n<ul>\\r\\n\\t<li>\u00a0Signed and returned Provider Agreement<\\\/li>\\r\\n\\t<li>An email informing you of any missing information or additional required credentialing documents needed for approval. If you not supply this information within 10 business days, we will close out your application. You may re-apply after.<\\\/li>\\r\\n\\t<li>After a signed contract is received and your application is under initial review, you will receive an email informing you that your application is in the review process with the VNSNY Credentialing Department and by our Credentialing Subcommittee. It may take up to 60 days from date of this notification for the credentialing process to be completed. The Credentialing Subcommittee meets once during the last week of each month to review applications.<\\\/li>\\r\\n<\\\/ul>\\r\\n<div id=\\\"faq-question-1598555252293\\\" class=\\\"schema-faq-section\\\">\u00a0<\\\/div>\",\n        \"_items_0_answer\": \"field_faq_items_answer\",\n        \"items_1_question\": \"Minimum Criteria Required for Credentialing\\\/Recredentialing of Practitioners\",\n        \"_items_1_question\": \"field_faq_items_question\",\n        \"items_1_answer\": \"<ul>\\r\\n\\t<li>Signed application and agreement<\\\/li>\\r\\n\\t<li>Current unrestricted valid license to practice<\\\/li>\\r\\n\\t<li>Current Federal DEA (if provider type warrants)<\\\/li>\\r\\n\\t<li>Relevant Education and Training<\\\/li>\\r\\n\\t<li>Active enrollment and compliance with Medicaid (if applicable)<\\\/li>\\r\\n\\t<li>Hospital affiliation (if applicable)<\\\/li>\\r\\n\\t<li>Board Certified or Board Eligible<\\\/li>\\r\\n\\t<li>History of Professional Liability claims\\\/settlements\\\/judgements\\\/disciplinary actions<\\\/li>\\r\\n\\t<li>Professional Liability Insurance<\\\/li>\\r\\n\\t<li>Must not be excluded or precluded from participation with Medicaid or Medicare Programs<\\\/li>\\r\\n\\t<li>Must not have opted-out of participation with Medicare<\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_1_answer\": \"field_faq_items_answer\",\n        \"items_2_question\": \"Practitioner Rights\",\n        \"_items_2_question\": \"field_faq_items_question\",\n        \"items_2_answer\": \"<em><strong>During the credentialing process, practitioners have the following rights:<\\\/strong><\\\/em>\\r\\n<ul>\\r\\n \\t<li>To review Information obtained in support of their credentialing applications, excluding references, recommendations, or other peer review-protected material<\\\/li>\\r\\n \\t<li>To correct erroneous information, in writing<\\\/li>\\r\\n \\t<li>To be informed of the status of their credentialing\\\/recredentialing application<\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_2_answer\": \"field_faq_items_answer\",\n        \"items_3_question\": \"Practitioner Recredentialing\",\n        \"_items_3_question\": \"field_faq_items_question\",\n        \"items_3_answer\": \"<p class=\\\"schema-faq-answer\\\">VNSNY CHOICE requires all practitioners to complete recredentialing every three years. At least 6 months prior to the end of the 3-year credentialing period providers will receive a notice from the Credentialing Department requesting the practitioner to update CAQH Proview and provide any supporting credentialing documentation needed for review and approval.<\\\/p>\\r\\n<p>It is essential all requested documents are submitted in a timely fashion. Failure to do so may result in termination from the provider network. Practitioners who are terminated from the network will need to complete their initial credentialing application and go through the approval process again.<\\\/p>\",\n        \"_items_3_answer\": \"field_faq_items_answer\",\n        \"items_4_question\": \"Facility and Institutional Credentialing & Recredentialing\",\n        \"_items_4_question\": \"field_faq_items_question\",\n        \"items_4_answer\": \"<p>VNSNY CHOICE requires facility providers to complete the\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/07\\\/VNSNY-CHOICE-Facility-Provider-Credentialing-Application_7.28.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">credentialing or recredentialing application<\\\/a>. Dependent on the below provider type supplemental documentation is requested and must accompany the application for review and approval.<\\\/p>\\r\\n<p><strong>Which Facilities Require Credentialing?<\\\/strong> The following facility providers require credentialing:<\\\/p>\\r\\n<ul>\\r\\n\\t<li>29-I Facilities (Voluntary Foster Care Agencies)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Clinical Laboratories<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Hospitals<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Home Health Agencies (LHCSA\\\/CHHA Agencies\\\/FI\\\/CDPAS)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Skilled Nursing Facilities<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Hospices<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Outpatient Rehabilitation Facilities<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Ambulatory Surgery Centers<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Dialysis Centers<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Outpatient Diabetes Self-Management Training<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Portable X-ray Suppliers<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Diagnostic Treatment Centers (DT&amp;C)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Federally Qualified Health Center (FQHC)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Durable Medical Equipment and Medical Supply Vendors (DME)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Radiology Centers<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Chore &amp; Housekeeping Services<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Environmental Modification Services\\\/CFCO<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Personal Emergency Response System (PERS)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Social Adult Day Care (SADC)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Home Delivered Meals<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">\u00a0Transportation (car\\\/livery service, ambulette, ambulance for non-emergency use)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Adult Day Health Care (Medical Day Programs)<\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\">Urgent Care Centers<\\\/li>\\r\\n<\\\/ul>\\r\\n<p><strong>Minimum facility qualifications and requirements<\\\/strong> for participating in VNSNY CHOICE networks include, but are not limited to:<\\\/p>\\r\\n<ul>\\r\\n\\t<li>Completed, signed, dated Facility Credentialing Application<\\\/li>\\r\\n\\t<li>Malpractice Insurance Coverage (in accordance to contract)<\\\/li>\\r\\n\\t<li>Current accreditation or acceptable site visit survey (w\\\/ Approved Plan of Corrections, if applicable)<\\\/li>\\r\\n\\t<li>Meets applicable licensing requirements (State Licensure\\\/Operating License\\\/Accreditation Documents)<\\\/li>\\r\\n\\t<li>Current proof of Medicare\\\/Medicaid Participation<\\\/li>\\r\\n\\t<li>Acceptable history with regards to malpractice claims<\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_4_answer\": \"field_faq_items_answer\",\n        \"items_5_question\": \"Delegated Credentialing\",\n        \"_items_5_question\": \"field_faq_items_question\",\n        \"items_5_answer\": \"<p>VNSNY CHOICE may choose to delegate provider credentialing and recredentialing to certain organizations that are subject to established policies and protocol. VNSNY CHOICE maintains the responsibility for ensuring that the delegated functions are being performed according to VNSNY CHOICE standards. VNSNY has the right to approve, suspend, or terminate providers.<\\\/p>\\r\\n<p><strong>Delegated Roster Submissions<\\\/strong><\\\/p>\\r\\n<p>Delegated entities are required to submit monthly\\\/quarterly provider rosters through <a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/choice-provider-delegated-vendor-monthly-roster-form\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">this provider form<\\\/a>.<\\\/p>\\r\\n<p>The\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/05\\\/VNSNY-CHOICE_Delegated_Vendor_Template.xlsx\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Delegated Entities Provider Roster Template<\\\/a>\u00a0consists of:<\\\/p>\\r\\n<ul>\\r\\n\\t<li>Provider Termination\\\/Add\\\/Update<\\\/li>\\r\\n\\t<li>Location Termination\\\/Add<\\\/li>\\r\\n\\t<li>Demographic Updates\\\/Removals<\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_5_answer\": \"field_faq_items_answer\",\n        \"items_6_question\": \"Credentialing Forms and Documents\",\n        \"_items_6_question\": \"field_faq_items_question\",\n        \"items_6_answer\": \"<p>These documents will help you with the credentialing process and enable you to adhere to the proper requirements designated and outlined in the\u00a0<a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/08\\\/VNSNY-CHOICE-Provider-Manual.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Provider Manual<\\\/a>.<\\\/p>\\r\\n<ul>\\r\\n\\t<li class=\\\"schema-faq-answer\\\"><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/05\\\/VNSNY-CHOICE-Disclosure-of-Ownership-and-Conflict-Interest-Statement.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Disclosure of Ownership and Control Interest Statement<\\\/a><\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\"><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/IRS-W-9-Form.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">W-9<\\\/a><\\\/li>\\r\\n\\t<li class=\\\"schema-faq-answer\\\"><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/07\\\/Provider-Disclosure-Certification-NYDOH.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">NYSDOH Provider Disclosure Form<\\\/a><\\\/li>\\r\\n\\t<li><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/09\\\/CHOICE-Nurse-Practitioner-Form.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">NYSED NP Collaborative Relationships Attestation Form<\\\/a><\\\/li>\\r\\n\\t<li><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/05\\\/VNSNY-CHOICE-Hospital-Admitting-and-Coverage-Arrangement-Form.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">Hospital Admitting Arrangement Form<\\\/a><\\\/li>\\r\\n\\t<li><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2021\\\/05\\\/VNSNY-CHOICE-Collaborative-Practice-Arrangement-Form.pdf\\\" target=\\\"_blank\\\" rel=\\\"noopener\\\">Collaborative Arrangement Form (Mid-Level Practitioners Only)\u00a0<\\\/a><\\\/li>\\r\\n\\t<li><a class=\\\"noExitNotifier\\\" href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/selecthealth-hiv-pcp-provider-annual-attestation-form\\\/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">HIV PCP Annual Attestation for SelectHealth Providers<\\\/a><\\\/li>\\r\\n\\t<li><a href=\\\"https:\\\/\\\/www.vnsnychoice.org\\\/wp-content\\\/uploads\\\/2020\\\/08\\\/American-Disabilities-Act-ADA-Attestation.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">American Disabilities Act (ADA) Attestation<\\\/a><\\\/li>\\r\\n<\\\/ul>\",\n        \"_items_6_answer\": \"field_faq_items_answer\",\n        \"items\": 7,\n        \"_items\": \"field_faq_items\"\n    },\n    \"mode\": \"edit\",\n    \"wpClassName\": \"wp-block-acf-faq\"\n} \/-->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
                            "post_title": "Credentialing Criteria and Resources",
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                        {
                            "ID": 974,
                            "post_author": "3",
                            "post_date": "2020-07-31 16:18:55",
                            "post_date_gmt": "2020-07-31 16:18:55",
                            "post_content": "<!-- wp:paragraph -->\n<p>Here you can find forms to join our network, update your demographic information, get prior authorizations for a patient\u2019s medications, and more. <a href=\"https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/credentialing\/\">You can find credentialing forms by clicking on this link<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"id\":\"block_5f24434084ee8\",\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Required for All Current Providers \",\"_resource_groups_0_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_0_resources_0_is_external_resource\":\"0\",\"_resource_groups_0_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_0_resources_0_heading\":\"Provider Disclosure Certification\",\"_resource_groups_0_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_0_resources_0_description\":\"\\u003cp\\u003eYou are required to fill out and return this Provider Disclosure Certification form to VNSNY CHOICE. Please return it by December 31, 2021.\\u003c\/p\\u003e\\r\\n\\r\\n\\u003cp\\u003eYou can scan the completed document and email it as an attachment to: \\u003ca href=\\u0022mailto:CHOICEcompliancecertification@vnsny.org\\u0022 target=\\u0022_top\\u0022\\u003eCHOICEcompliancecertification@vnsny.org\\u003c\/a\\u003e.\\r\\n\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e Or you can print it out and mail it to:\\r\\n\\u003cbr\\u003eVNSNY CHOICE Health Plans\\r\\n\\u003cbr\\u003e220 East 42nd Street, Third Floor\\r\\n\\u003cbr\\u003eNew York, NY 10017\\r\\n\\u003cbr\\u003eATTN: Provider Operations\\u003c\/p\\u003e\",\"_resource_groups_0_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_0_resources_0_files_0_file\":297,\"_resource_groups_0_resources_0_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_0_resources_0_files_0_label\":\"NYDOH Provider Disclosure Certification\",\"_resource_groups_0_resources_0_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_0_resources_0_files\":1,\"_resource_groups_0_resources_0_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_0_resources\":1,\"_resource_groups_0_resources\":\"field_resources_resource_groups_resources\",\"resource_groups_1_heading\":\"Forms for New Providers \",\"_resource_groups_1_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_1_resources_0_is_external_resource\":\"1\",\"_resource_groups_1_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_1_resources_0_external_resource\":{\"title\":\"Join now\",\"url\":\"https:\/\/www.vnsnychoice.org\/choice-provider-contract-request-form\/\",\"target\":\"_blank\"},\"_resource_groups_1_resources_0_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_1_resources_0_disable_exit_notifier\":\"1\",\"_resource_groups_1_resources_0_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_1_resources_0_heading\":\"Join The VNSNY CHOICE Network\",\"_resource_groups_1_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_1_resources_0_description\":\"Thank you for your interest in joining our CHOICE Provider Network. To get started, please submit your request for participation.\",\"_resource_groups_1_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_1_resources\":1,\"_resource_groups_1_resources\":\"field_resources_resource_groups_resources\",\"resource_groups_2_heading\":\"Forms for Current Providers \",\"_resource_groups_2_heading\":\"field_resources_resource_groups_heading\",\"resource_groups_2_resources_0_is_external_resource\":\"1\",\"_resource_groups_2_resources_0_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_0_external_resource\":{\"title\":\"MLTC Referral Form\",\"url\":\"https:\/\/www.vnsnychoice.org\/mltc-referral-form\/\",\"target\":\"\"},\"_resource_groups_2_resources_0_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_0_disable_exit_notifier\":\"0\",\"_resource_groups_2_resources_0_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_0_heading\":\"Make a Referral to CHOICE MLTC \",\"_resource_groups_2_resources_0_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_0_description\":\"\\u003cp\\u003eTo refer a patient to VNSNY CHOICE Medicaid Managed Long Term Care, please:\\u003c\/br\\u003e\\r\\n1) Discuss the program with the individual and obtain their permission for VNSNY CHOICE to contact them.\\u003c\/br\\u003e\\r\\n2) Complete and submit this form.\",\"_resource_groups_2_resources_0_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_1_is_external_resource\":\"0\",\"_resource_groups_2_resources_1_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_1_heading\":\"CDPAS Recertification \u2013 Physician Order Form \",\"_resource_groups_2_resources_1_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_1_description\":\"CHOICE Total and MLTC Members can have their home care service provided by a consumer directed personal care assistant through Consumer Directed Personal Assistance Services (CDPAS). The Physician Order form is required during the initial assessment and every six months during CDPAS recertification.\",\"_resource_groups_2_resources_1_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_1_files_0_file\":9010,\"_resource_groups_2_resources_1_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_2_resources_1_files_0_label\":\"Form\",\"_resource_groups_2_resources_1_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_2_resources_1_files\":1,\"_resource_groups_2_resources_1_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_2_resources_2_is_external_resource\":\"1\",\"_resource_groups_2_resources_2_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_2_external_resource\":{\"title\":\"Take me there\",\"url\":\"https:\/\/www.vnsnychoice.org\/vnsny-choice-provider-demographic-update-form\/\",\"target\":\"_blank\"},\"_resource_groups_2_resources_2_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_2_disable_exit_notifier\":\"0\",\"_resource_groups_2_resources_2_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_2_heading\":\"Demographic Update Form\",\"_resource_groups_2_resources_2_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_2_description\":\"Participating PCPs and Specialists: Here's a quick and easy way to let us know about changes to your information!\",\"_resource_groups_2_resources_2_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_3_is_external_resource\":\"1\",\"_resource_groups_2_resources_3_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_3_external_resource\":{\"title\":\"Submit EFT Requests\",\"url\":\"https:\/\/www.vnsnychoice.org\/choice-provider-eft-request-form\",\"target\":\"\"},\"_resource_groups_2_resources_3_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_3_disable_exit_notifier\":\"0\",\"_resource_groups_2_resources_3_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_3_heading\":\"EFT Request Form\",\"_resource_groups_2_resources_3_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_3_description\":\"To set up EFT payments, fill out\u00a0this VNSNY CHOICE EFT Request Form by clicking on the link above. \\u003c\/br\\u003ePlease note: in order to begin receiving EFT payments and remittances, you will also need to enroll with Availity to receive ERA files. See \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/claims-billing-and-payments#electronic-payment\\u0022 target=\\u0022_top\\u0022\\u003eElectronic Payment for Providers\\u003c\/a\\u003e for details.\",\"_resource_groups_2_resources_3_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_4_is_external_resource\":\"1\",\"_resource_groups_2_resources_4_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_4_external_resource\":{\"title\":\"Submit Claim Disputes\",\"url\":\"https:\/\/www.vnsnychoice.org\/vnsny-choice-provider-claims-dispute-form\/\",\"target\":\"_blank\"},\"_resource_groups_2_resources_4_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_4_disable_exit_notifier\":\"1\",\"_resource_groups_2_resources_4_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_4_heading\":\"Provider Claim Dispute Form\",\"_resource_groups_2_resources_4_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_4_description\":\"Use this form to submit your claims disputes online. A VNSNY CHOICE representative will get back to you shortly.\",\"_resource_groups_2_resources_4_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_5_is_external_resource\":\"1\",\"_resource_groups_2_resources_5_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_5_external_resource\":{\"title\":\"CHOICE Provider Hospital-Based Delegated Vendor Roster Submission Form\",\"url\":\"https:\/\/www.vnsnychoice.org\/choice-provider-delegated-vendor-monthly-roster-form\/\",\"target\":\"\"},\"_resource_groups_2_resources_5_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_5_disable_exit_notifier\":\"1\",\"_resource_groups_2_resources_5_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_5_heading\":\"Delegated Roster Submissions\",\"_resource_groups_2_resources_5_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_5_description\":\"\\u003cp\\u003eDelegated entities are required to submit monthly\/quarterly provider rosters.\\u003c\/p\\u003e\\r\\n\\r\\n\\u003cp\\u003e\\u003cul\\u003eThe \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/05\/VNSNY-CHOICE_Delegated_Vendor_Template.xlsx\\u0022\\u003eDelegated Entities Provider Roster Template\\u003c\/a\\u003e consists of:\\r\\n\\u003cli\\u003eProvider Termination\/Add\/Update\\u003c\/li\\u003e\\u003cli\\u003e\\r\\nLocation Termination\/Add\\u003c\/li\\u003e\\r\\n\\u003cli\\u003eDemographic Updates\/Removals\\u003c\/li\\u003e\\u003c\/ul\\u003e\\u003c\/p\\u003e\\r\\n\\r\\n\\u003cp\\u003eVisit our \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/credentialing\/\\u0022 class=\\u0022noExitNotifier\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eCredentialing Page\\u003c\/a\\u003e for more information.\\u003c\/p\\u003e\",\"_resource_groups_2_resources_5_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources_6_is_external_resource\":\"1\",\"_resource_groups_2_resources_6_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_2_resources_6_external_resource\":{\"title\":\"SelectHealth HIV PCP Attestation Form\",\"url\":\"https:\/\/www.vnsnychoice.org\/selecthealth-hiv-pcp-provider-annual-attestation-form\/\",\"target\":\"_blank\"},\"_resource_groups_2_resources_6_external_resource\":\"field_resources_resource_groups_resources_external_resource\",\"resource_groups_2_resources_6_disable_exit_notifier\":\"1\",\"_resource_groups_2_resources_6_disable_exit_notifier\":\"field_resources_resource_groups_resources_disable_exit_notifier\",\"resource_groups_2_resources_6_heading\":\"SelectHealth HIV PCP Provider Annual Attestation Form\",\"_resource_groups_2_resources_6_heading\":\"field_resources_resource_groups_resources_heading\",\"resource_groups_2_resources_6_description\":\"\",\"_resource_groups_2_resources_6_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_2_resources\":7,\"_resource_groups_2_resources\":\"field_resources_resource_groups_resources\",\"resource_groups_3_heading\":\"Prior Authorization Request 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criteria and payments.\\u003c\/p\\u003e\",\"_resource_groups_3_resources_4_description\":\"field_resources_resource_groups_resources_description\",\"resource_groups_3_resources_4_files_0_file\":19288,\"_resource_groups_3_resources_4_files_0_file\":\"field_resources_resource_groups_resources_files_file\",\"resource_groups_3_resources_4_files_0_label\":\"Prior Authorization Form \",\"_resource_groups_3_resources_4_files_0_label\":\"field_resources_resource_groups_resources_files_label\",\"resource_groups_3_resources_4_files\":1,\"_resource_groups_3_resources_4_files\":\"field_resources_resource_groups_resources_files\",\"resource_groups_3_resources_5_is_external_resource\":\"0\",\"_resource_groups_3_resources_5_is_external_resource\":\"field_resources_resource_groups_resources_is_external_resource\",\"resource_groups_3_resources_5_heading\":\"Continuation Cabenuva Requests 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                            "post_title": "Forms for Providers and Patients",
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                            "ID": 983,
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                            "post_date": "2020-07-31 16:39:49",
                            "post_date_gmt": "2020-07-31 16:39:49",
                            "post_content": "<!-- wp:paragraph -->\n<p>Use the tools below to find network providers and pharmacies in each of our health plans.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnsnychoice.org\/#\/?plan=map\" target=\"_blank\" rel=\"noopener noreferrer\">VNSNY CHOICE Total (HMO D-SNP) Provider &amp; Pharmacy Search <\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnsnychoice.org\/#\/?plan=mltc\" target=\"_blank\" rel=\"noopener noreferrer\">VNSNY CHOICE MLTC Provider Search<\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:html -->\n<div class=\"wp-block-button is-style-outline wp-block-buttons\"><a class=\"wp-block-button__link noExitNotifier\" href=\"https:\/\/providersearch.vnsnychoice.org\/#\/?plan=sh\" target=\"_blank\" rel=\"noopener noreferrer\">SelectHealth Provider &amp; Pharmacy Search<\/a><\/div>\n<!-- \/wp:html -->\n\n<!-- wp:paragraph -->\n<p><strong><strong>Questions about Ancillary Services?<\/strong><\/strong><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>If you are a VNSNY CHOICE provider and have questions pertaining to one of our third-party providers, please use the contact information listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:table -->\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Audiology<\/strong><\/td><td>Hear USA<br>Vendor Provider Service Line: <a href=\"tel:1-800-333-3389\">1-800-333-3389<\/a>, Option 2<br><a rel=\"noreferrer noopener\" href=\"https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard\" target=\"_blank\">https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard<\/a><\/td><\/tr><tr><td><strong>Behavioral Health<\/strong><\/td><td>Beacon Health Options (formerly Value Options)<br>Vendor Provider Service Line: <a href=\"tel:1-800-397-1630\">1-800-397-1630<\/a><br><a rel=\"noreferrer noopener\" href=\"https:\/\/www.valueoptions.com\/pc\/eProvider\/providerLogin.do\" target=\"_blank\">https:\/\/www.valueoptions.com\/pc\/eProvider\/providerLogin.do<\/a><\/td><\/tr><tr><td><strong>Dental<\/strong><\/td><td>Healthplex<br>Vendor Provider Service Line: <a href=\"tel: 1-888-468-2183\">1-888-468-2183<br><\/a><a rel=\"noreferrer noopener\" href=\"https:\/\/www.healthplex.com\/provider\" target=\"_blank\">https:\/\/www.healthplex.com\/provider<\/a><\/td><\/tr><tr><td><strong>Pharmacy<\/strong><\/td><td>MedImpact<br>Vendor Provider Service Line: <a href=\"tel:1-800-788-2949\">1-800-788-2949<\/a><br><a rel=\"noreferrer noopener\" href=\"https:\/\/mp.medimpact.com\/physicianportal\/public\/Login.jsp\" target=\"_blank\">https:\/\/mp.medimpact.com\/physicianportal\/public\/Login.jsp<\/a><\/td><\/tr><tr><td><strong>Vision<\/strong><\/td><td>Superior Vision<br>Vendor Provider Service Line: <a href=\"tel:1-877-235-5317\">1-877-235-5317<\/a><br><a href=\"https:\/\/superiorvision.com\/eye-care-professionals\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/superiorvision.com\/eye-care-professionals<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n<!-- \/wp:table -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><br><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
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                            "post_modified": "2021-10-25 19:02:37",
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                        {
                            "ID": 17470,
                            "post_author": "6",
                            "post_date": "2022-02-18 16:54:22",
                            "post_date_gmt": "2022-02-18 21:54:22",
                            "post_content": "<!-- wp:paragraph -->\n<p>In the rapidly transforming world of healthcare, VNSNY CHOICE understands how important it is for you to stay up to date on changes that affect you, your practice, and your patients. Below are notices, recommendations, and updates that can help you keep track of changing standards and regulations. Check back regularly for new postings.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"textAlign\":\"center\",\"style\":{\"color\":{\"background\":\"#183c6c\"}},\"textColor\":\"white\"} -->\n<h2 class=\"has-text-align-center has-white-color has-text-color has-background\" id=\"h-newsletters-bulletins\" style=\"background-color:#183c6c\">Newsletters &amp; Bulletins<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/card-horizontal {\"id\":\"block_6210000c2e97f\",\"name\":\"acf\/card-horizontal\",\"data\":{\"image\":17867,\"_image\":\"field_card-horizontal_image\",\"link\":{\"title\":\"Read this issue\",\"url\":\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/08\/CHOICE-Provider-News_Summer-2022.pdf\",\"target\":\"_blank\"},\"_link\":\"field_card-horizontal_link\",\"content_label\":\"\",\"_content_label\":\"field_card-horizontal_content_label\",\"content_heading\":\"Read the latest issue\u2014Summer 2022\",\"_content_heading\":\"field_card-horizontal_content_heading\",\"content_subheading\":\"\",\"_content_subheading\":\"field_card-horizontal_content_subheading\",\"content_description\":\"\",\"_content_description\":\"field_card-horizontal_content_description\",\"content_authors\":\"\",\"_content_authors\":\"field_card-horizontal_content_authors\",\"content_small_links_0_link\":{\"title\":\"See the most recent Provider News updates.\",\"url\":\"https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/08\/CHOICE-Provider-News_Summer-2022.pdf\",\"target\":\"_blank\"},\"_content_small_links_0_link\":\"field_card-horizontal_content_small_links_link\",\"content_small_links\":1,\"_content_small_links\":\"field_card-horizontal_content_small_links\",\"content\":\"\",\"_content\":\"field_card-horizontal_content\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p>Not on our mailing list? Sign up at the bottom of the page to receive Provider News updates right to your inbox.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"id\":\"block_621000372e980\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"All 2022 Issues\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/Provider-News_Spring-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eMay 2022 Issue\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/02\/CHOICE-Provider-News_Winter-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eFebruary 2022 Issue\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003cbr 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are Delayed to March\\u003c\/span\\u003e\\u003c\/a\\u003e (February 16, 2022)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"All 2021 Issues\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOctober 2021 Issue: \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/10\/Provider-News_Two-New-Medicare-Plans-Join-CHOICE.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eTwo New Medicare Plans Join CHOICE Family\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/CHOICE-Provider-News_Summer-2021.pdf\\u0022\\u003eAugust 2021 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2021)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/03\/VNSNY-CHOICE-Provider-News_CAHPS-Survey-Total-PCPs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eYour VNSNY CHOICE Total Patients May Be Surveyed About Care You Provide\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003cbr \/\\u003e\\r\\n(March 2, 2021)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/02\/CHOICE-Provider-News_Availity-EFT_eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eAlert Your Vendors: New Partner Handling CHOICE Online\\u003c\/span\\u003e \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eTransactions\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(February 25, 2021)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/01\/SelectHealth-Opioid-Use-Disorder-Notice_1-5-21.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eDiagnosing and Treating Opioid Use Disorder (OUD) During COVID-19\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(January 5, 2021)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"All 2020 Issues\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/11\/CHOICE-Provider-News-Introducing-CHOICE-SelectHealth-Sites.pdf\\u0022\\u003eNovember 2020 Issue\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/08\/VNSNY-CHOICE-Provider-News-Issue-4.pdf\\u0022\\u003eAugust 2020 Issue\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Provider-News-January-2020.pdf\\u0022\\u003eJanuary 2020 Issue\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/12\/CHOICE-Provider-Claims-Dispute-v-Appeal-blast_12.8.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAppeal a Claim or Dispute a Claim?\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(December 8, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/12\/CHOICE-Provider-Disclosure-Certificate-PDF-Blast_12.1.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider Disclosure Certification Form Required By End of Year\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(December 1, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/10\/CHOICE-Provider-News-Reassure-SelectHealth-Patients-About-Safety-of-In-Office-Visits.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eReassure SelectHealth Patients Needing Screens and Tests This Fall About the Safety of In-Office Visits\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(October 1, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/10\/CHOICE-Provider-News-Real-Time-Rx-Benefit-Check.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eReal-Time Prescription Benefits from CHOICE Partner MedImpact Going Live October 1\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(September 28, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/09\/CHOICE-Total-Provider-PCP-HEDIS-Telehealth-Update.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eCHOICE Total Provider Update: Using Telehealth for HEDIS Measures\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(September 22, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/08\/CHOICE-Provider-LogistiCare-Facilities-eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eAn Important Change for Arranging Non-Emergency Medical Transportation for VNSNY CHOICE Members\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(August 18, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/SelectHealth-Welcomes-SCOTUS-Ruling-6.16.20.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Celebrates SCOTUS Ruling on LGBTQ Rights\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(June 16, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Total-COVID-19-Telehealth-Guidance.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eUse of Telehealth Services During the COVID-19 Public Health Emergency for CHOICE Total Medicare Providers\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(May 14, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Telehealth-Guidance-eblast_corrected.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eUse of Telehealth During the COVID-19 State of Emergency\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(March 27, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Emergency-Pharmacy-Guidance-eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eEmergency Pharmacy Guidance for Prescribers\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(March 20, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CMS-Surveys-CHOICE-Total_LHCSA.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHelping Your CHOICE Total Clients with Surveys This Spring: LHCSAs and for PCPs\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(March 17, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Provider-Claims-Dispute-vs-Appeal.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003eAppeal a Claim vs. Dispute a Claim\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(March 13, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Novel-Coronavirus-HIV-NYCDOH-NYSDOH.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNovel Coronavirus and People with HIV: a joint statement from the NYC Health Department and the NYS Department of Health\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(March 13, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-COVID-19-Preparedness.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePreparedness for COVID-19\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0(March 10, 2020)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Opioid-Safety-Edit-Reminder.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eOpioid safety edits were implemented January 1, 2019\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(January 7, 2020)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"All 2019 Issues\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eProvider News\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Provider-Newsletter-October-2019.pdf\\u0022\\u003eOctober 2019 Issue\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eBulletins\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Provider-Disclosure-Certificate.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e2019 Provider Certifications\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0(November 7, 2019)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/SelectHealth-geo-expansion-provider-news.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Expands to Westchester and Nassau Counties\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(October 27, 2019)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/SelectHealth-Opioid-Safety-Edit-Changes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eImportant Changes to Opioid Safety Edits for SelectHealth Providers\\u003c\/a\\u003e\u00a0\\u003c\/span\\u003e(October 4, 2019)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items\":4,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\",\"style\":{\"color\":{\"background\":\"#183c6c\"}},\"textColor\":\"white\"} -->\n<h2 class=\"has-text-align-center has-white-color has-text-color has-background\" id=\"h-guideline-and-policy-updates\" style=\"background-color:#183c6c\">Guideline and Policy Updates <\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:heading {\"level\":3,\"style\":{\"color\":{\"text\":\"#8796a1\"}}} -->\n<h3 class=\"has-text-color\" id=\"h-for-all-vnsny-choice-providers\" style=\"color:#8796a1\">For All VNSNY CHOICE Providers<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/faq {\"id\":\"block_62268512828b5\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Alert Your Vendors: New Partner Handling CHOICE Online Transactions \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eThis is a reminder that effective February 22, 2021, Availity is the preferred\\u003cbr \/\\u003e\\r\\nElectronic Data Interchange (EDI) and Portal vendor for VNSNY CHOICE Health Plans transactions. \u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eYou can also expedite your payments with EFT. To receive ERA files, enroll with Availity directly.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease download this \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2021\/02\/CHOICE-Provider-News_Availity-EFT_eblast.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eProvider News Update\\u003c\/a\\u003e for more details.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eResumption of Prior Authorization Activities 7\/7\/2020:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eGiven the importance of medical review activities to CMS\u2019 program integrity efforts, CMS will discontinue exercising enforcement discretion for the Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items\u00a0beginning on August 3, 2020, regardless of the status of the public health emergency.\u00a0For Power Mobility Devices and Pressure Reducing Support Surfaces that require prior authorization as a condition of payment, claims with an initial date of service on or after August 3, 2020 must be associated with an affirmative prior authorization decision to be eligible for payment.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAdditionally, prior authorization will be required for certain Lower Limb Prosthetics (L5856, L5857, L5858, L5973, L5980, and L5987), with dates of service on or after December 1, 2020.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease see more information\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/files\/document\/provider-burden-relief-faqs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e. The Required Prior Authorization list can be found\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/DMEPOS\/Downloads\/DMEPOS_PA_Required-Prior-Authorization-List.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items\":2,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"level\":3,\"style\":{\"color\":{\"text\":\"#8796a1\"}}} -->\n<h3 class=\"has-text-color\" id=\"h-for-vnsny-choice-medicare-providers\" style=\"color:#8796a1\">For VNSNY CHOICE Medicare Providers<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/faq {\"id\":\"block_5f60dc156d3a9\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Requests for Cabenuva \",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eCabenuva is on the pharmacy formulary for our Medicare plans. If you would like to initiate a plan member on Cabenuva, please send a prescription to a specialty pharmacy.\u00a0\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Real-time Alerts for PCPs with Member Inpatient Admission or Discharge Information\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eAs part of a continued effort to alert VNSNY CHOICE Total (HMO D-SNP) primary care physicians (PCPs) of member health changes in real time, we are pleased to announce the 2021 rollout of a new report containing member inpatient admission or discharge information.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eMember PCPs should expect to receive this alert each time a member is admitted and discharged from an inpatient facility via secure email or secure e-fax.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eCHOICE requests that providers review the information upon receipt and enter all pertinent information \\u003c\/strong\\u003e\\u003cstrong\\u003einto the patient\u2019s medical record\\u003c\/strong\\u003e. Within the alert providers will find the following:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eMember demographic information\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAdmitting provider, diagnosis, and date\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDischarge diagnosis, date, and length of stay (if applicable)\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eOther transitions of care best practices include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eSchedule follow-up visits within 14 days of discharge (in office, in home, or telehealth)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eConduct a medication reconciliation during a visit within 14 days of discharge, educating the patient or primary caregiver on any changes\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eTip\\u003c\/strong\\u003e: code medication reconciliation in your EMR to close quality gaps electronically:\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eTCM visit codes meet the Medication Reconciliation measure and close gaps\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eCPT code 99496 or 99495 for visits within 7 or 14 days, respectively\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCPT II \\u003cstrong\\u003e\u00ae \\u003c\/strong\\u003ecode 1111F meets the measure for visits between 1-30 days of discharge\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eReview any potential requirements for tests and treatments, and follow up as needed\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eCoordinate with the VNSNY CHOICE Care Manager for assistance with referrals for in-network specialists and other services\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eThese alerts are aimed at assisting providers in meeting the HEDIS\u00ae Transition of Care (TRC) measure, among others. Two TRC measure components include:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eDocumentation in the medical record\\u003c\/strong\\u003e that \\u003cstrong\\u003einpatient admission notification\\u003c\/strong\\u003e was received on the day of admission or the two following days (3 days total).\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eDocumentation in the medical record\\u003c\/strong\\u003e that \\u003cstrong\\u003edischarge information was received\\u003c\/strong\\u003e on the day of discharge or the two following days (3 days total).\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eThank you for your dedication to CHOICE members and their health.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have any questions, or if you would like transitions of care workflow training for your office staff, please contact the VNSNY CHOICE Quality Management Team at: \\u003ca href=\\u0022mailto:QualityManagement@vnsny.org\\u0022\\u003eQualityManagement@vnsny.org\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Hospice Benefit Update \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eVNSNY CHOICE Total (HMO D-SNP) is pleased to announce its designation as a CMS Innovation Center Model participant for the Hospice Benefit Program beginning January 1, 2021. Learn more on our \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/hospice-benefit\/\\u0022\\u003eHospice Benefit FAQ page\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/span\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Telehealth Guideline Updates \",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/09\/CHOICE-Quality-HEDIS-Telehealth-Updates.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eNew Guidelines for Telehealth Interventions in four HEDIS Quality Measures\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\n(For VNSNY CHOICE Total Providers Only)\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Opioid Safety Edits Reminder \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eOn January 1, 2019 an important change was implemented that may continue to affect your patients. In order to prevent prescription drug abuse and improve the safety of prescription medications, CMS (Centers for Medicare and Medicaid Services), requires all Part D plans to follow opioid safety edits and a Drug Management Program. Recently, VNSNY CHOICE sent a \\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/CHOICE-Opioid-Safety-Prescriber-Letter.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eletter to all in-network CHOICE Total prescribers\\u003c\/a\\u003e to help keep you informed about what you need to know. You can also find more information about these requirements on our \\u003ca href=\\u0022\/opioid-safety-edits\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eOpioid Safety Edits\\u003c\/a\\u003e page.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items\":5,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"level\":3,\"style\":{\"color\":{\"text\":\"#8796a1\"}}} -->\n<h3 class=\"has-text-color\" id=\"h-for-selecthealth-providers\" style=\"color:#8796a1\">For SelectHealth Providers<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/faq {\"id\":\"block_5f60dcef6d3ac\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"Submitting a Medicaid Prescription Claim? Make Sure You're Enrolled in Medicaid.\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003eEffective 9\/1\/2022: MedImpact Healthcare will deny SelectHealth from VNS Health\u2019s Medicaid Prescription claims if they are submitted from providers (practitioners and pharmacies) that are \\u003cstrong\\u003eNOT\\u003c\/strong\\u003e enrolled with New York State Medicaid Program.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nTo initiate provider enrollment with the New York State Medicaid Program, visit: \\u003ca href=\\u0022https:\/\/www.emedny.org\/info\/providerenrollment\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/www.emedny.org\/info\/providerenrollment\/\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eFor more information, please \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/08\/SelectHealth_Pharmacy_Enrollment_SCC_Code_8-31-22.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003echeck this communication provided to pharmacies\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"SelectHealth Members Get New ID Cards\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eNew SelectHealth ID cards were recently mailed to all members. They look virtually the same as the old ID cards. The only difference is that they bear the plan\u2019s new name, SelectHealth from VNS Health.\u00a0\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/08\/Provider-News_SelectHealth-Members-Get-New-ID-Cards.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eLearn more\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"OnTrackNY Behavioral Health Treatment Program \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eOnTrackNY is an innovative treatment program for adolescents and young adults who have had unusual thoughts and behaviors or who have started hearing or seeing things that others don\u2019t. OnTrackNY helps people achieve their goals for school, work, and relationships.\u00a0\\u003cstrong\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/ontrackny.org\/Contact\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ePrograms\\u003c\/a\\u003e\\u003c\/span\\u003e\\u003c\/strong\\u003e\u00a0are located throughout New York State.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eEligibility criteria\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe program is for adolescents and young adults between the ages of 16 and 30 who have recently begun experiencing psychotic symptoms, such as hallucinations, unusual thoughts or beliefs, or disorganized thinking, for more than a week but less than 2 years.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eServices offered by OnTrackNY\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOnTrackNY utilizes a \u201cshared decision making\u201d model and involves:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eComprehensive treatment using evidence-based practices delivered by an integrated clinical team specializing in early psychosis.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePsychiatric treatment, employment and educational support, substance abuse treatment, family education and support, CBT-informed individual psychotherapy, and other services as needed.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eHow to make a referral to OnTrackNY\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eContact your nearest \\u003ca href=\\u0022https:\/\/ontrackny.org\/Contact\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003eOnTrackNY program site\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Cabenuva Requests\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003e\\u003cstrong\\u003eThe basics\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSelectHealth from VNSHealth covers Cabenuva, an injectable treatment for HIV that is administered by a physician. Cabenuva is covered as a medical benefit directly by SelectHealth so you do not need to send a request to our pharmacy benefits manager, MedImpact. The medication is supplied by a central pharmacy directly to the provider who will administer it.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eStarting a SelectHealth patient on Cabenuva requires the prescriber to fill out this \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/06\/SelectHealth-Initial-Cabenuva-Request-Form.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003ePrior Authorization Request Form\\u003c\/strong\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e and fax the completed form to 646-459-7731.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThe request will be reviewed by the SelectHealth Medical Management team according to FDA guideline criteria. For ongoing treatment, the prescriber will need to fill out and fax in a Cabenuva continuation form every six months.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eIf you have any questions about this process, please call \\u003cstrong\\u003e\\u003ca href=\\u0022tel:1-866-791-2215\\u0022\\u003e1-866-791-2215\\u003c\/a\\u003e, Option 3\\u003c\/strong\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eFor \\u003cstrong\\u003e\\u003cem\\u003einitial\\u003c\/em\\u003e\\u003c\/strong\\u003e Cabeuva requests, please: Fill out this \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/06\/SelectHealth-Initial-Cabenuva-Request-Form.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003ePrior Authorization Request Form\\u003c\/strong\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e and fax it back to 646-459-7731.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eFor \\u003cstrong\\u003e\\u003cem\\u003econtinuation\\u003c\/em\\u003e\\u003c\/strong\\u003e Cabenuva requests: Fill out this \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/06\/SelectHealth-Continued-Cabenuva-Request-Form.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003ePrior Authorization Request Form\\u003c\/strong\\u003e\\u003c\/span\\u003e\\u003c\/a\\u003e\u00a0and fax back to 646-459-7731.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eCall \\u003ca href=\\u0022tel:1-866-791-2215\\u0022\\u003e1-866-791-2215\\u003c\/a\\u003e, Option 3, with any questions.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eInitial Request Criteria\\u003c\/strong\\u003e\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA request to start your patient on Cabenuva requires an approval from our Medical Management team. Our guideline criteria for Cabenuva are:\\u003c\/p\\u003e\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eDoes the member have a diagnosis of human Immunodeficiency virus type 1 (HIV-1) infection?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIs the member 18 years of age or older?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIs the member virologically suppressed (HIV-1 RNA less than 50 copies per mL)? Please note we expect VL load to be drawn every 6 months while on Cabenuva therapy.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePlease provide last VL and Date\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIs the member on a stable antiretroviral regimen with no history of treatment failure and with no known or suspected resistance to either cabotegravir or rilpivirine?\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eIs the member currently taking on any of these medications listed? These medications are contraindicated:\\r\\n\\r\\n\\u003col\\u003e\\r\\n\\t\\u003cli\\u003eAnticonvulsants: Carbamazepine, oxcarbazepine, phenobarbital, phenytoin\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAntimycobacterials: Rifabutin, rifampin, rifapentine\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eGlucocorticoid (systemic): Dexamethasone (more than a single-dose treatment)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHerbal product: St John\u2019s wort (Hypericum perforatum)\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eAny other antiviral medication for the treatment of HIV-1 and hepatitis\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDid member receive an oral lead in dose with Vocabria (cabotegravir 30-mg) and Edurant (rilpivirine 25-mg) oral tablets, both taken once daily with a meal, for approximately 1 month (at least 28 days) to assess tolerability? *Please note oral lead in dose is optional*\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDo you attest that the member has no issues with adherence and is coming in monthly for their injections?\\u003c\/li\\u003e\\r\\n\\u003c\/ol\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePayment\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eSelectHealth does not require the presciber or facility to pay for Cabenuva and then request reimbursement (so called \u201cBuy and Bill\u201d), since this is not possible at many sites of care. Instead, we have arranged to pay directly once the medication is approved.\\u003c\/p\\u003e\\r\\n\\u003cp style=\\u0022text-align: left;\\u0022\\u003eBased on updated FDA guidelines, the oral lead in is no longer required but remains an option. In addition, administration every two months at a higher dose is an available option. The application form requires selecting the dose you would like your patient on.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Prescriber Billing Codes \",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003eNew York State has executed a state-direct supplemental rebate agreement with Sarepta for drugs used to treat Duchenne Muscular Dystrophy (DMD). This policy went into effect on April 1, 2022.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/provider-toolkit#references-guides-and-fact-sheets\\u0022\\u003eCheck the Prescriber Billing Codes in the Reference Guides and Fact Sheets section of the Provider Toolkit for details\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Providing Services for Children in Foster Care\",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003eAs a SelectHealth network provider, you may find yourself in a position to provide services for a new group of Medicaid Managed Care (MMC) enrollees who require trauma-informed care: children\/youth in direct placement foster care and in the care of Voluntary Foster Care Agencies (VFCA).\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease download this \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/01\/Letter-to-SelectHealth-VFCA-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eLetter for Network Providers\\u003c\/a\\u003e for more information about coordinating services, pharmacy benefits, and the Initial Medical Assessment that is required within the first 30 days of the child or youth's placement.\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"Drug Formulary: MAT (Medication Assisted Treatment) Formulary Alignment Changes: Effective March 22, 2022\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eOn December 22, 2021, Governor Hochul signed a new law that amends the Social Services Law and the Public Health Law, which relate to medication for the treatment of substance use disorders. \\u003cstrong\\u003eEffective March 22, 2022\\u003c\/strong\\u003e, prior authorization (PA) will not be required for medications for the treatment of substance use disorder prescribed according to generally accepted national professional guidelines. \\u003cstrong\\u003ePrescriptions written outside of accepted guidelines for the treatment of substance use disorder may be subject to Prior Authorization.\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eA Single Statewide Medication Assisted Treatment (MAT) Formulary was implemented on October 1, 2021. The \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/newyork.fhsc.com\/providers\/mat.asp\\u0022\\u003eSingle Statewide MAT Formulary\\u003c\/a\\u003e\\u003c\/span\\u003e\u00a0aligns coverage parameters across New York State (NYS) Medicaid fee-for-service (FFS) and Medicaid Managed Care (MMC).\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/03\/SelectHealth-MAT-Formulary-Pharmacy-Communication_effective-3.22.22.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eDownload this provider notice for summary of changes\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/span\\u003e.\u00a0\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eFor Prescribers:\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eEffective March 22, 2022\\u003c\/strong\\u003e, prescriptions for brand name multi-source drugs will be filled with generic equivalents, as required by the NYS Social Services and Education Law\u2014unless the prescriber indicates \\u0022DAW\\u0022 and \\u0022Brand Medically Necessary (BMN)\\u0022 on the prescription. The prescriber must also make a notation in the medical record of the Medicaid member stating that the drug is \\u0022BMN\\u0022 and the reason that a brand name multi-source drug is required.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease check this \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/03\/SelectHealth-MAT-Formulary-Pharmacy-Communication_effective_3.22.22.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eupdated pharmacy communication\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/span\\u003e regarding upcoming MAT Formulary Alignment updates for guidance on billing successfully for Brand medications when Generic equivalents exists.\\u003c\/p\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"h-\"><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:acf\/content-feed {\"id\":\"block_5f85f5664719c\",\"name\":\"acf\/content-feed\",\"data\":{\"heading\":\"\",\"_heading\":\"field_content-feed_heading\",\"subheading\":\"\",\"_subheading\":\"field_content-feed_subheading\",\"content_type\":\"news\",\"_content_type\":\"field_content-feed_content_type\",\"news_feed_options_feed_type\":\"filtered\",\"_news_feed_options_feed_type\":\"field_content-feed_news_feed_options_feed_type\",\"news_feed_options_selected_filter\":\"91\",\"_news_feed_options_selected_filter\":\"field_content-feed_news_feed_options_selected_filter\",\"news_feed_options\":\"\",\"_news_feed_options\":\"field_content-feed_news_feed_options\",\"button\":\"\",\"_button\":\"field_content-feed_button\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading -->\n<h2 id=\"h-sign-up-for-provider-news-updates\">Sign Up for Provider News Updates<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:html -->\n<!-- Begin Mailchimp Signup Form -->\n<link href=\"\/\/cdn-images.mailchimp.com\/embedcode\/classic-10_7.css\" rel=\"stylesheet\" type=\"text\/css\">\n<style type=\"text\/css\">\n\t#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }\n\t\/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.\n\t   We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. *\/\n<\/style>\n<div id=\"mc_embed_signup\">\n<form action=\"https:\/\/vnsnychoice.us20.list-manage.com\/subscribe\/post?u=0908e20398e11f129a133c95f&amp;id=90f683ec64\" method=\"post\" id=\"mc-embedded-subscribe-form\" name=\"mc-embedded-subscribe-form\" class=\"validate\" target=\"_blank\" novalidate=\"\">\n    <div id=\"mc_embed_signup_scroll\">\n\t\n<div class=\"indicates-required\"><span class=\"asterisk\">*<\/span> indicates required<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-EMAIL\">Email Address  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"email\" value=\"\" name=\"EMAIL\" class=\"required email\" id=\"mce-EMAIL\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-FNAME\">First Name  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"FNAME\" class=\"required\" id=\"mce-FNAME\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-LNAME\">Last Name  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"LNAME\" class=\"required\" id=\"mce-LNAME\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-MMERGE7\">Provider Type  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"MMERGE7\" class=\"required\" id=\"mce-MMERGE7\">\n<\/div>\n\t<div id=\"mce-responses\" class=\"clear\">\n\t\t<div class=\"response\" id=\"mce-error-response\" style=\"display:none\"><\/div>\n\t\t<div class=\"response\" id=\"mce-success-response\" style=\"display:none\"><\/div>\n\t<\/div>    <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->\n    <div style=\"position: absolute; left: -5000px;\" aria-hidden=\"true\"><input type=\"text\" name=\"b_0908e20398e11f129a133c95f_90f683ec64\" tabindex=\"-1\" value=\"\"><\/div>\n    <div class=\"clear\"><input type=\"submit\" value=\"Subscribe\" name=\"subscribe\" id=\"mc-embedded-subscribe\" class=\"button\"><\/div>\n    <\/div>\n<\/form>\n<\/div>\n<script type=\"text\/javascript\" src=\"\/\/s3.amazonaws.com\/downloads.mailchimp.com\/js\/mc-validate.js\"><\/script><script type=\"text\/javascript\">(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[7]='MMERGE7';ftypes[7]='text';}(jQuery));var $mcj = jQuery.noConflict(true);<\/script>\n<!--End mc_embed_signup-->\n<!-- \/wp:html -->",
                            "post_title": "Provider News and Updates",
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                            "post_modified": "2022-09-02 16:47:16",
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                            "post_date": "2020-07-31 15:04:36",
                            "post_date_gmt": "2020-07-31 15:04:36",
                            "post_content": "<!-- wp:paragraph -->\n<p>Whether you\u2019re a new provider or a long-standing member of our network, you can find here basic information and tools you need for efficient service of your CHOICE clients and patients.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/faq {\"id\":\"block_5f60d941bb125\",\"name\":\"acf\/faq\",\"data\":{\"heading\":\"\",\"_heading\":\"field_faq_heading\",\"items_0_question\":\"New to Our Network?\",\"_items_0_question\":\"field_faq_items_question\",\"items_0_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-provider-welcome-letter.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e\\u003cstrong\\u003eWelcome From CHOICE Provider Relations\\u003c\/strong\\u003e\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eVNSNY CHOICE Orientation Training (All Health Plans)\\u003c\/strong\\u003e - \\u003cstrong\\u003eCOMING SOON\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nThis Provider Orientation Training presentation contains an introductory overview of all VNSNY CHOICE health plans. The presentation features a brief overview of benefits, eligibility, and goals for each health plan. It also features documents that will help you with the on-boarding process. Please reach out to your assigned account manager with any further questions.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/about-us\/\\u0022\\u003eAbout Our Plans\\u003c\/a\\u003e\\u003c\/strong\\u003e Find out more about our long term care and special needs plans.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"Reference Guides and Fact Sheets\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/02\/CHOICE-Provider-Reference-Guide_February-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003e\\u003cstrong\\u003eProvider Reference Guide\\u003c\/strong\\u003e\\u003c\/a\\u003e \\u003cstrong\\u003e(All Plans)\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nA convenient resource when you have questions about claims, member services, medical management, utilization, compliance, pharmacy, or participating labs.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/09\/VNSNY-CHOICE-Providers_Clinical-Practice-and-Preventive-Health-Guidelines_9.15.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eClinical Practice and Preventive Health Guidelines\\u003c\/a\\u003e (All Plans)\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/08\/VNSNY-CHOICE-HEDIS_QARR-Provider-Reference-Guide_MY2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eVNSNY CHOICE HEDIS QARR Provider Reference Guide \\u003c\/a\\u003e\u00a0\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nComfort Care Options\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/comfort-care-options-for-vnsny-choice-medicare-patients\/\\u0022\\u003eComfort Care Options for VNSNY CHOICE Medicare Patients\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eVNSNY CHOICE Medicare comfort care programs for members include palliative care and hospice care. These programs address the medical and social needs of patients living with a serious or end-of-life illness. \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/for-health-professionals-overview\/comfort-care-options-for-vnsny-choice-medicare-patients\/\\u0022\\u003e\\u003cstrong\\u003eLearn more\\u003c\/strong\\u003e\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/09\/Star-Rating_HOS-Survey-Questions_Provider_Talking-Points_CHOICE.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eHOS Survey Questions Talking Points\\u003c\/a\\u003e\\u003c\/strong\\u003e\u00a0 \u00a0\\u003cbr \/\\u003e\\r\\nSuggests talking points your practice may leverage to address the health topics included in the survey.\u00a0\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/CHOICE_CAHPS-Provider-Tip-Sheet.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eImproving Patient Experience and Quality of Care\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nHighlights CAHPS survey questions and gives tips on actions to take to meet quality standards.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/VNSNY-CHOICE_CAHPS-HOS-Provider-Checklist.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eCAHPS and Health Outcomes Survey Checklist\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nTracks annual HEDIS quality measures and recommends how to discuss them with patients.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/hospice-benefit\/\\u0022\\u003eMedicare Hospice Care FAQs for Hospice Providers\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eThe Hospice Care Benefit program is designed to increase patient access to hospice services and improve coordination between hospice providers and other clinicians at the patient\u2019s end of life.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eReferences for SelectHealth Providers\\u003c\/strong\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/07\/SelectHealth-Provider-Reference-Guide_July-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Provider Reference Guide\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nQuickly find out who to contact for specific plan information.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-SelectHealth-Advantage-Fact-Sheet.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Advantage Fact Sheet \\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nLearn more about SelectHealth, including special initiatives and program offerings.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/SelectHealth-Drug-Reference-for-Transgender-Care_Eng_10.20.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eTreatment of Gender-Dysphoric Persons Quick Reference Guide\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis guide provides a summary of recommended medication therapies along with their VNSNY CHOICE SelectHealth formulary coverage status.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003ePrescriber Billing Codes\u00a0\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003eSarepta Prescriber Billing Codes\u00a0\\u003c\/em\\u003e\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE-AMONDYS-45-CASIMERSEN-Injection_Billing-Codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eAmondys 45 (casimersen) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE-EXONDYS-51-ETEPLIRSEN-Injection_Billing-Codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eExondys 51 (eteplirsen) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/VNSNY-CHOICE-VYONDYS-53-GOLODIRSEN-Injection_Billing-Codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eVyondys 53 (golodirsen) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e\\u003cstrong\\u003eGenentech Prescriber Billing Codes\\u003c\/strong\\u003e\\u003c\/em\\u003e\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/avastin-bevacizumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAvastin (bevacizumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/herceptin-trastuzumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHerceptin (trastuzumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/perjeta-pertuzumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePerjeta (pertuzumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/xolair-omalizumab-CHOICE-SelectHealth-billing-codes.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eXolair (omalizumab) Prescriber Billing\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eFor assistance with billing questions, please call \\u003ca href=\\u0022tel:1-866-783-0222\\u0022\\u003e1-866-783-0222\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePrEP Prescribers Directory\\u003cbr \/\\u003e\\r\\nPlease use this online directory from the AIDS Institute to find providers offering the services listed below: \\u003ca href=\\u0022https:\/\/providerdirectory.aidsinstituteny.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/providerdirectory.aidsinstituteny.org\/\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eHIV\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHCV\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePrEP\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003ePEP\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eBuprenorphine\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eSTI Services\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eOpioid Overdose Prevention Program\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eIf you\u2019d like to register to be featured in the directory, visit \\u003ca href=\\u0022https:\/\/providerdirectory.aidsinstituteny.org\/Register\/RegisterCreate\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehttps:\/\/providerdirectory.aidsinstituteny.org\/Register\/RegisterCreate\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/03\/Diagnosing-and-Treating-Opioid-Use-Disorder.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eDiagnosing and Treating Opioid Use Disorder (OUD) During COVID-19\\u003c\/a\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePharmacy Vaccine Coverage and Billing Notice \\u003cbr \/\\u003e\\r\\nPlease download the \\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/CHOICE-SelectHealth-Pharmacy-Vaccine-Coverage-Billing.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePharmacy Vaccine Coverage and Billing Notice\\u003c\/a\\u003e, effective 5\/1\/2019.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOpioid Safety Edits Update\\u003cbr \/\\u003e\\r\\nEffective October 1, 2019, opioid analgesics prescribed to members of SelectHealth are subject to certain safety edits. Please read these \\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/CHOICE-SelectHealth-Opioid-Coverage-Update.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSelectHealth Opioid Coverage Updates\\u003c\/a\\u003e for more information.\\u003c\/p\\u003e\\r\\n\\u003cdiv\\u003e\\r\\n\\u003cp\\u003e\\u003cem\\u003e\\u003cstrong\\u003eBeacon Health Provider Reference Tools\\u003c\/strong\\u003e\\u003c\/em\\u003e \\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Beacon_Provider_Reference_Tool_IET.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eBeacon Health Options Provider Reference Tool - Alcohol and Other Drug Dependence Treatment\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis provider reference tool offers information about the initiation and engagement of treatment for alcohol and other drug dependence. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Beacon_Provider_Reference_Tool_FUH.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eBeacon Health Options Provider Reference Tool - Follow-Up After Mental Illness Hospitalization\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis provider reference tool offers information about the follow-up process after hospitalization for mental illness.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eSpecial Topics\\u003c\/strong\\u003e\\u003cem\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003e\\u003c\/em\\u003eMedicaid Fee for Service (FFS) Mosquito Repellent Coverage\\u003cbr \/\\u003e\\r\\nNYS FFS Medicaid will provide coverage for mosquito repellent when prescribed to enrollees who intend to travel to or return from a Centers of Disease Control (CDC) recognized area of localized Zika transmission. Read the \\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/DOH-Notice-for-Mosquito-Repellent-Coverage.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eDepartment of Health notice\\u003c\/a\\u003e for more information.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eICD-10 FAQ\\u003cbr \/\\u003e\\r\\nThe ICD-10 FAQ document is intended to provide a general overview of what can be expected with the transition from ICD-9 to ICD-10 as it impacts VNSNY CHOICE providers. Read the\\u003ca href=\\u0022\/wp-content\/uploads\/2020\/08\/ICD-10-FAQs-for-CHOICE-Providers.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003e ICD-10 FAQ document\\u003c\/a\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eJNC8: Recommendations: Changes in Diagnosis and Treatment of Hypertension\\u003cbr \/\\u003e\\r\\nHypertension is one of the most important preventable contributors to disease and death in the United States, leading to myocardial infarction, stroke, and renal failure when it is not detected early and treated appropriately. The Eighth Joint National Committee (JNC8) recently released evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypertension in adults. Read \\u003ca href=\\u0022\/wp-content\/uploads\/2020\/07\/JNC-8-for-Web.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eJNC8 Recommendations: Changes in Diagnosis and Treatment of Hypertension\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Access-and-Availability-Standards.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAccess and Availability Standards for Medicare Patients \\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nAccording to CMS, all health plans are required to maintain and monitor a network of appropriate providers, supported by written arrangements, that is sufficient to provide adequate access to covered services to meet the needs of the population served. This is a regulatory requirement that involves standards that must ensure that the hours of operation of the plan\u2019s providers are convenient to, and do not discriminate against, enrollees. The plan must also ensure that, when medically necessary, services are available 24 hours a day, 7 days a week. This includes requiring primary care physicians to have appropriate backup for absences. The standards should consider the enrollee\u2019s need and common waiting times for comparable services in the community. Please download this PDF for more information: https:\/\/www.cms.gov\/Regulations-and-Guidance\/Guidance\/Manuals\/downloads\/mc86c04.pdf\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/High-Risk-Medications.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHigh Risk Medications in the Elderly\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nAt VNSNY CHOICE, we know that effective medication management \u2014 especially among the elderly population \u2014 is one of the key strategies for improving quality of patient care and reducing avoidable ED visits and hospitalizations. The Pharmacy Quality Alliance (PQA) has developed a list of High Risk Medications, including their potential risks and safer treatment options.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Pain-Assessment-Body-Mass-Index-Chart.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ePain Assessment, BMI\/ Functional Status Chart\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis chart is available in case you do not have a way to document the result of a member's Pain Assessment, BMI, or Functional Status in your EMR system. VNSNY CHOICE created this sheet to keep in the member\u2019s chart to make it easier for you to document the member\u2019s health vitals accurately.\\u003c\/p\\u003e\\r\\n\\u003c\/div\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"Provider Webinar Series \",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eIn 2022, VNSNY CHOICE will be offering three provider education webinars: Minding the Gaps, Documentation, and Surveys and the Provider Role. \\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/2022-provider-webinar-series\/\\u0022\\u003eLearn more and register here\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003c\/span\\u003e.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003e2022 Webinars\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eMinding the Gaps\u00a0\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThis webinar is designed to help you understand:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eThe role providers play in Medicare Risk Adjustment\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow the annual wellness visit can impact payment rates in coming years\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow to ensure you\u2019re using the right billing codes to close HEDIS gaps\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eHow to improve workflows to ensure the accuracy of your billing and coding process\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cstrong\\u003eDocumentation\\u003c\/strong\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eThis webinar covers:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eDocumentation standards for accurate Medicare risk adjustment, including:\u00a0\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eChecklist for medical record review audit programs\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDocumentation integrity issues\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eDocumentation and coding for transitions of care\\r\\n\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003eOffice workflows to ensure coding and documentation standards for the four HEDIS Transitions of Care measures are met\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003eProgram to inform you via daily notifications about your patients with inpatient admissions\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003cspan style=\\u0022text-decoration: underline;\\u0022\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/provider-education-webinar-archive\/\\u0022\\u003eCheck here for previous Provider Education Webinars\\u003c\/a\\u003e\\u003c\/span\\u003e.\u00a0\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items_3_question\":\"Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items\",\"_items_3_question\":\"field_faq_items_question\",\"items_3_answer\":\"\\u003cp\\u003eResumption of Prior Authorization Activities 7\/7\/2020:\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eGiven the importance of medical review activities to CMS\u2019 program integrity efforts, CMS will discontinue exercising enforcement discretion for the Prior Authorization Process for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items\u00a0beginning on August 3, 2020, regardless of the status of the public health emergency.\u00a0For Power Mobility Devices and Pressure Reducing Support Surfaces that require prior authorization as a condition of payment, claims with an initial date of service on or after August 3, 2020 must be associated with an affirmative prior authorization decision to be eligible for payment.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAdditionally, prior authorization will be required for certain Lower Limb Prosthetics (L5856, L5857, L5858, L5973, L5980, and L5987), with dates of service on or after December 1, 2020.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003ePlease see more information\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/files\/document\/provider-burden-relief-faqs.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e. The Required Prior Authorization list can be found\u00a0\\u003ca href=\\u0022https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/DMEPOS\/Downloads\/DMEPOS_PA_Required-Prior-Authorization-List.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003ehere\u00a0(PDF)\\u003c\/a\\u003e.\\u003c\/p\\u003e\",\"_items_3_answer\":\"field_faq_items_answer\",\"items_4_question\":\"Fact Sheets and Forms for Your Patients\",\"_items_4_question\":\"field_faq_items_question\",\"items_4_answer\":\"\\u003cp\\u003e\\u003cstrong data-rich-text-format-boundary=\\u0022true\\u0022\\u003eHealth Information Exchange Facts and Forms\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nInformation in Spanish and English to share with your CHOICE patients explaining how the Health Information Exchange works. Includes an FAQ. (\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-HIE-Fact-Sheet_English.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-HIE-Fact-Sheet_Spanish.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e)\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nAuthorization for Access to Patient\/Member Information Through Health Information Exchanges (\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-Auth-for-Patient-Info-HIE_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-Auth-for-Patient-Info-HIE_Sp.pdf\\u0022\\u003eSpanish\\u003c\/a\\u003e)\\u003cbr \/\\u003e\\r\\n\\u003cbr data-rich-text-line-break=\\u0022true\\u0022 \/\\u003e\\r\\n\\u003cstrong\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Advanced-Directive_Plan.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAdvanced Care Planning Form\\u003c\/a\\u003e\\u003c\/strong\\u003e\\u003cbr \/\\u003e\\r\\nHealth Care organizations such as VNSNY CHOICE are required by New York State Department of Health regulations to provide information about Advanced Directives to all of our members.\\u003cbr \/\\u003e\\r\\nThe New York Health Care Proxy Law allows patients to appoint someone they trust, for example, a family member or close friend, to make health care decisions for them if they lose the ability to make decisions for themselves.\\u003cbr \/\\u003e\\r\\nAs sensitive as it can be, a proactive discussion of end-of-life issues with patients is extremely important to avoid confusion and potential discord regarding their preferences for care. VNSNY CHOICE has developed this downloadable one-page overview of Advance Care Planning that contains helpful suggestions and information about various forms of advance directives. We are also providing a basic Advance Care Planning Checklist to make it easier for you and your patients to assess needs.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nAdditional forms include the following:\\u003cbr \/\\u003e\\r\\nAppointing Your Health Care Proxy (\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Appointing-Health-Care-Proxy-New-York-State_Eng.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eEnglish\\u003c\/a\\u003e and \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/Appointing-Health-Care-Proxy-New-York-State-Sp.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSpanish\\u003c\/a\\u003e)\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/New-York-Advance-Directive-Planning-Guide.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York Advance Directive Planning Guide\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eCHOICE Medications Adherence Tip Sheet\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eVNSNY CHOICE knows the importance of medication adherence. This Medication Adherence tip sheet makes it easy for providers to help CHOICE members take the right meds at the right time \u2014 no matter how complex their medication regimens. In addition, the tip sheet will help empower members and caregivers to easily see what medications to take and when to take them. \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/CHOICE-Medication-Adherence-Tip-Sheet.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eRead the CHOICE Medications Adherence Tip Sheet\\u003c\/a\\u003e.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cstrong\\u003eWhat Is Medicaid?\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eVNSNY CHOICE offers helpful information about this important government program and \\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/how-to-apply-for-medicaid\/\\u0022\\u003eHow to Apply for Medicaid\\u003c\/a\\u003e that may be useful for both you and your patients or clients.\\u003c\/p\\u003e\",\"_items_4_answer\":\"field_faq_items_answer\",\"items_5_question\":\"Electronic Medical Records \",\"_items_5_question\":\"field_faq_items_question\",\"items_5_answer\":\"\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/03\/VNSNY-CHOICE-Supplemental-Data-Sharing_Provider-Information-Packet_2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noopener\\u0022\\u003eProvider EMR Data-Sharing - Provider Information Packet\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\nThe Provider Information Packet is a comprehensive guide to all aspects of VNSNY CHOICE\u2019s EMR flat file sharing initiative. In addition to the links below, it contains high-level summaries, timelines, initial and ongoing workflows, file format information, and FAQs. Providers and staff are encouraged to review this guide when sharing data with VNSNY CHOICE via EMR flat file, as it contains important information to ensure successful submission.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/03\/VNSNY-CHOICE-Supplemental-Data-Sharing-EMR_Measure-Definitions-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider EMR Data-Sharing \u2013 Measure Definitions\\u003c\/a\\u003e \\u003cbr \/\\u003e\\r\\nThis guide lists the measures providers may be asked to document details for in the VNSNY CHOICE member medical record. Definitions, applicable lines of business, and sample procedure codes are also included.\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/03\/VNSNY-CHOICE-Supplemental-Data-Sharing_EMR_Measure-Dictionary-2022.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eProvider EMR Data-Sharing \u2013 Measure Dictionary\\u003c\/a\\u003e\\u003cstrong\\u003e\\u003cbr \/\\u003e\\r\\n\\u003c\/strong\\u003eThe EMR data-sharing measure dictionary details the approaches providers may use to achieve measure compliance and close gaps. By utilizing these guidelines, providers will be able to assist VNSNY CHOICE in achieving and reporting total quality of care for our members. Specifications, key elements, and timelines are also presented for reference.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003e\\u0026nbsp;\\u003c\/p\\u003e\",\"_items_5_answer\":\"field_faq_items_answer\",\"items_6_question\":\"HIV Treatment Works Campaign\",\"_items_6_question\":\"field_faq_items_question\",\"items_6_answer\":\"\\u003cp\\u003eHere are some resources that may be helpful to those living with HIV\/AIDS, and their families.\\u003cbr data-rich-text-line-break=\\u0022true\\u0022 \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nVNSNY CHOICE SelectHealth supports the HIV Treatment Works (HTW) Campaign sponsored by the Centers for Disease Control and Prevention (CDC). The HTW campaign features people who are living with HIV talking about how sticking with care and treatment helps them stay healthy, protect other, and live longer, healthier lives.\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/campaigns\/hiv-treatment-works\/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Factagainstaids%2Fcampaigns%2Fhivtreatmentworks%2Findex.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eHIV Treatment Works (HTW) website\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fstophivtogether%2Fcampaigns%2Fhiv-treatment-works%2Fresources.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eWatch videos of people living well with HIV\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fstophivtogether%2Fcampaigns%2Fhiv-treatment-works%2Fresources.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eRead profiles of people living well with HIV\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/actagainstaids\/campaigns\/hivtreatmentworks\/resources\/index.html\\u0022\\u003eResources for people living well with HIV\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eHIV Tobacco Cessation Improvement Campaign The New York State Department of Health AIDS Institute is excited to announce the launch of the HIV Tobacco Cessation Improvement Campaign. Antiretroviral therapy is extending the lives of people living with HIV (PLWH); yet, in the US, PLWH who smoke lose over six years of life expectancy compared to PLWH who do not smoke. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nPlease let your patients know about the NYSDOH campaign to help improve the health of PLWH across New York State. Have them visit \\u003ca href=\\u0022http:\/\/www.hivtobaccofreeny.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003ewww.hivtobaccofreeny.org\\u003c\/a\\u003e to enroll and learn more about the campaign. \\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\nNew York State Policies and Guidelines\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/stophivtogether\/campaigns\/hiv-treatment-works\/index.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Factagainstaids%2Fcampaigns%2Fhivtreatmentworks%2Findex.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State Department of Health HIV Testing Policies and Procedures\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.hivguidelines.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State Department of Health Updates and Changes to HIV Treatment Guidelines\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.health.ny.gov\/diseases\/aids\/providers\/testing\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State HIV Testing Law - FAQs\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003eAdditional Resources\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.health.ny.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York State Department of Health\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www1.nyc.gov\/site\/doh\/index.page\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNew York City Department of Health\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/10\/Early-Acute-HIV.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eSigns and Symptoms of Acute\/Early HIV\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/aidsinfo.nih.gov\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eAIDSInfo (A Service of the U.S. Department of Health and Human Services)\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022http:\/\/www.aidsinfonet.org\/\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eThe AIDS InfoNet\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/hiv\/default.html\\u0022\\u003eCe\\u003c\/a\\u003e\\u003ca href=\\u0022https:\/\/www.cdc.gov\/hiv\/default.html\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003enters for Disease Control and Prevention\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003ca href=\\u0022https:\/\/www.womenshealth.gov\/hiv-and-aids\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eNational Women's Health Information Center\\u003c\/a\\u003e\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\",\"_items_6_answer\":\"field_faq_items_answer\",\"items\":7,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading -->\n<h2 id=\"h-sign-up-for-provider-news-updates\">Sign Up for Provider News Updates<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:html -->\n<!-- Begin Mailchimp Signup Form -->\n<link href=\"\/\/cdn-images.mailchimp.com\/embedcode\/classic-10_7.css\" rel=\"stylesheet\" type=\"text\/css\">\n<style type=\"text\/css\">\n\t#mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }\n\t\/* Add your own Mailchimp form style overrides in your site stylesheet or in this style block.\n\t   We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. *\/\n<\/style>\n<div id=\"mc_embed_signup\">\n<form action=\"https:\/\/vnsnychoice.us20.list-manage.com\/subscribe\/post?u=0908e20398e11f129a133c95f&amp;id=90f683ec64\" method=\"post\" id=\"mc-embedded-subscribe-form\" name=\"mc-embedded-subscribe-form\" class=\"validate\" target=\"_blank\" novalidate=\"\">\n    <div id=\"mc_embed_signup_scroll\">\n\t\n<div class=\"indicates-required\"><span class=\"asterisk\">*<\/span> indicates required<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-EMAIL\">Email Address  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"email\" value=\"\" name=\"EMAIL\" class=\"required email\" id=\"mce-EMAIL\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-FNAME\">First Name  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"FNAME\" class=\"required\" id=\"mce-FNAME\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-LNAME\">Last Name  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"LNAME\" class=\"required\" id=\"mce-LNAME\">\n<\/div>\n<div class=\"mc-field-group\">\n\t<label for=\"mce-MMERGE7\">Provider Type  <span class=\"asterisk\">*<\/span>\n<\/label>\n\t<input type=\"text\" value=\"\" name=\"MMERGE7\" class=\"required\" id=\"mce-MMERGE7\">\n<\/div>\n\t<div id=\"mce-responses\" class=\"clear\">\n\t\t<div class=\"response\" id=\"mce-error-response\" style=\"display:none\"><\/div>\n\t\t<div class=\"response\" id=\"mce-success-response\" style=\"display:none\"><\/div>\n\t<\/div>    <!-- real people should not fill this in and expect good things - do not remove this or risk form bot signups-->\n    <div style=\"position: absolute; left: -5000px;\" aria-hidden=\"true\"><input type=\"text\" name=\"b_0908e20398e11f129a133c95f_90f683ec64\" tabindex=\"-1\" value=\"\"><\/div>\n    <div class=\"clear\"><input type=\"submit\" value=\"Subscribe\" name=\"subscribe\" id=\"mc-embedded-subscribe\" class=\"button\"><\/div>\n    <\/div>\n<\/form>\n<\/div>\n<script type=\"text\/javascript\" src=\"\/\/s3.amazonaws.com\/downloads.mailchimp.com\/js\/mc-validate.js\"><\/script><script type=\"text\/javascript\">(function($) {window.fnames = new Array(); window.ftypes = new Array();fnames[0]='EMAIL';ftypes[0]='email';fnames[1]='FNAME';ftypes[1]='text';fnames[2]='LNAME';ftypes[2]='text';fnames[7]='MMERGE7';ftypes[7]='text';}(jQuery));var $mcj = jQuery.noConflict(true);<\/script>\n<!--End mc_embed_signup-->\n<!-- \/wp:html -->",
                            "post_title": "Provider Toolkit",
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                            "post_modified": "2022-09-23 17:31:59",
                            "post_modified_gmt": "2022-09-23 21:31:59",
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                                    "ID": 963,
                                    "post_author": "3",
                                    "post_date": "2020-07-31 15:10:20",
                                    "post_date_gmt": "2020-07-31 15:10:20",
                                    "post_content": "<!-- wp:heading -->\n<h2>NEW YORK STATE POLICIES&nbsp;<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>Please click on the links below to review New York State regulatory changes.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><em>New York State Regulations&nbsp;<\/em><br><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/VNSNY%20CHOICE_Notice_to_Providers_Concerning_New_York_State_Regulatory_Changes.original.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Regulatory Updates<\/a>&nbsp;(Effective January 1, 2010)<br><a href=\"http:\/\/www.health.ny.gov\/diseases\/aids\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Department of Health HIV Testing Policies and Procedures<\/a><br><a href=\"http:\/\/www.hivguidelines.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State Department of Health Updates and Changes to HIV Treatment Guidelines<\/a><br><a href=\"http:\/\/www.health.ny.gov\/diseases\/aids\/\" target=\"_blank\" rel=\"noreferrer noopener\">New York State HIV Testing Law -<\/a><a href=\"http:\/\/www.health.ny.gov\/diseases\/aids\/\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;Guidance<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2>VNSNY CHOICE POLICIES<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p><em>VNSNY&nbsp;CHOICE Health Plans Policies and Updates&nbsp;<\/em><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/VNSNY%20CHOICE%20Access%20and%20Availability%20Standards%20%2803.06.17%29.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNSNY CHOICE Access and Availability Standards&nbsp;(Medicare and SelectHealth)<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul><li><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/CHOICE-Health-Plans-Medicare-Model-of-Care.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNSNY CHOICE Medicare Model of Care<\/a><\/li><li><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/Talking_To_Members_About_Advance_Care_Planning_so.original.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Talking to Members About Advance-Care Planning<\/a><\/li><li>VNSNY CHOICE Health Plans Quick Reference Guides for Providers:<ul><li><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/CHOICE_Total_Provider_Guide.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNSNY CHOICE Total&nbsp;<\/a><\/li><li><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/CHOICE_MLTC_Provider_Guide_4.3.20.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">VNSNY CHOICE MLTC<\/a><\/li><li><a href=\"https:\/\/www.vnsnychoice.org\/sites\/default\/files\/SelectHealth-Provider-Reference-Guide_June-2020.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">SelectHealth<\/a><\/li><\/ul><\/li><\/ul>\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->",
                                    "post_title": "Policies",
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                                    "post_modified": "2020-08-05 18:20:44",
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                                    "ID": 966,
                                    "post_author": "3",
                                    "post_date": "2020-07-31 15:11:25",
                                    "post_date_gmt": "2020-07-31 15:11:25",
                                    "post_content": "<!-- wp:heading -->\n<h2><strong>VNSNY CHOICE THIRD-PARTY VENDORS&nbsp;<\/strong><\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>If you are a VNSNY CHOICE provider and have questions pertaining to one of our third-party providers, please use the contact information listed below.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Audiology<\/strong><br>Hear USA<br>Vendor Provider Service Line: 1-800-333-3389, Option 2<br><a href=\"https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/hearusa.net\/portal\/Account\/LogIn?ReturnUrl=%2fportal%2fDashboard<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Behavioral Health<\/strong><br>Beacon Health Options (formerly Value Options)<br>VNSNY CHOICE Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-800-397-1630<br><a href=\"https:\/\/www.valueoptions.com\/pc\/eProvider\/providerLogin.do\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.valueoptions.com\/pc\/eProvider\/providerLogin.do<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Dental<\/strong><br>Healthplex<br>VNSNY CHOICE Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-888-468-2183<br><a href=\"https:\/\/www.healthplex.com\/provider\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.healthplex.com\/provider<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Pharmacy<\/strong><br>MedImpact<br>VNSNY CHOICE Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-800-788-2949<br><a href=\"https:\/\/mp.medimpact.com\/physicianportal\/public\/Login.jsp\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/mp.medimpact.com\/physicianportal\/public\/Login.jsp<\/a><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Vision<\/strong><br>Superior Vision<br>VNSNY CHOICE Provider Services: 1-866-783-0222<br>Vendor Provider Service Line: 1-866-819-4298<br><a href=\"https:\/\/www.superiorvision.com\/provider\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.superiorvision.com\/provider<\/a><\/p>\n<!-- \/wp:paragraph -->",
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                                    "post_modified": "2020-08-05 18:20:44",
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                        {
                            "ID": 3842,
                            "post_author": "3",
                            "post_date": "2020-09-09 22:45:47",
                            "post_date_gmt": "2020-09-09 22:45:47",
                            "post_content": "<!-- wp:paragraph -->\n<p>The VNSNY CHOICE online formulary is a searchable listing that includes thousands of drugs for hundreds of ailments and conditions.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:acf\/resources {\"id\":\"block_5f596f70dd485\",\"name\":\"acf\/resources\",\"data\":{\"resource_groups_0_heading\":\"Formulary 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                            "post_title": "VNSNY CHOICE FORMULARY SEARCH",
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                    "post_date": "2021-02-05 17:34:23",
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                    "post_title": "Helpful Links for VNSNY CHOICE Providers",
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                    "post_date": "2021-11-15 10:46:19",
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                    "post_content": "<!-- wp:acf\/hero {\"id\":\"block_6192900be7bf3\",\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":\"\",\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"slanted_image_effect\":\"0\",\"_slanted_image_effect\":\"field_hero_slanted_image_effect\",\"image_to_edge\":\"0\",\"_image_to_edge\":\"field_hero_image_to_edge\",\"logo\":\"\",\"_logo\":\"field_hero_logo\",\"highlighted_text\":\"\",\"_highlighted_text\":\"field_hero_highlighted_text\",\"yellow_text\":\"0\",\"_yellow_text\":\"field_hero_yellow_text\",\"heading\":\"Medication Therapy Management (MTM)\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":\"\",\"_button\":\"field_hero_button\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/media-text {\"id\":\"block_6195700383aa5\",\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"narrower_media_width\":\"0\",\"_narrower_media_width\":\"field_media-text_narrower_media_width\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"Helping Your Medications Work Together for You\",\"_heading\":\"field_media-text_heading\",\"body\":\"\\u003cp\\u003eDo you take several medications for three or more health conditions? 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Enrollment in MTM is voluntary, but we strongly encourage you to take advantage of this free service.\\u003c\/p\\u003e\",\"_items_0_answer\":\"field_faq_items_answer\",\"items_1_question\":\"If I enroll, will my Part-D prescription drug benefits change in any way?\",\"_items_1_question\":\"field_faq_items_question\",\"items_1_answer\":\"\\u003cp\\u003eNo, enrollment in MTM does not affect your Medicare coverage for drugs.\\u003c\/p\\u003e\",\"_items_1_answer\":\"field_faq_items_answer\",\"items_2_question\":\"How does MTM work? What do I have to do? How much time does it take?\",\"_items_2_question\":\"field_faq_items_question\",\"items_2_answer\":\"\\u003cp\\u003eWe will review your prescription medications every three months, and if we find a potential problem, we will contact you, your caregiver if you wish, your pharmacist, and maybe your doctor, as well.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eOnce a year, a pharmacist or other health professional from our partner \\u003cstrong\\u003eMedWiseRx \\u003c\/strong\\u003ewill call you to discuss ways to use your medications safely. This conversation can also be in person or by telehealth at your pharmacy or doctor\u2019s office if that works better for you. The conversation usually lasts about 30 minutes. If you are unable to have this conversation, our partners may complete the review with your doctor instead.\\u003c\/p\\u003e\\r\\n\\u003cp\\u003eAfter the annual review, you will get a written summary of this call, which you can take with you when you talk with your doctors. This summary includes:\\u003c\/p\\u003e\\r\\n\\u003cul\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003eMedication Action Plan (MAP) \\u003c\/strong\\u003ewith steps you should take to help you get the best results from your medications.\\u003c\/li\\u003e\\r\\n\\t\\u003cli\\u003e\\u003cstrong\\u003ePersonal Medication List (PML) \\u003c\/strong\\u003eto help you keep track of your medications and how to use them the right way.\\u003c\/li\\u003e\\r\\n\\u003c\/ul\\u003e\\r\\n\\u003cp\\u003e\\u003ca class=\\u0022noExitNotifier\\u0022 href=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2020\/07\/VNSNY-CHOICE-Personal-Medication-List.pdf\\u0022 target=\\u0022_blank\\u0022 rel=\\u0022noreferrer noopener\\u0022\\u003eTo obtain a blank copy of the PML for you and your health care providers so you can keep track of your medications, click here.\\u003c\/a\\u003e\\u003cbr \/\\u003e\\r\\n\\u003cbr \/\\u003e\\r\\n\\u003cem\\u003ePersonal Medication List last updated 12\/7\/2021.\\u003c\/em\\u003e\\u003c\/p\\u003e\",\"_items_2_answer\":\"field_faq_items_answer\",\"items\":3,\"_items\":\"field_faq_items\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/divider {\"id\":\"block_6195726792174\",\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:paragraph -->\n<p>If you think you\u2019re eligible for MTM and would find this program helpful, or for more information, please call us at <a href=\"tel:1-844\u2010866\u20103735\">1-844\u2010866\u20103735<\/a> (TTY: <a href=\"tel:1-800-367-8939\">1-800-367-8939<\/a>), 10 am \u2013 8 pm, Monday \u2013 Friday.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p><strong>Available on January 1, 2022<\/strong>: If you have qualified for MTM and have questions, you can chat with our partners at MedWiseRx by going to <a href=\"https:\/\/www.medwise.com\/patient_experience\">medwise.com\/patient_experience<\/a>.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>H5549_MTMv2_C Accepted 12072021<\/p>\n<!-- \/wp:paragraph -->",
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                    "post_date": "2020-08-03 14:16:30",
                    "post_date_gmt": "2020-08-03 14:16:30",
                    "post_content": "<!-- wp:acf\/hero {\"id\":\"block_5f281a914dec5\",\"name\":\"acf\/hero\",\"data\":{\"background_image_image\":12106,\"_background_image_image\":\"field_hero_background_image_image\",\"background_image_caption\":\"\",\"_background_image_caption\":\"field_hero_background_image_caption\",\"background_image\":\"\",\"_background_image\":\"field_hero_background_image\",\"heading\":\"Health plans created to help you live well in the comfort of your home and community.\",\"_heading\":\"field_hero_heading\",\"subheading\":\"\",\"_subheading\":\"field_hero_subheading\",\"text\":\"\",\"_text\":\"field_hero_text\",\"button\":{\"title\":\"Learn more about our health plans\",\"url\":\"https:\/\/www.vnsnychoice.org\/our-plans\/\",\"target\":\"\"},\"_button\":\"field_hero_button\"},\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/announcement {\"id\":\"block_62827b2127422\",\"name\":\"acf\/announcement\",\"data\":{\"title\":\"\",\"_title\":\"field_announcement_title\",\"content\":\"\\u003cp style=\\u0022text-align: center;\\u0022\\u003e\\u003cimg class=\\u0022size-medium wp-image-15466 aligncenter\\u0022 style=\\u0022margin: 0 auto;\\u0022 role=\\u0022img\\u0022 src=\\u0022https:\/\/www.vnsnychoice.org\/wp-content\/uploads\/2022\/05\/vnsny-home-module.svg\\u0022 alt=\\u0022VNSNY is now VNS Health\\u0022 width=\\u0022520\\u0022 height=\\u0022300\\u0022 \/\\u003e\\u003c\/p\\u003e\\r\\n\\u003cp style=\\u0022text-align: center;\\u0022\\u003eIn the coming months, we\u2019ll be changing our name, too. But we\u2019ll still be the same health plan with the same benefits, services, and high quality of care you already know and trust.\\u003cbr \/\\u003e\\r\\n\\u003ca href=\\u0022https:\/\/www.vnsnychoice.org\/vnsny-is-now-vns-health\/\\u0022 rel=\\u0022noopener\\u0022\\u003eLearn more.\\u003c\/a\\u003e\\u003c\/p\\u003e\",\"_content\":\"field_announcement_content\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/divider {\"id\":\"block_61603f1392f31\",\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/media-text {\"id\":\"block_61436d96fcdac\",\"name\":\"acf\/media-text\",\"data\":{\"align_media_right\":\"0\",\"_align_media_right\":\"field_media-text_align_media_right\",\"narrower_media_width\":\"1\",\"_narrower_media_width\":\"field_media-text_narrower_media_width\",\"is_youtube_video\":\"0\",\"_is_youtube_video\":\"field_media-text_is_youtube_video\",\"heading\":\"A Reputation for Quality\",\"_heading\":\"field_media-text_heading\",\"body\":\"Every year Medicare rates plans based on a 5-star rating system. More stars mean a better plan. VNSNY CHOICE Medicare is proud to be rated 4.5 out of 5 stars.\",\"_body\":\"field_media-text_body\",\"image\":13206,\"_image\":\"field_media-text_image\",\"link\":\"\",\"_link\":\"field_media-text_link\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:acf\/divider {\"id\":\"block_61603f1b92f32\",\"name\":\"acf\/divider\",\"data\":{\"less_vertical_space\":\"1\",\"_less_vertical_space\":\"field_divider_less_vertical_space\"},\"align\":\"\",\"mode\":\"edit\"} \/-->\n\n<!-- wp:heading {\"textAlign\":\"center\"} -->\n<h2 class=\"has-text-align-center\" id=\"h-why-vnsny-choice\">Why VNSNY CHOICE?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n<p>We offer a family of plans that make it easier to live healthier in the comfort of your home and community \u2014 so you can enjoy the things you love.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>For more than two decades, CHOICE health plans have helped tens of thousands of New Yorkers connect with outstanding care, freeing them to focus on things besides their health.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n<p>CHOICE is part of&nbsp;<a class=\"noExitNotifier\" href=\"http:\/\/www.vnshealth.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">VNS Health<\/a>, which has been providing exceptional care to New Yorkers for more than 128 years. We are part of New York\u2019s healthcare fabric. So, as your needs change or when you need help navigating life\u2019s surprising healthcare challenges, you can count on us being here for you.<\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\",\"orientation\":\"horizontal\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-outline\"} -->\n<div class=\"wp-block-button is-style-outline\"><a class=\"wp-block-button__link\" href=\"https:\/\/www.vnsnychoice.org\/about-us\/\">Read more about CHOICE<\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:acf\/stats {\"id\":\"block_5f2820864dec8\",\"name\":\"acf\/stats\",\"data\":{\"heading\":\"Just some of the reasons why CHOICE stands out\",\"_heading\":\"field_stats_heading\",\"description\":\"\",\"_description\":\"field_stats_description\",\"cards_0_icon\":3650,\"_cards_0_icon\":\"field_stats_cards_icon\",\"cards_0_superheading\":\"Expertise\",\"_cards_0_superheading\":\"field_stats_cards_superheading\",\"cards_0_stat\":\"Medicare \\u0026 Medicaid\",\"_cards_0_stat\":\"field_stats_cards_stat\",\"cards_0_description\":\"Helping your benefits work for you.\",\"_cards_0_description\":\"field_stats_cards_description\",\"cards_1_icon\":741,\"_cards_1_icon\":\"field_stats_cards_icon\",\"cards_1_superheading\":\"Excellence\",\"_cards_1_superheading\":\"field_stats_cards_superheading\",\"cards_1_stat\":\"Quality Care\",\"_cards_1_stat\":\"field_stats_cards_stat\",\"cards_1_description\":\"Choice of outstanding doctors \\u0026 hospitals. \",\"_cards_1_description\":\"field_stats_cards_description\",\"cards_2_icon\":2991,\"_cards_2_icon\":\"field_stats_cards_icon\",\"cards_2_superheading\":\"Advocacy\",\"_cards_2_superheading\":\"field_stats_cards_superheading\",\"cards_2_stat\":\"On Your Side\",\"_cards_2_stat\":\"field_stats_cards_stat\",\"cards_2_description\":\"Champions for you and your loved ones.\&qu