Thats something we just cant compete with.. A trial of a conventional agent, disease-modifying anti-rheumatic drug (DMARD) or tumor necrosis factor inhibitor (TNFi), Food and Drug Administration (FDA)-approved for self-administration prior to initiation of infliximab, in accordance with FDA package labeling or compendia-supported use. MMC reimbursement, billing, and/or documentation requirement questions should be directed to the MMC Plan of the enrollee. Continuous coverage policy expired Friday as pandemic protections more broadly begin to phase out. He added that the issues in long-term care right now reflect labor and funding problems that were serious even before the pandemic. Nursing home operators say that could lead to a mass exodus by workers. WebThe Centers for Medicare & Medicaid Services late Friday announced requirements for 24 states where a federal mandate was allowed to move forward by a Jan. 13 Supreme Court decision. the adopted compliance program satisfied the regulatory requirements; the adopted compliance program was implemented and continuously operated for the entire review period; the adopted, implemented, and maintained compliance program was effective. L.C., 527 U.S. 581 (1999), mandates that public entities must provide disabled persons, including those individuals diagnosed with serious mental illness (SMI), with services, programs, and activities in the most integrated setting appropriate to their needs. In 2013, a group of disability advocacy organizations and the U.S. Department of Justice filed a lawsuit (O'Toole v. Cuomo, 13-cv-04166) on behalf of persons diagnosed with SMI residing in twenty-three specific Impacted Adult Homes in New York City (NYC). Tom Wolf has called an embarrassment.. Follow us at @BrokeInPhilly. Each month, the Senior Physician Sectionhighlights membersand individualsto showcase their work and current efforts. However, consumers who have been screened by a provider as presumptively eligible for Medicaid, but who have not been determined eligible for ongoing coverage, are not entitled to this coverage extension. With this phased approach, there are specific targets that must be met at 30 days (Phase 1), 60 days (Phase 2) and 90 days (full enforcement) with different enforcement dates for different groups of states. Elyse Ford, vice president at District 1199C, a union that represents hospital and nursing home workers in the Philadelphia area, said it has been pushing for better state reimbursement rates for nursing homes, and better wages for workers so pay starts at $15 an hour. In the news: Overdose deaths surge to a record high, older adults need second Pfizer COVID-19 booster and more. Based on current COVID-19 trends, the Biden Administration has announced that the federal PHE will end on May 11, 2023. The 12-month postpartum period begins on the last day of the pregnancy and ends on the last day of the 12th month. The eMedNY clinical call center is available 24 hours per day, seven days per week, with pharmacy technicians and pharmacists who will work with prescribers and/or prescriber agents, to quickly obtain a PA. NYS Medicaid-enrolled prescribers can also initiate PA requests using PAXpress. The mifepristone (Mifeprex) Risk Evaluation and Mitigation Strategy (REMS) program was modified by the United States (U.S.) Food and Drug Administration (FDA) in January 2023, and now, certified pharmacies may dispense mifepristone when the prescriber, patient, and pharmacy comply with the Mifepristone REMS program. Fin Gmez is CBS News' political director. Restricted low-volume facilities will not be reimbursed for breast cancer surgeries provided to NYS Medicaid members. 3 unions at Rutgers University have reached tentative agreements, After 30 years, a Philly safe haven for addiction treatment has quietly closed. Ford said she has mixed feelings about the proposed federal vaccine mandate because she does not understand why it is only about nursing home workers, and not all health care workers. What are the compliance deadlines? Deadlines will be based on the member/enrollee enrollment end dates and will range from June 30, 2023, through May 31, 2024. However, he pointed out estimates and reports of staff leaving because of a mandate have not been higher than 10%, and even if a mandate does lead to staff leaving nursing homes, in context of the alarmingly high turnover rate in the industry as a whole, its actually just one more drop in the bucket.. We must strengthen the health care workforce. These policies and procedures must include the following ten components: A phased approach to enforcement began January 27 for hospitals in Group 1 states. U.S. health officials Wednesday announced plans to offer COVID-19 booster shots to all Americans to shore up their protection amid the surging delta variant and signs that the vaccines' effectiveness is falling. We appreciate the recent guidance that First published on August 18, 2021 / 3:31 PM. AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. (1/19/21) The regulation requires CMS facilities, like FQHCs, to Three physicians clear the air. The policy does not restrict the ability of the facility to provide diagnostic or excisional biopsies and post-surgical care (chemotherapy, radiation, reconstruction, etc.) During this time, NY State of Health, the Official Health Plan Marketplace (Marketplace), will keep enrollment open to allow consumers who are no longer eligible for Medicaid, CHP or EP to stay covered by enrolling in a Qualified Health Plan (QHP). Noncommercial use of original content on www.aha.org is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated. "The studies show that a highly vaccinated nursing home staff is associated with at least 30% less COVID-19 cases among long-term care residents. On December 15, 2022, the New York State (NYS) Medicaid Drug Utilization Review (DUR) Board recommended changes to the Medicaid pharmacy prior authorization (PA) programs and coverage criteria for practitioner administered drugs (PADs). Mandatory COVID-19 Vaccinations for Workers in Hospitals and Most Health Care Settings See details on applicability, enforcement, exemptions and other key Some hospitals had put the staff requirement on hold following an injunction that was issued in late November. The Philly Joy Bank is modeled after similar programs in Canada and San Francisco that offer guaranteed cash income to pregnant residents. Want a digest of WHYYs programs, events & stories? AMA members can get $1,000 off any Volvo pure electric, plug-in hybrid or mild hybrid model. Fox says it's 'very possible' he 'did some damage' in the '80s as he speculates about what contributed to his Parkinson's disease, 'Waste of time': Community college transfers derail students. Medicare rules require physician or other practitioner supervision of certain services provided by non-physician staff. Explore how to write a medical CV, negotiate employment contracts and more. All efforts to secure said services must be thoroughly documented. The updated coverage criteria for vedolizumab and infliximab is as follows. 794. Medicare Drugs listed in the Physician Manual Fee Schedule, with a notation of BR (By Report) under the "Maximum Fee" column, must be submitted on the Health Care Finance Administration (HCFA) 1500 claim form (via paper) with a copy of the itemized invoice as documentation. MLTC Plans must immediately report any challenges and concerns regarding service delivery for class members to the designated liaison at the NYS Department of Health (DOH) Bureau of MLTC. The option to provide 12 months of postpartum coverage will be implemented in all instances where a consumer was eligible and enrolled in Medicaid prior to the end of their pregnancy, including any retroactive period. Based on current COVID-19 trends, the Department of Health and Human Services (HHS) is planning for the federal Public Health Emergency (PHE) for COVID-19, In a study of roughly 15,000 long-term care facilities, the effectiveness of the Pfizer and Moderna vaccines dropped from 74.7% to 53.1% during the spike in Delta variant cases this summer, the CDC found. Phase 1: Deb Gordon Apr 18, 2023 Your Care vaccines It is not yet clear what the deadline is for nursing staffs to make the requirement or for staffs to be fully vaccinated in order to continue receiving federal funds. Trump motion to declare mistrial in E. Jean Carroll lawsuit denied, U.S. to let Afghan evacuees renew temporary legal status, Tornado hits Virginia Beach, likely damaging hundreds of homes, First Republic Bank seized by regulators, then sold to JPMorgan Chase, Texas man who lost wife and son in shooting shares story, Supreme Court to hear case that could curb power of federal agencies, Mental health of LGBTQ youth worsening in current "hostile political climate", Waiter killed, woman wounded in shooting at popular New Orleans restaurant, MasterChef Australia host Jock Zonfrillo found dead at 46, Biden unveils plan for COVID vaccine booster shots, Biden unveils plan for COVID-19 booster shots. . As the PHE reaches an official sunset and some flexibilities born during the pandemic live on in some ways, action is required. They stay at the facilities that they are, not solely for the money, its about the love of the game, but we want to also compensate those employees fairly, Ford said. Further details and analysis to follow. Judging from states that have already enacted mandates on their own, Biden administration officials have said they do not expect mass resignations in response to the CMS regulations. For general information about Medicaid unwinding, see 10 Things to Know About the Unwinding of the Medicaid Continuous Enrollment Provision, Kaiser Family Foundation (April 5, 2023). Physician organizations applaud introduction of Medicare payment legislation and more in the latest Advocacy Update spotlight. Continuous Medicaid enrollment has ended. As a result of federal waivers, facilitated by congressional action, Medicare beneficiaries could access telehealth without the narrow geographic limits that had applied pre-pandemic. What will this mean for you and your healthcare? There are approximately 8 million New Yorkers enrolled in Medicaid, CH and EP who will need to renew their health insurance. The AMA is leading the fight against the COVID-19 pandemic. for NYS Medicaid members. Nathan Mortier assists healthcare providers in maintaining compliance with ever-changing regulations and in building their businesses. The COVID-19 federal public health emergencya separate declaration by the Secretary of Health and Human Services from January 2020remains in effect for now. Download AMA Connect app for When we think about combating turnover, really the problem is much bigger than vaccine mandates, Gandhi said. If a governor cuts a teacher's salary for disobeying a mask mandate, something Florida Governor Ron DeSantis has threatened to do, the president said money from the American Rescue Plan "can be used to pay that person's salary, 100%.". As has been widely reported, both the CMS Rule and the ETS include a deadline of January 4, 2022, for covered employees to be fully vaccinated. Research earlier this year found that the mean annual turnover rates for nursing home staff reached 128% and that nursing home staffing levels did not change significantly during the pandemic. 2021 CBS Interactive Inc. All Rights Reserved. Renewal notices will include the deadline to take action to renew their insurance or risk having a gap in coverage. Philly gets closer to launching $1,000-a-month cash assistance program for pregnant residents to improve health outcomes. A parade of both federal and state regulatory waivers and flexibilities have supported, among other initiatives, the rollout of COVID-19 testing and vaccines, a tremendous growth in the utilization of telehealth services, maintenance of Medicaid enrollments without interruption, and flexibility for healthcare facilities in admitting and treating the sick. For skilled nursing facilities, waivers of the requirement for a three-day prior inpatient hospitalization and prior Medicare coverage of a skilled nursing facility stay will expire, along with other pandemic-era changes to requirements for testing, room assignments, etc. Together we can reach 100% of WHYYs fiscal year goal. WHYY is your source for fact-based, in-depth journalism and information. Learn more about improving surgical outcomes for senior patients. If you have any questions, please contact Nathan at nmortier@sandsanderson.com or (757) 276-8092, or reach out to a member of our Healthcare Team. Prosecutors accused Walsh and Clinton of elder neglect and of permitting serious bodily injury to an elder in the case of five veterans, saying the merger increased the danger they faced by putting them in "basically an incubator for COVID.". Staff will be deemed to have met the 60-day deadline if they receive the second/final dose of a primary vaccination series by the 60 th day even though they will not be considered fully vaccinated until 14 days after the second dose. 100% staff have received at least one dose or have documented exemption granted or pending; OR, On track to 100% vaccination by deadline and at least, 100% staff have completed vaccination OR have documented exemption granted or pending; OR. Many nursing homes, which rely heavily on Medicare and Medicaid funding, have not imposed such requirements, and vaccination rates among staff have varied greatly by facility. A research year during medical school affords students more time to follow their scholarly pursuits. The CMS COVID-19 vaccine mandate requires covered providers and suppliers to develop and implement policies and procedures by Phase 1 deadlines to Washington President Biden announced Wednesday he is ordering the Department of Health and Human Services (HHS) to require nursing homes to have vaccinated staff for them to be able to participate in Medicare and Medicaid and receive funding from the federal programs. If at this renewal, they are determined ineligible for Medicaid, they will continue to be eligible for limited coverage through the Family Planning Extension Program (FPEP) for 24 months calculated from the end of the 60-day postpartum period. A transition roadmap, fact sheet, and related materials from the Centers for Medicare and Medicaid Services (CMS) are available to help providers identify changes that may affect them. Various waivers intended to reduce administrative burdens related to Hospital Conditions of Participation (i.e., equipment inspections, medical records, etc) will be removed. Review the list of candidates to serve on the AMA Board of Trustees and councils. the pharmacy must be certified* to dispense mifepristone; the pharmacy may only dispense when the prescription is written by a practitioner certified to prescribe mifepristone; the pharmacy must be able to ship mifepristone in a timely manner using a shipping service that provides tracking information; the pharmacy submits a claim for only one course of therapy with no refills; and, New York State (NYS) laws, rules, and regulations; and. Listen to podcast updates on how the AMA is fighting COVID-19 by discussing the newest research on Omicron and COVID-19 treatments. 290, which updates and clarifies timeframes for requiring concealed labor in fitness maintenance facilities and high-risk join locales to be up to date at their COVID-19 vaccinations, in having getting a booster shot.EO No. For a full and up-to-date listing of drugs subject to the NYRx Pharmacy Programs and information on NYRx prior authorization (PA) programs, prescribers should refer to the NYRx, the Medicaid Pharmacy Program Preferred Drug List. Failure to inform the NYS DOH may result in termination of enrollment. The Covid-19 Public Health Emergency Is Ending Soon The federal state of emergency for Covid end date is May 11, 2023. In bringing the charges against the men in September 2020, then-Massachusetts Attorney General Maura Healey, now the state's Democratic governor, touted the criminal case as the first in the country tied to a COVID-19 outbreak at a nursing facility. If the COVID-19 PHE ends as expected on May 11, 2023, this coverage requirement will end on September 30, 2024. Additional information is available at the following web pages: FFS billing and claim questions should be directed to the eMedNY Call Center at (800) 343-9000. Over the past three years, the federal Public Health Emergency (PHE) declared in response to the COVID-19 pandemic facilitated the dismantling of various legal and regulatory barriers to obtaining healthcare in a time of lockdowns and social distancing. The CMS COVID-19 vaccine mandate requires covered providers and suppliers to develop and implement policies and procedures by Phase 1 deadlines to ensure all staff are fully vaccinated for COVID-19. Is it the right decision for you? This settlement agreement affords individuals diagnosed with Serious Mental Illness (SMI) in Adult Homes (hereafter referred to as "class members") the opportunity to move to more integrated community housing with Adult Home Plus (AH+) care coordination and services and supports provided through a MLTC Plan. Documentation verifying vaccination status, medical exemptions or delays may be sampled by surveyors. Mask requirements are disappearing, which is exciting for some. Text Size. Medicare and Medicaid will continue to cover COVID-19 testing, but cost sharing obligations may vary. However, based on comments from the Biden administration, that too is The U.S. Supreme Court in January allowed the vaccine mandate rule to take effect nationwide, and a federal judge later dismissed a Texas challenge to the mandate. While the testing requirement for unvaccinated workers will begin after January 4th, employers must be in compliance with all other requirements such as Medicaid providers may also face challenges as an estimated 5 to 14 million people are expected to lose Medicaid coverage during the unwinding of the continuous enrollment provision of the Families First Coronavirus Response Act. These conversations must include a detailed explanation of available services to support the class transition of the member, including all services they are entitled to receive as part of the MLTC benefit package. Providing more affordable health care options to all Washingtonians by making Washington one of the 10 leading states for fully implementing the Affordable Care Act and expanding eligibility for Issue briefs summarize key health policy issues by providing concise and digestible content for both relevant stakeholders and those who may know little about the topic. For a list of hospitals and ambulatory surgery centers where NYS Medicaid will not pay for breast cancer surgery, providers can refer to the NYS DOH "Hospitals & Ambulatory Surgery Centers Where Medicaid Will Not Pay for Breast Cancer Surgery" web page. Copyright 1995 - 2023 American Medical Association. Providers can also contact the eMedNY Call Center at (800)343-9000 for assistance. COVID-19 Vaccine Enforcement Dates and Staff Vaccination Targets, GROUP 1: CA, CO, CT, DE, DC, FL, HI, IL, ME, MD, MA, MI, MN, NV, NJ, NM, NY, NC, OR, PA, RI, TN, VT, VA, WA, WI, GROUP 2: AL, AK, AZ, AR, GA, ID, IN, IA, KS, KY, LA, MS, MO, MT, NE, NH, ND, OH, OK, SC, SD, UT, WV, WY, *Staff are considered fully vaccinated if it has been two weeks or more since they completed a primary vaccination series for COVID-19; however, staff who have received the final dose of a primary vaccination series by the Phase 2 deadline are considered to have met the vaccination requirement for the purposes of calculating percentage of staff compliant with the vaccine mandate, But, these individuals would still be subject to the additional precautions requirement until 14 days had passed. Leonard Nelson, JD, on how vaccine mandate rulings impact physicians [Podcast] The AMA is leading the fight against the COVID-19 pandemic. Sign up for our weekly newsletter. He said nursing homes could keep their staff if they paid them more, offered better benefits, and improved working conditions. All rights reserved. These facilities have been notified of the restriction, effective April 1, 2023. Medicaid is the primary payer for care. Enacting the nations most generous paid family and medical leave program, offering up to 16 weeks of paid leave for every working Washingtonian. Please note: PAD Clinical Criteria Worksheets are available on the NYS DOH "New York State Medicaid Fee-for-Service Practitioner Administered Drug Policies and Billing Guidance" web page. While the memorandum specifically applies to Texas, the guidance and rule apply to all states. MMC Coverage PolicyThe "FFS Coverage Policy" section referenced above also applies to all types of MMC Plans. Individual practitioners can complete and submit this form electronically on the eMedNY "Provider Enrollment Portal" web page. Although the broad waivers in place during the PHE are now coming to a close, the Consolidated Appropriations Act of 2023 has extended many select telehealth flexibilities through December 31, 2024, such as: The extension of the above flexibilities (and others) is only temporary and will run through December 31, 2024, without further congressional action. Paddling in the middle of a fast moving stream of news and information. 290 aligns choose timelines with updated Centers for Disease Control and According to the CMS Surveyor Guidance, if a surveyed facility does not meet the phased vaccination targets (see TABLE 1), is observably noncompliant with infection control practices, and has not developed or implemented one or more components of the policies and procedures, that hospital would earn a Condition Level deficiency with Immediate Jeopardy, which would result in penalties on an accelerated schedule. A lawyer for Clinton declined to comment. Health systems science is key to creating a new generation of physicians better equipped to deliver great team care. Excluding religious exemptions, surveyors will review and verify documentation of vaccination status and medical exemptions contained within records for the sampled staff. Millions of U.S. workers now have a Jan 4. deadline to get a COVID vaccine. Despite the expiration of the PHE, Medicare, Medicaid, and private health insurance must continue to provide COVID-19 vaccines without cost sharing. Many business have shoved back against vaccine mandates out of fear is employees will quit. For purposes of NYS Medicaid regulations, an ownership or control interest means a person or corporation that: Ownership interest is defined as possession of equity in the capital, stock or profits of a provider. Research shows that five-year survival rates are higher for patients who have their breast cancer surgery performed at high-volume facilities. This rule establishes requirements regarding COVID-19 vaccine immunization of staff among Medicare- and Medicaid-certified providers and suppliers. Copyright 2023 CBS Interactive Inc. All rights reserved. President Joe Biden speaks from the East Room of the White House in Washington, Wednesday, Aug 18, 2021, on the COVID-19 response and vaccination program. A decision by the U.S. Supreme Court should In fact, the reason most people in America don't worry about polio, small pox, measles, mumps or rubella today is because of vaccines.". Resources include the following: NYS Department of Health (DOH) encourages all providers, local districts, stakeholders, and advocates to access and use these communication tools and share with members/enrollees. Listen to podcast updates on how the AMA is fighting COVID-19 by discussing what to expect with the Omicron surge. MLTC Plans may not state that an MLTC benefit is unavailable without providing a written denial to the class member. State and federal rules defining the postpartum period for consumers enrolled in Medicaid during have recently changed. Get browser notifications for breaking news, live events, and exclusive reporting. DSMT services are billed in single-unit increments with one unit equaling 30 minutes of service. The U.S. Supreme Court is set to hear oral arguments regarding the CMS vaccine mandate on January 7, 2022. Therefore, it is the policy of the New York State (NYS) Department of Health (DOH) that NYS Medicaid members should receive mastectomy and lumpectomy procedures associated with a breast cancer diagnosis at high-volume facility. 2023 American College of Healthcare Executives, policies and procedures must include the following ten components, CMS COVID-19 Vaccine Mandate: What Hospital Leaders Should Know, Process for ensuring the implementation of. Ibata is the author of several COVID-19 pieces including a law journal article on Crisis Standards of Care and two ACHE COVID-19 blogs related to PPE and the OSHA ETS. The case stemmed from a March 2020 decision to consolidate two dementia units, which prosecutors said put residents who had tested positive for COVID-19 within feet of ones without symptoms and increased the risk that residents would contract the virus. All questions should be directed to NYS DOH at hcre@health.ny.gov. It is showing the weaknesses that we had in the system.. "At any subsequent trial, prosecutors will need to prove their case. All three states would allow unvaccinated staff to get regular COVID-19 testing instead. The AHA strongly supports the stated goal of CMS mandatory vaccination policy that is, to ensure all health care workers are vaccinated for COVID-19 as safely and expeditiously as possible. Click on the links below to discover more results for "omicron" from the following AMA resources: The AMA promotes the art and science of medicine and the betterment of public health. Medicaid is the primary payer for nursing home care in the United States, so the regulation would apply to most facilities. Questions regarding this policy should be directed to the Medicaid Pharmacy Policy Unit at. NYRx FFS claim questions should be directed to the eMedNY Call Center at (800) 343-9000. A trial of a conventional agent, DMARD or TNFi, prior to initiation of vedolizumab in accordance with FDA package labeling or compendia-supported use. Why does information about vaccines and COVID keep changing? This helpful checklist outlines Virginia procedure on residential evictions and what to expect as a tenant on the other end. Noelle Kovaleski, nursing home administrator for Carbondale Nursing and Rehabilitation Center, said around 25 staff members have left since the beginning of the pandemic. This flexibility will expire on December 31, 2023. Of course, the results we have achieved depend upon a variety of factors unique to each matter. A PHE lasts for 90 days and must be renewed to continue; the PHE for COVID-19 has been renewed several times, most recently in February 2023, and is On Jan. 13, 2022, the U.S. Supreme Court permitted the Centers for Medicare & Medicaid Services (CMS) to enforce its interim final rule requiring many Per the settlement agreement, settlement providers, including MLTC Plans, must educate class members about their right to move to community settings and thoroughly document those conversations. Primary election 2023 voters guide: These are the candidates running for Pennsylvania courts, Corvallis: Oil, Lube and Filter Change For Seniors, NC Supreme Court Rolls Back Voting Rights: Voter ID Reinstated, People With Felonies Cant Vote And Partisan Gerrymandering Is Back, Massachusetts organization builds houses free of charge for disabled veterans, This Supreme Court is slow to issue rulings glacially slow. The Biden administration recently proposed regulations that would require nursing homes that take Medicare and Medicaid to vaccinate their staff against COVID-19. By the full vaccination deadline, 100% of staff must have completed the vaccine series, have been granted a qualifying exemption or have been identified as having a temporary delay as recommended by the Centers for Disease Control and Prevention. In late December 2021, the Centers for Medicare & Medicaid Services James McDonald, M.D., M.P.H.CommissionerNew York State Department of Health, Amir BassiriMedicaid DirectorOffice of Health Insurance Programs, New York State Medicaid Update - March 2023 Volume 39 - Number 6, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, January 2023 DOH Medicaid Updates - Volume 39, New York State to Resume Eligibility Reviews for Medicaid, Child Health Plus and the Essential Plan; Communications Tool Kit Available to Help Educate Consumers on How to Renew Insurance, Attention Providers: Disclosure of Ownership and Control Information, Postpartum Period for Pregnant Individuals Increased from 60 Days to 12 Months, Office of the Medicaid Inspector General to Initiate Compliance Program Reviews, Service Delivery for Managed Long Term Care Enrollees Moving from Adult Homes to Community Residences in Response to O'Toole v. Cuomo, Attention Pharmacy Providers: Mifepristone (Mifeprex) Available to Certified Pharmacies, Diabetes Self-Management Training Pharmacy Billing, Risdiplam (Evrysdi): Medicaid Prior Authorization Drugs Update, Nusinersen (Spinraza): Medicaid Practitioner Administered Drugs Update, Update to Medicaid Fee-for-Service Practitioner Administered Drug Policy and Billing Guidance, Applied Behavior Analysis Services Update, United States (U.S.) Department of Health and Human Services (HHS) Administration for Strategic Preparedness and Response (ASPR) "Declarations of a Public Health Emergency" web page, eMedNY "Provider Enrollment and Maintenance" web page, eMedNY "Provider Enrollment Portal" web page, Office of the Medicaid Inspector General (OMIG), March 8, 2016 New York State (NYS) Administrative Health Home Service Agreement (ASA) letter.
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