Resources

Jul 23, 2020
On July 23, 2020, the Department of Health issued its invitation to New York State Licensed Home Care Services Agencies (LHCSAs) to participate in the “NY State of Health Private Pay Home Care Services Program Pilot” in the counties of Nassau, Suffolk, and Westchester in 2021. 
 
This Invitation is part of New York State Department of Health’s implementation of the recommendation by the Medicaid Redesign Team II, which was included in the SFY 2020-21 Enacted Budget, to
Resource Type: 
Policies
Apr 30, 2020

On April 30, 2020, NY State of Health issued its invitation to insurers to participate for the 2021 plan year.  The invitation and relat

Resource Type: 
Policies
Apr 23, 2019

On April 23, 2019, NY State of Health issued its invitation to insurers to participate for the 2020 plan year.  The invitation and related documents are listed below.


All questions about the application process should be directed to the Invitation Administrator at Nyhxpm@health.ny.gov.  

 

Resource Type: 
Policies
Jan 15, 2019
Information on Form 1095A is available here
 
Information on Form 1095B is available here
 
Information on the lowest cost bronze plan and the affordability exemption is available here
 
 
Resource Type: 
Policies
Sep 24, 2018

The Department of Health proposes to submit an amendment to the Centers for Medicare and Medicaid Services (CMS) of its Basic Health Program Blueprint.  The amendment updates Section 1 to reflect staffing changes in the Department of Health.  It also updates Section 5 to provide the list of issuers that will be offering the program in 2019.  The amendment makes no changes to the program as it has been operating since January 1, 2016.  There is no additional estimated annual change to state expenditures as a result of the proposed amendment. 

Resource Type: 
Policies
Apr 24, 2018

On April 24, 2018, NY State of Health issued its invitation to insurers to participate for the 2019 plan year.  The invitation and related documents are listed below.


All questions about the application process should be directed to the Invitation Administrator at Nyhxpm@health.ny.gov.  

 

Resource Type: 
Policies
Mar 13, 2018
On March 09, 2018, NY State of Health issued an amended Supplemental 2018 Plan Invitation (Supplemental Invitation) to all New York State licensed insurers reflecting new Small Business Marketplace flexibility permitted by the federal Notice of Benefit and Payment Parameters for 2019.   This invitation provides insurers the opportunity to submit to NY State of Health additional small group products, previously approved by the NYS Department of Financial Services for issuance in 2018, for sale on the SHOP starting in April 2018 for coverage effective July 2018 and later.&nbs
Resource Type: 
Policies
Nov 28, 2017

The Department of Health proposes to submit an amendment to the Centers for Medicare and Medicaid Services (CMS) of its Basic Health Program Blueprint.  The amendment updates Section 3 to reflect staffing changes in the Department of Health.  It also updates Section 5 to provide the list of issuers that will be offering the program in 2018.  The amendment makes no changes to the program as it has been operating since January 1, 2016.  There is no additional estimated annual change to state expenditures as a result of the proposed amendment. 

Resource Type: 
Policies
Oct 20, 2017

As a health care provider, you can confirm enrollment of your patients in a Marketplace health plan by contacting health insurance companies directly.  Use the attached document to find health plan phone numbers and website links specifically for use by providers.

Resource Type: 
Policies
Apr 18, 2017

On April 18, 2017, NY State of Health issued its invitation to insurers to participate for the 2018 plan year.  The invitation and related documents are listed below.


All questions about the application process should be directed to the Invitation Administrator at Nyhxpm@health.ny.gov.  

Resource Type: 
Policies

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