Managed Care Updates

Let us help you keep up with changes in health insurance policies in New York City. This page will inform you about new programs and policies in Medicaid, Child Health Plus, Family Health Plus, and Medicare that can affect consumer benefits or access to services. Please check this site regularly to stay informed.

NYC MCCAP’s Program Evaluation for 2006

The 2006 program evaluation for NYC MCCAP is now available for viewing.

• Read the report (PDF)

Workshop Re-design Proposals

The New York City Managed Care Consumer Assistance Program (NYC MCCAP), a program of the Community Service Society of NY invites you to submit a proposal for the workshop re-design project. We are seeking individuals or agencies that have interest and knowledge around training, organizational structuring and curriculum development expertise.  

Please click here for the RFP and details of the workshop project description, deliverables and timelines and requirements expected from the interested consultant(s). We encourage you to ask us any questions you may have during the Q&A period listed in the RFP. Due to time constraints, we are working under strict deadlines and appreciate timely responses.

NYC MCCAP Presents Information On Mandatory Enrollment for the SSI SPMI Population in NYC

As of March 1, 2007 SSI recipients who are seriously and persistently mentally ill (SPMI) and children receiving SSI, who are also seriously emotionally disturbed (SED) are no longer be exempt from joining a managed care plan.

The mandatory enrollment process is being implemented in stages, by borough. Brooklyn and Staten Island residents will be the first mandatory groups. Letters explaining how this change will affect the way these consumers receive their medical and behavioral health care are beginning to be mailed. Mandatory enrollment packets will be mailed to Brooklyn and Staten Island residents April 1st. Residents of the Bronx, Manhattan and Queens (in that order), will become mandatory at later dates. Consumers will not have to join a managed care plan until the program has become mandatory in their borough.

Here Is the current Exemption/Exclusion list.

Here is a list of common Questions and Answers (provided by SDOH).

And finally, a description of the SSI benefit package.

NYC MCCAP releases results from a survey of Medicaid Managed Care plan enrollees.

The Community Health Access Department, NYC MCCAP’s policy partner at CSS, convened a forum on February 9th to present the results of a newly released survey. The survey was designed to gain insight into how managed care is working for low-income families enrolled in New York’s public health coverage programs (Medicaid, Child Health Plus and Family Health Plus). The forum was attended by local, state and federal government officials responsible for administering the public health insurance programs, leading health care advocates and health care providers and plans. Participants engaged in a lively, frank discussion about program and policy issues identified by the survey. Highlights included the high level of satisfaction with primary care within the managed care system; the challenges faced by immigrants in accessing health care; and the need to identify priorities for improving the experience of low-income consumers in managed care.

View the slide presentation from the forum:

Low Income Consumers’ Experiences: Results from a Citywide Survey of Managed Care Consumers in Medicaid, Child Health Plus, and Family Health Plus (PDF)

For a selection of previous news, please view our Archived News Items.