History of New York HIV Special Needs Plans

A video presentation to doctoral students at New York Medical College March 2013. 

Designing a Medicaid HIV Special Needs Plan in New York
Eli Camhi, LMSW, Executive Director
VNSNY CHOICE SelectHealth

In 2003 New York State Department of Health approved the go live of fully capitated comprehensive Medicaid Managed Care Plans called HIV Special Needs Plans (HIV SNPs). Designed to meet the needs of the HIV community, these Plans are offered as an alternative to regular Medicaid Managed Care Plans. In addition to standard NYSDOH Medicaid Benefits HIV SNPs have the following distinguishing features: 
 
Membership is restricted to Medicaid eligible HIV Positive Adults and their children (up to the age of 21 regardless of HIV status) residing in New York City. As of  March 2014, uninfected homeless adults could also join.
 
Members have access to full Medicaid benefits: Inpatient care, outpatient care, pharmacy, dental, vision, laboratory, durable medical equipment, behavioral health services, home care, specialty care, primary care and other additional Medicaid benefits.  
 
All HIV positive members must choose an HIV Specialist PCP as their primary care provider. No more than 350 members can be assigned to a single full time HIV PCP. HIV SNPs must credential their HIV PCPs each year to confirm that they have completed a minimum of 10 hours of continuing medical education in the management of HIV antiretroviral therapy.
 
HIV SNPs also offer care coordination services to members.
 
There are 3 HIV SNPs operating in New York State and located in New York City. As February 2015, they collectively provide services to approximatley 15,232 members residing in New York City.  Current hivsnp enrollment statistics. The three hivsnp are:
 
Amida Care
MetroPlus
VNSNY CHOICE SelectHealth

For current information about HIV SNPs and related topics you are invited to join the free hivsnp discussion group. 

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Information about the hivsnp discussion group

hivsnp discussion group
hivsnp message archive
 
The HIV Special Needs Plan (hivsnp) moderated discussion group provides a forum for ideas, comments, links, job announcements, event announcements and news about disease management approaches to population health and New York State Medicaid HIV Special Needs Plans in particular.  
 
Common topics from recent posts include AIDS, Adherence, Accountable Care Organizations, Care Management, CDC, Cost of Care, Hepatitis C, Pay for Performance, Patients, Medicaid, Medicare, New York Providers, Patients, Pharmacy, Population Health, Triple Aim, Viral Load.
 
hivsnp list subscription instructions
 
by email
To subscribe to the hivsnp mailing list via email, send a blank email  
to: hivsnp-subscribe@yahoogroups.com
 
You will receive a confirmation message. Just reply to this message and your subscription will be complete.
 
To unsubscribe by email, send a blank email to: hivsnp-unsubscribe@yahoogroups.com

by web browser

Subscribe online to the hivsnp discussion group

 Click on the Join Group button on front page of the group.
 If you are not signed in, you will be asked to enter your Yahoo! ID.  
 
By invitation
Respond to an invitation to join:
If the group moderator sent you an email invitation to join the hivsnp group, click on the link provided to join via the Yahoo! Groups web site.
 
Once you subscribe you can post messages to the group by sending email to this address hivsnp@yahoogroups.com
 
Eli Camhi
List Moderator

2014 SNP Enrollment

HIV Special Needs Plans (HIV SNPs) are a vehicle for providing health care to HIV infected Medicaid patients in New York City.  For more information contact New York Medicaid Choice at 1-800-505-5678 or the following HIV SNPs:

MetroPlus Partnership in Care Plan 1-800-303-9626

VNSNY CHOICE SelectHealth 1-866-469-7774

Amida Care 1-800-556-0689

HIV Special Needs Plans have been operational since 2003.  This page contains the current enrollment and the history of enrollment for the 3 active Plans. The entire HIV Special Needs Plan Model Contract is available for download here.  The statistics below have been extracted from the NYSDOH Monthly Medicaid Managed Care Enrollment Report.

 

1214 Current

1214 YTD

 

The Moral Test

Don Berwick’s video describes his understanding of  The Moral Test.  As governor of Massachusetts he intends to make the State a beacon for the nation in fulfilling the Moral Test.

“The moral test of government is how it treats those who are in the dawn of life, the children; those who are in the twilight of life, the aged; and those in the shadows of life, the sick, the needy and the handicapped.”

Remarks at the dedication of the Hubert H. Humphrey Building, November 1, 1977, Congressional Record, November 4, 1977, vol 123, p. 37287.
Wikiquote: http://en.wikiquote.org/wiki/Hubert_Humphrey

Don’s dedication to improving the health of our nation has been a significant influence on my work so I am supporting his candidacy.

Contact me directly if you would like to learn more how you can help with his campaign.

Eli Camhi
ecamhi@generes.com
www.linkedin.com/in/elicamhi/

 

 

HIV SNP 2013 Year End

HIV Special Needs Plans (HIV SNPs) are a vehicle for providing health care to HIV infected Medicaid patients in New York City.  For more information contact New York Medicaid Choice at 1-800-505-5678 or the following HIV SNPs:

MetroPlus Partnership in Care Plan 1-800-303-9626

VNSNY CHOICE SelectHealth 1-866-469-7774

Amida Care 1-800-556-0689

HIV Special Needs Plans have been operational since 2003.  This page contains the current enrollment and the history of enrollment for the 3 active Plans.

The entire HIV Special Needs Plan Model Contract is available for download here.  The statistics below have been extracted from the NYSDOH Monthly Medicaid Managed Care Enrollment Report.

Dec 2013

YTD 2013

 

Don Berwick

My friend Don Berwick called me the other day and asked for my help. Don is running for Governor of Massachusetts and needs financial support for the campaign. Campaign contributions are limited to $500 per year per individual. I reached this limit earlier this year and now I am asking you to make the same contribution. Contact me if you would like to help with Don’s campaign.

I gave without hesitation because over the past 15 years Don’s dedication to improving the health of our nation has been a significant influence on my work.

You can make your donation here:

http://www.berwickforgovernor.com/health-care

Thanks.

Eli Camhi

hivsnp posts May 11, 2013

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hivsnp posts April 20, 2013

hivsnp posts April 13, 2013