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Medicaid Update Special Edition – Implementation of the New York Independent Assessor for Personal Care and Consumer Directed Personal Assistance Services

The Medicaid Update Special Edition, issued today, Wednesday, May 18, 2022, by the New York State (NYS) Department of Health (DOH), featuring “Implementation of the New York Independent Assessor for Personal Care and Consumer Directed Personal Assistance Services,” is now available on the Medicaid Update web page. This Medicaid Update Special Edition provides guidance for providers regarding the implementation of the New York Independent Assessor (NYIA), effective May 16, 2022. Through a NYS DOH contract, NYIA will be conducting conflict-free community health assessments (CHA) and clinical exams for Medicaid-covered individuals seeking personal care services (PCS), consumer directed personal assistance services (CDPAS) and/or Managed Long Term Care (MLTC) Plan enrollment.

The NYIA process will take the place of CHAs currently conducted by the Local Departments of Social Services (LDSS) and Managed Care Organizations (MCO). On May 16, 2022, the NYIA will begin conducting initial assessments only, i.e., for individuals seeking PCS, CDPAS or MLTC enrollment for the first time. On July 1, 2022, the NYIA will begin conducting initial assessments for individuals seeking expedited assessments based on an immediate need for services. Routine and non-routine reassessments will continue to be conducted by the LDSS and MCO until further notice.

NYSHFA/NYSCAL CONTACTS:

Carl J. Pucci
Chief Financial Officer
518-462-4800 x36