Get the free Fully Integrated Duals Advantage (FIDA) - New York State Department of ...

Fidel is Dual Advantage (HMO DSP) offered by NEW YORK QUALITY HEALTHCARE CORPORATION (DBA Fidel is Care)Annual Notice of Changes for 2021You are currently enrolled as a member of Fidel is Dual Advantage

How to fill out fully integrated duals advantage

How to fill out fully integrated duals advantage

1. Contact your state Medicaid agency to see if you are eligible for the fully integrated duals advantage program.
2. Enroll in a dual eligible special needs plan (D-SNP) that offers the fully integrated duals advantage program.
3. Choose a primary care provider within the D-SNP network.
4. Work with your care team to create a care plan that addresses your medical, behavioral, and social needs.
5. Follow the care plan and communicate regularly with your care team to ensure you are receiving appropriate care.

Who needs fully integrated duals advantage?

1. Individuals who are dually eligible for Medicare and Medicaid
2. Individuals with complex medical needs who require coordination between their Medicare and Medicaid benefits
3. Individuals who would benefit from a care team that addresses their medical, behavioral, and social needs

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What is fully integrated duals advantage?

Fully Integrated Duals Advantage (FIDA) is a program designed to coordinate health care services for individuals who are eligible for both Medicare and Medicaid benefits, ensuring that they receive comprehensive care that addresses both their medical and support needs.

Who is required to file fully integrated duals advantage?

Entities like health plans and providers that are participating in the Fully Integrated Duals Advantage program must file the necessary documentation to demonstrate adherence to the program's guidelines and standards.

How to fill out fully integrated duals advantage?

To fill out the Fully Integrated Duals Advantage documentation, participants must follow the specific guidelines provided by the program, typically involving the completion of forms detailing patient information, services rendered, and coordination with both Medicare and Medicaid providers.

What is the purpose of fully integrated duals advantage?

The purpose of Fully Integrated Duals Advantage is to improve health outcomes for dual-eligible individuals by streamlining their benefits, enhancing care coordination, and reducing fragmentation in service delivery.

What information must be reported on fully integrated duals advantage?

Participants must report demographic information, types of services provided, patient outcomes, and any coordination efforts between Medicare and Medicaid for the Fully Integrated Duals Advantage program.