October 23, 2024 Supported Decision Making — A Less Restrictive Alternative to Guardianship

In this virtual presentation, join Supported Decision Making-NY Associate Director Joan Cornachio in a conversation to learn how supported decision-making is an effective process for many individuals on the spectrum and with other developmental disabilities in New York, as they strive for more inclusive and self-determined lives. The presentation will explain how the SDMNY facilitation process works and the role and responsibilities of Supporters. An overview of the impact of the SDMA law will also be covered.

PRESENTED BY:Joan Cornachio,Supported Decision Making-NY Associate Director

September 25, 2024 PHP Quality Initiatives Provider Webinar

Learn how Partners Health Plan (PHP) and Providers can collaborate together to assist members with IDD achieve quality of health outcomes. This webinar will discuss key Quality of Health initiatives implemented for members enrolled with PHP. Join our webinar to learn more about the following:

• HEDIS Quality Measures
• Medical Record Documentation
• CAHPS Survey
• Health Outcomes Survey
• Transitions of Care
• Quality Improvement Programs

PRESENTED BY: Premila Kumar, Chief of Quality Initiatives; Diane Marrone, Chief of Care Management

September 16, 2024 Support Broker Webinar: Guardianship

For those supporting and advocating for individuals with intellectual and/or developmental disabilities (IDD), understanding the guardianship process is crucial.

In our upcoming Support Broker training, Giselle Peter, Regional Care Manager Director for Partners Health Plan, and Lisa Miller, Care Manager Director for Care Design NY, will provide an in-depth overview of guardianship, including what it is, how it functions, and why it may be necessary.

This presentation is designed to give you deeper insight into the legal procedures for establishing guardianship and the various types of guardianship that exist under New York State law. We'll also cover best practices for supporting people under guardianship arrangements, providing you with the expertise you need to help individuals with IDD and their caregivers navigate the process.

PRESENTED BY: Giselle Peter, Regional Care Manager Director for Partners Health Plan & Lisa Miller, Care Manager Director for Care Design NY

July 23, 2024 Provider Webinar: Whose Life Plan is it Anyway? - Collaborative Best Practices for Life Plan Develop

In this webinar, we share Care Management best practices for ensuring providers are engaged and your valuable input is included in individuals’ Life Plans. Care Design NY and Partners Health Plan’s Care Management teams review the collaborative Life Plan process and the connection between the Life Plan and Staff Action Plan.

PRESENTED BY: Danielle Mazza, AVP of Care Management for Upstate NY; Ernie McNutt, AVP of Care Management for Downstate NY

Supporting Documents:

Webinar Slides 

April 25, 2024 Provider Webinar: Medicaid Eligibility: Maintaining Benefits for the Intellectually and Developmentally Disabled in New York State

This webinar was in collaboration with Care Design NY and focused onchanges to Medicaid eligibility and recertifications, as well as the unwinding of the Public Health Emergency (PHE) as it relates to Medicaid coverage.

PRESENTED BY: Kristina Cunningham, Assistant Vice President of Member Benefits and Enrollment

Supporting Documents:

Webinar Slides | 2024 Maximum Monthly Benefit Amounts | 2024 SSI and Personal Allowance Amounts | MAGI and Non-MAGI Income Standards

October 26, 2023 Provider Webinar: Best Practices for IDD-Tailored Medical Care

This webinar was The webinar was in collaboration with Care Design NY, and focused on how individuals with Intellectual and Developmental  Disabilities (IDD) have unique patterns of health-related risks and conditions and how they can benefit from some distinct approaches to annual wellness and healthcare maintenance. Based on a review of the literature, this presentation summarized some practical approaches to supporting and improving the quality of health of those with IDD.

PRESENTED BY: Stephen Merahn, MD, Medical Director

Webinar Slides

August 22, 2023 Provider Webinar: Medicaid Eligibility: Maintaining Benefits for the Intellectually and Developmentally Disabled in New York State

This webinar was in collaboration with Care Design NY and focused onchanges to Medicaid eligibility and recertifications, as well as the unwinding of the Public Health Emergency (PHE) as it relates to Medicaid coverage.

PRESENTED BY: Kristina Cunningham, Assistant Vice President of Member Benefits and Enrollment

Supporting Documents:

Webinar Slides | Qualifying Expenses - Spenddowns | 2023 Spenddown Calculation Example | 2023 SSI and Personal Allowance Amounts | 2023 Federal Poverty Level Guidelines

June 14, 2023 Provider Webinar: Medication Related Risk in the IDD Population

This webinar was in collaboration with Care Design NY and focused on: 

• Medication Risks for the IDD Population
• PHP’s clinical pharmacy program
• Comprehensive Medication Therapy Reviews (CMTRs)
• What is a CMTR and how it is used
• Clinical Pharmacy program outcomes

PRESENTED BY: Scott Doolan RN BSN, MBA, Assistant Vice President of Health Care Management

Webinar Slides

March 22, 2023 Provider Webinar: What is IDD Care Management and What Does It Mean To Me?

This webinar was in collaboration with Care Design NY and focused on how Care Management is different when in support of someone with an Intellectual or Developmental Disability (IDD) and the importance of collaboration between IDD Care Managers and the provider community.

PRESENTED BY: Steven Merahn, MD, Medical Director

Webinar Slides

February 24, 2022 Provider Webinar in Collaboration with Care Design NY: The Life Plan Process

This webinar reviewed the CDNY & PHP alignment, the Life Plan process, the CDNY and PHP escalation process, and how to ensure effective communication and timely resolution.

Webinar Slides

Webinar Q&A

October, 26, 2021 Provider Webinar: Important Billing and Claims Updates and Reminders

This webinar reviewed Partners Health Plan’s Care Management model, the Life Plan, and important billing and claims reminders, how to appeal a claim denial and timely filing guidelines.

Webinar Slides

Webinar Q&A