PMPM CDPAP Contract Status for New York
HHAeXchange is working closely with health plans to meet evolving requirements and Providers will be notified as soon as updates are live.
The table below shows the current status for Linked/UPR and Internal Contracts for Providers to determine the appropriate time to submit billing for each.
| Payer | Status |
|---|---|
|
Aetna Better Health NY |
Submit claims and monitor results |
|
Elderplan |
Continue to submit claims |
|
Fidelis |
Continue to submit claims |
|
Healthfirst |
Continue to submit claims |
|
Nascentia |
Continue to submit claims if linked |
|
Riverspring |
Submit claims and monitor results |
|
SWHNY |
Submit claims and monitor results, any claims submitted prior to the 10/18 enhancements that were held have been released |
|
Molina |
Submit claims and monitor results |
|
UHC NY |
Continue to submit claims |
|
VNS Health |
Submit claims and monitor results |
|
All Internal Contracts |
Ensure any required configuration updates have been made. Refer to the PMPM Claims FAQs in the PMPM CDPAP Services Billing topic, then submit claims and monitor results |
Refer to the PMPM CDPAP Services Billing topic for full process details and instructions .