New York State's Operational Protocol for The Partnership Plan
- About the Operational Protocol
- Definitions and Acronyms (PDF, 83KB, 13pg.)
- Chapter 1: Organization and Administration (PDF, 99KB, 20pg.)
- Chapter 2: Eligible Populations (PDF, 58KB, 10pg.)
- Chapter 3: Special Populations (PDF, 59KB, 11pg.)
- Chapter 4: Partnership Plan Services (PDF, 43KB, 7pg.)
- Chapter 5: Linkage/Coordination Activities (PDF, 28KB, 2pg.)
- Chapter 6: Child/Teen Health Plan Services (EPSDT) (PDF, 32KB, 4pg.)
- Chapter 7: Family Planning and Reproductive Health Services (PDF, 29KB, 5pg.)
- Chapter 8: Drug Benefits (PDF, 22KB, 3pg.)
- Chapter 9: Mental Health and Chemical Dependence Services (PDF, 31KB, 5pg.)
- Chapter 10: Marketing (PDF, 38KB, 6pg.)
- Chapter 11: Education and Outreach (PDF, 48KB, 7pg.)
- Chapter 12: Enrollment, Disenrollment and Exemption/Exclusion Process (PDF, 133KB, 28pg.)
- Chapter 13: Communications: MCOs and LDSS (PDF, 30KB, 4pg.)
- Chapter 14: Public/Voluntary Hospitals (PDF, 20KB, 3pg.)
- Chapter 15: Member Handbooks (PDF, 34KB, 4pg.)
- Chapter 16: MCO Selection Policies (PDF, 35KB, 6pg.)
- Chapter 18: Federally Qualified Health Centers and Rural Health Clinics (PDF, 23KB, 2pg.)
- Chapter 19: Financial Reporting and Monitoring (PDF, 38KB, 6pg.)
- Chapter 20: Quality Assurance Monitoring Plan (PDF, 35KB, 3pg.)
- Chapter 21: Health Care Delivery To Native Americans (PDF, 37KB, 6pg.)
- Chapter 22: Encounter Data Reporting (PDF, 35KB, 5pg.)
- Chapter 24: Community Health Care Conversion Demonstration Project (CHCCDP) (PDF, 51KB, 10pg.)
- Chapter 25: Administrative and Management Data System (PDF, 37KB, 5pg.)
- Chapter 26: MCO Network Requirements and Referral Authorization Policies (PDF, 40KB, 6pg.)
- Chapter 27: Federal-State Health Reform Partnership (F-SHRP) (PDF, 29KB, 3pg.)
- Chapter 28: County Readiness Review Process (PDF, 33KB, 4pg.)
- Chapter 29: Dual Eligible Initiative (PDF, 159KB, 28pg.)
- Appendices (PDF, 27KB, 2pg.)
