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New York

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New York Preadmission Screening and Resident Review (PASRR)

We partner with DOH to perform Level II onsite evaluations for individuals suspected of having a mental illness the Preadmission Screening and Resident Review (PASRR) program. PASRR assessments are performed on individuals who are applying to, or residing in, Medicaid-certified nursing homes. The primary objective of this federally-mandated assessment is to determine whether the nursing home is the appropriate placement for individuals with mental illness, intellectual disabilities or developmental disabilities. PASRR also works as a critical function to help match individuals with the care and services they need.

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New York Independent Assessor Program (NYIAP)

Maximus has partnered with the New York State Department of Health to establish the New York Independent Assessor Program (NYIAP) for New York State Medicaid members seeking personal care services, consumer directed personal assistance services and/or enrollment into a Managed Long Term Care (MLTC) plan. NYIAP Nurse Assessors conduct conflict-free assessments of these individuals using the Community Health Assessment (CHA) tool to determine whether they meet the requirements to request these services. Independent Practitioners—physicians, nurse practitioners, and physician assistants—conduct clinical appointments to determine if the individual is medically stable to receive services in the community. The information collected from the CHA and clinical appointment is used by Local Departments of Social Services, Medicaid Managed Care Organizations, and Managed Long Term Care plans to develop the individual’s person-centered service plan.

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New York Medicaid Choice (NYMC)

New York Medicaid Choice (NYMC) is one of the largest managed care enrollment programs in the country, serving more than seven million Medicaid consumers. NYMC provides these consumers with education about how managed care works, advises them of their managed care options, and enrolls them in the health plan of their choice. NYMC is a call center- and outreach-based program that provides unbiased information to New York Medicaid recipients and helps them make the best health plan choice for themselves and their families. 

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New York Office of People with Developmental Disabilities (OPWDD)—Coordinated Assessment System (CAS) Assessment Services

Maximus conducts conflict-free assessments for adults aged 18  or older who have intellectual and development disabilities on behalf of the New York State Office for People with Developmental Disabilities (OPWDD). Maximus Assessors use the Coordinated Assessment System (CAS) comprehensive assessment tool to identify the strengths, interests, and needs of these individuals, information which assists in their person-centered care planning.

Learn more about NY CAS

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New York Office of People with Developmental Disabilities (OPWDD)—Children and Adolescent Needs and Strengths (CANS) Assessment Services

Maximus conducts conflict-free assessments for children and youth aged 0 to 17 who have intellectual and development disabilities on behalf of the New York State Office for People with Developmental Disabilities (OPWDD). Our Assessors use the Child and Adolescent Needs and Strengths (CANS) comprehensive assessment tool to identify the strengths, interests, and needs of these children and youth. Once completed, the CANS helps identify appropriate supports and services and will be used in the development of a care plan.

Learn more about NY CANS

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New York Physician Profile (NYPP)

Maximus operates the New York Physician Profile (NYPP) program under the direction of the New York State (NYS) Department of Health/Office of Professional Medical Conduct. NYPP maintains a database of thousands of medical doctors (MDs) and doctors of osteopathy (DOs) who are licensed and registered to practice in the state. Information available at nydoctorprofile.com and 888.338.6999 can help consumers select a doctor or learn more about a doctor they currently see, such as education, medical school, and certifications; practice name, location, and phone number; office translation services; a list of participating health plans; malpractice, legal and disciplinary actions, if any; and professional and/or community service activities.

Learn more about NY PP