Certain adults in New York City and Nassau County are now eligible to enroll in a Fully Integrated Duals Advantage (FIDA) plan, launched by the Centers for Medicare & Medicaid Services and the New York State Department of Health in 2015. FIDA gives dually eligible beneficiaries (those eligible for Medicare and Medicaid) the option of enrolling in a plan that provides both their Medicare and Medicaid benefits. Individuals are eligible who are over 21, have both Medicare and Medicaid, and receive four months or more (120+ days) of long term care services.
The Medicare Rights Center, with support from the New York State Health Foundation and Community Catalyst, has created a toolkit specifically for health care providers to assist them in understanding FIDA as it rolls out. Toolkit materials are intended to help providers understand FIDA’s promise of care coordination, provider roles in the FIDA program, and how providers can help their patients make the best coverage choices for their needs.
