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As a reminder, we had announced late last year that we were retiring the Group Health Incorporated (GHI) and HIP Insurance Company of New York (HIPIC) names and replacing them with names that reflect our EmblemHealth identity. This has been done and is in effect.
POs completed by the NYIA are valid for up to 12 months. The NYIA PO will take the place of the physician order forms (DOH-4359 and HCSP-M11Q) for adults (18 years of age and over) for initial assessments.
Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth.
EmblemHealth is the parent company for the HIP Health Plan of New York (HIP) and Group Health Incorporated (GHI).
EmblemHealth's Bridge Program Is Growing! The Bridge Program gives members access to a combination of our existing EmblemHealth Insurance Company's Prime Network, EmblemHealth Plan, Inc.'s National Network, ConnectiCare, Inc.'s Choice Network, as well as QualCare's and FirstHealth's networks.
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The M11q is the only part of the home care assessment process in which someone speaking on behalf of the client states why he or she needs home care. The doctor's M11q must give a complete picture of the client's needs and justify the amount of care requested.
If you are pregnant or applying on behalf of children, a determination should be made within 30 days from the date of your application. If you are applying and have a disability which must be evaluated, it can take up to 90 days to determine if you are eligible.
GHI HMO Medicare Senior Supplement covers the same services for Medicare-eligible retirees as the GHI HMO plan for active employees and non-Medicare retirees. It includes coverage for deductibles, coinsurance and services not covered by Medicare Parts A and B.
Who is eligible for New York Medicaid? Pregnant, or. Be responsible for a child 18 years of age or younger, or. Blind, or. Have a disability or a family member in your household with a disability, or. Be 65 years of age or older.
If you are pregnant or applying on behalf of children, a determination should be made within 30 days from the date of your application. If you are applying and have a disability which must be evaluated, it can take up to 90 days to determine if you are eligible.