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Medicaid Managed Care/Family Health Plus/ HIV Special ...

Medicaid Managed care / FAMILY Health PLUS/ HIV Special NEEDS PLAN/ Health AND RECOVERY PLAN MODEL CONTRACT March 1, 2019 _____ _____ _____ _____ _____ _____ _____ _____ MISCELLANEOUS/CONSULTANT SERVICES (Award Without Formal Request For Proposal) STATE AGENCY (Name and Address): New york State department of Health Office of Health insurance Programs Division of Health Plan Contracting and Oversight One Commerce Plaza Room 1609 Albany, NY 12260 CONTRACTOR (Name and Address): CHARITIES REGISTRATION NUMBER: Contractor has ( ) has not ( ) timely filed with the Attorney General s Charities Bureau all required period or annual written reports.

New York State Department of Health Office of Health Insurance Programs ... -X- Appendix B. Certification Regarding Lobbying -X- Appendix B-1. Certification Regarding MacBride Fair Employment Principles ... Enrollment Broker, NYSoH, or LDSS Initiated Disenrollment 8.9 Passive Reassignment of Enrollees in Receipt of Medicare

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