HomeFirst Member Rights Upon Disenrollment
HomeFirst is proud to have you as a member and looks forward to caring for you long into the future. Each year, however, we are required to provide our members with the following disenrollment notice. If you are pleased with HomeFirst and do not wish to make a change, you do not need to take any action.
Annual Notice of Disenrollment Rights
While we value your membership, enrollment in HomeFirst is voluntary. If you require long-term care services and wish to leave HomeFirst, you must choose another plan with NY Medicaid Choice to continue to receive your services. In order to receive long-term care services in your home, you must be enrolled in a Managed Long-Term Care plan. You may return to Medicaid Fee-for-Service without long-term care services in your home.
You may leave HomeFirst and join another health plan at any time during the first ninety (90) days of enrollment. If you do not leave within that timeframe, you must stay in HomeFirst for nine more months, unless you have a good reason (Good Cause). Some examples of Good Cause include:
- You move out of our service area.
- You, the plan, and your county Department of Social Services or the New York State Department of Health all agree that leaving HomeFirst is best for you.
- Your current home care provider does not work with our plan.
- We have not been able to provide services to you as we are required to under our contract with the State.
If you qualify, you can change to another type of managed long-term care plan like Medicaid Advantage Plus (MAP) or Programs of All-Inclusive Care for the Elderly (PACE) at any time without good cause. To change plans: Call New York Medicaid Choice at 1-800-505-5678. The New York Medicaid Choice counselors can help you change health plans.
If you feel you no longer need managed long-term care services, please call Member Services or your Care Management Team. Your Care Manager will send you written confirmation of your request to disenroll. HomeFirst will also forward your disenrollment request to the LDSS or NY Medicaid Choice for processing.
There are reasons, such as if you no longer reside in the plan’s service area, that HomeFirst can involuntarily disenroll you, or ask you to leave the Plan. For a complete list of these reasons and more information about the involuntary disenrollment process, please refer to your member handbook.
If you choose to disenroll or are involuntarily disenrolled from HomeFirst, your effective date of disenrollment will be the last day of the month after LDSS or NY Medicaid Choice has processed your request. However, if your disenrollment is processed after the 20th of the month, your effective date of disenrollment will be the last day of the following month.
From the time of your disenrollment request through your effective date of disenrollment, HomeFirst will continue to provide your covered benefits to you. We will also make all necessary referrals for alternative services, no longer covered by HomeFirst, after the disenrollment date.
Thank you again for choosing HomeFirst for your long-term care needs. If you have any questions or need assistance, please call Member Services at 1-877-771-1119 (TTY 711), Monday through Friday from 8:30 a.m. to 5:00 p.m.
Notice of Nondiscrimination – Discrimination Is Against the Law
Elderplan/HomeFirst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Elderplan, Inc. does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Elderplan/HomeFirst:
- Provides free aids and services to people with disabilities to communicate effectively with us, such as:
- Qualified sign language interpreters
- Written information in other formats (large print, audio, accessible electronic formats, other formats)
- Provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
If you need these services, contact Civil Rights Coordinator. If you believe that Elderplan/HomeFirst has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you may file a grievance with:
Civil Rights Coordinator
55 Water Street, 46th Floor
New York, NY, 10041
Phone: 1-877-326-9978, TTY 711
You may file a grievance in person or by mail, phone, or fax. If you need help filing a grievance, Civil Rights Coordinator is available to help you.
You may also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue, SW, Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 1-800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Multi-language Interpreter Services
ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call 1-877-771-1119 (TTY: 711).
1-877-771-1119 (TTY: 711).
خبردار: اگر آپ اردو بولتے ہیں، تو آپ کو زبان کی مدد کی خدمات مفت میں دستیاب ہیں ۔ کال کریں (Urdu)
.1-877-771-1119 (TTY: 711)