{"id":5266,"date":"2017-09-21T16:33:11","date_gmt":"2017-09-21T16:33:11","guid":{"rendered":"http:\/\/english2018.elderplan.org\/?page_id=5266"},"modified":"2024-11-06T12:43:34","modified_gmt":"2024-11-06T17:43:34","slug":"annual-notice-of-disenrollment-rights","status":"publish","type":"page","link":"https:\/\/www.elderplan.org\/zh\/about-us\/homefirst-managed-long-term-care\/annual-notice-of-disenrollment-rights\/","title":{"rendered":"HomeFirst Member Rights Upon Disenrollment"},"content":{"rendered":"<section class=\"wpb-content-wrapper\">\n<div class=\"wp-block-columns padding-interior is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p><strong>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.<\/strong><\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-annual-notice-of-disenrollment-rights\">Annual Notice of Disenrollment Rights<\/h2>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>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:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>You move out of our service area.<\/li>\n\n\n\n<li>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.<\/li>\n\n\n\n<li>Your current home care provider does not work with our plan.<\/li>\n\n\n\n<li>We have not been able to provide services to you as we are required to under our contract with the State.<\/li>\n<\/ul>\n\n\n\n<p>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 <a href=\"tel:+18005055678\">1-800-505-5678<\/a>. The New York Medicaid Choice counselors can help you change health plans.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>There are reasons, such as if you no longer reside in the plan\u2019s 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\u00a0member handbook.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>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 <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY 711), Monday through Friday from 8:30 a.m. to 5:00 p.m.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-elderplan-inc\"><strong>Elderplan, Inc.<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-notice-of-nondiscrimination-discrimination-is-against-the-law\"><strong>Notice of Nondiscrimination \u2013 Discrimination Is Against the Law<\/strong><\/h3>\n\n\n\n<p>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:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Provides free aids and services to people with disabilities to communicate effectively with us, such as:<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Qualified sign language interpreters<\/li>\n\n\n\n<li>Written information in other formats (large print, audio, accessible electronic formats, other formats)<\/li>\n\n\n\n<li>Provides free language services to people whose primary language is not English, such as:<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Qualified interpreters<\/li>\n\n\n\n<li>Information written in other languages<\/li>\n<\/ul>\n\n\n\n<p>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:<\/p>\n\n\n\n<p>Civil Rights Coordinator<br>55 Water Street, 46th Floor<br>New York, NY, 10041<\/p>\n\n\n\n<p>Phone: <a href=\"tel:+18773269978\">1-877-326-9978<\/a>, TTY 711<br>Fax: <a href=\"tel:+17187593643\">1-718-759-3643<\/a><\/p>\n\n\n\n<p>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.<\/p>\n\n\n\n<p>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\u00a0<a href=\"https:\/\/ocrportal.hhs.gov\/ocr\/portal\/lobby.jsf\">https:\/\/ocrportal.hhs.gov\/ocr\/portal\/lobby.jsf<\/a>, or by mail or phone at:<\/p>\n\n\n\n<p>U.S. Department of Health and Human Services<br>200 Independence Avenue, SW, Room 509F, HHH Building<br>Washington, D.C. \u00a020201<\/p>\n\n\n\n<p><a href=\"tel:+18003681019\">1-800-368-1019<\/a>, <a href=\"tel:+18005377697\">1-800-537-7697<\/a> (TDD)<\/p>\n\n\n\n<p>Complaint forms are available at\u00a0<a href=\"http:\/\/www.hhs.gov\/ocr\/office\/file\/index.html\">http:\/\/www.hhs.gov\/ocr\/office\/file\/index.html<\/a>.<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-multi-language-interpreter-services\"><strong>Multi-language Interpreter Services<\/strong><\/h3>\n\n\n\n<p>ATTENTION: If you speak a non-English language or require assistance in ASL, language assistance services, free of charge, are available to you. Call <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/p>\n\n\n\n<p>(Spanish)<\/p>\n\n\n\n<div lang=\"es\">ATENCI\u00d3N: si habla espa\u00f1ol, tiene a su disposici\u00f3n servicios gratuitos de asistencia ling\u00fc\u00edstica. Llame al <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Chinese)<\/p>\n\n\n\n<div lang=\"zh\">\u6ce8\u610f\uff1a\u5982\u679c\u60a8\u4f7f\u7528\u7e41\u9ad4\u4e2d\u6587\uff0c\u60a8\u53ef\u4ee5\u514d\u8cbb\u7372\u5f97\u8a9e\u8a00\u63f4\u52a9\u670d\u52d9\u3002\u8acb\u81f4\u96fb <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Russian)<\/p>\n\n\n\n<div lang=\"ru\">\u0412\u041d\u0418\u041c\u0410\u041d\u0418\u0415: \u0415\u0441\u043b\u0438 \u0432\u044b \u0433\u043e\u0432\u043e\u0440\u0438\u0442\u0435 \u043d\u0430 \u0440\u0443\u0441\u0441\u043a\u043e\u043c \u044f\u0437\u044b\u043a\u0435, \u0442\u043e \u0432\u0430\u043c \u0434\u043e\u0441\u0442\u0443\u043f\u043d\u044b \u0431\u0435\u0441\u043f\u043b\u0430\u0442\u043d\u044b\u0435 \u0443\u0441\u043b\u0443\u0433\u0438 \u043f\u0435\u0440\u0435\u0432\u043e\u0434\u0430. \u0417\u0432\u043e\u043d\u0438\u0442\u0435 <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (\u0442\u0435\u043b\u0435\u0442\u0430\u0439\u043f: 711).<\/div>\n\n\n\n<p>(French Creole)<\/p>\n\n\n\n<div lang=\"ht\">ATANSYON: Si w pale Krey\u00f2l Ayisyen, gen s\u00e8vis \u00e8d pou lang ki disponib gratis pou ou. Rele <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Korean)<\/p>\n\n\n\n<div lang=\"ko\">\uc8fc\uc758: \ud55c\uad6d\uc5b4\ub97c \uc0ac\uc6a9\ud558\uc2dc\ub294 \uacbd\uc6b0, \uc5b8\uc5b4 \uc9c0\uc6d0 \uc11c\ube44\uc2a4\ub97c \ubb34\ub8cc\ub85c \uc774\uc6a9\ud558\uc2e4 \uc218 \uc788\uc2b5\ub2c8\ub2e4. <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711)\ubc88\uc73c\ub85c \uc804\ud654\ud574 \uc8fc\uc2ed\uc2dc\uc624.<\/div>\n\n\n\n<p>(Italian)<\/p>\n\n\n\n<div lang=\"it\">ATTENZIONE: In caso la lingua parlata sia l\u2019italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Yiddish)<\/p>\n\n\n\n<div lang=\"yi\">\u05d0\u05d5\u05d9\u05e4\u05de\u05e2\u05e8\u05e7\u05d6\u05d0\u05dd: \u05d0\u05d5\u05d9\u05d1 \u05d0\u05d9\u05e8 \u05e8\u05e2\u05d3\u05d8 \u05d0\u05d9\u05d3\u05d9\u05e9, \u05d6\u05e2\u05e0\u05e2\u05df \u05e4\u05d0\u05e8\u05d4\u05d0\u05df \u05e4\u05d0\u05e8 \u05d0\u05d9\u05d9\u05da \u05e9\u05e4\u05e8\u05d0\u05da \u05d4\u05d9\u05dc\u05e3 \u05e1\u05e2\u05e8\u05d5\u05d5\u05d9\u05e1\u05e2\u05e1 \u05e4\u05e8\u05d9\u05d9 \u05e4\u05d5\u05df \u05d0\u05e4\u05e6\u05d0\u05dc. \u05e8\u05d5\u05e4\u05d8<\/div>\n\n\n\n<p><a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/p>\n\n\n\n<p>(Bengali)<\/p>\n\n\n\n<div lang=\"bn\">\u09b2\u0995\u09cd\u09b7\u09cd\u09af \u0995\u09b0\u09c1\u09a8\u0983 \u09af\u09a6\u09bf \u0986\u09aa\u09a8\u09bf \u09ac\u09be\u0982\u09b2\u09be, \u0995\u09a5\u09be \u09ac\u09b2\u09a4\u09c7 \u09aa\u09be\u09b0\u09c7\u09a8, \u09a4\u09be\u09b9\u09b2\u09c7 \u09a8\u09bf\u0983\u0996\u09b0\u099a\u09be\u09df \u09ad\u09be\u09b7\u09be \u09b8\u09b9\u09be\u09af\u09bc\u09a4\u09be \u09aa\u09b0\u09bf\u09b7\u09c7\u09ac\u09be \u0989\u09aa\u09b2\u09ac\u09cd\u09a7 \u0986\u099b\u09c7\u0964 \u09ab\u09cb\u09a8 \u0995\u09b0\u09c1\u09a8 <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711)\u0964<\/div>\n\n\n\n<p>(Polish)<\/p>\n\n\n\n<div lang=\"pl\">UWAGA: Je\u017celi m\u00f3wisz po polsku, mo\u017cesz skorzysta\u0107 z bezp\u0142atnej pomocy j\u0119zykowej. Zadzwo\u0144 pod numer <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Arabic)<\/p>\n\n\n\n<div dir=\"rtl\" lang=\"ar\">\u0645\u0644\u062d\u0648\u0638\u0629: \u00a0\u00a0\u0625\u0630\u0627 \u0643\u0646\u062a \u062a\u062a\u062d\u062f\u062b \u0644\u063a\u0629 \u063a\u064a\u0631 \u0627\u0644\u0625\u0646\u062c\u0644\u064a\u0632\u064a\u0629 \u0623\u0648 \u062a\u062d\u062a\u0627\u062c \u0625\u0644\u0649 \u0645\u0633\u0627\u0639\u062f\u0629 \u0641\u064a ASL\u060c \u0641\u0625\u0646 \u062e\u062f\u0645\u0627\u062a \u0627\u0644\u0645\u0633\u0627\u0639\u062f\u0629 \u0627\u0644\u0644\u063a\u0648\u064a\u0629 \u062a\u062a\u0648\u0627\u0641\u0631 \u0644\u0643 \u0645\u062c\u0627\u0646\u0627.\u00a0 \u00a0\u0627\u062a\u0635\u0644 \u0628\u0631\u0642\u0645 .<a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711)<\/div>\n\n\n\n<p>(French)<\/p>\n\n\n\n<div lang=\"fr\">ATTENTION\u00a0: Si vous parlez fran\u00e7ais, des services d\u2019aide linguistique vous sont propos\u00e9s gratuitement. Appelez le <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (ATS: 711).<\/div>\n\n\n\n<div dir=\"rtl\" lang=\"ur\">\n<p>\u062e\u0628\u0631\u062f\u0627\u0631: \u0627\u06af\u0631 \u0622\u067e \u0627\u0631\u062f\u0648 \u0628\u0648\u0644\u062a\u06d2 \u06c1\u06cc\u06ba\u060c \u062a\u0648 \u0622\u067e \u06a9\u0648 \u0632\u0628\u0627\u0646 \u06a9\u06cc \u0645\u062f\u062f \u06a9\u06cc \u062e\u062f\u0645\u0627\u062a \u0645\u0641\u062a \u0645\u06cc\u06ba \u062f\u0633\u062a\u06cc\u0627\u0628 \u06c1\u06cc\u06ba \u06d4 \u06a9\u0627\u0644 \u06a9\u0631\u06cc\u06ba (Urdu)<\/p>\n<p>.<a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711)<\/p>\n<\/div>\n\n\n\n<p>(Tagalog)<\/p>\n\n\n\n<div lang=\"tl\">PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Greek)<\/p>\n\n\n\n<div lang=\"el\">\u03a0\u03a1\u039f\u03a3\u039f\u03a7\u0397: \u0391\u03bd \u03bc\u03b9\u03bb\u03ac\u03c4\u03b5 \u03b5\u03bb\u03bb\u03b7\u03bd\u03b9\u03ba\u03ac, \u03c3\u03c4\u03b7 \u03b4\u03b9\u03ac\u03b8\u03b5\u03c3\u03ae \u03c3\u03b1\u03c2 \u03b2\u03c1\u03af\u03c3\u03ba\u03bf\u03bd\u03c4\u03b1\u03b9 \u03c5\u03c0\u03b7\u03c1\u03b5\u03c3\u03af\u03b5\u03c2 \u03b3\u03bb\u03c9\u03c3\u03c3\u03b9\u03ba\u03ae\u03c2 \u03c5\u03c0\u03bf\u03c3\u03c4\u03ae\u03c1\u03b9\u03be\u03b7\u03c2, \u03bf\u03b9 \u03bf\u03c0\u03bf\u03af\u03b5\u03c2 \u03c0\u03b1\u03c1\u03ad\u03c7\u03bf\u03bd\u03c4\u03b1\u03b9 \u03b4\u03c9\u03c1\u03b5\u03ac\u03bd. \u039a\u03b1\u03bb\u03ad\u03c3\u03c4\u03b5 <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n\n\n\n<p>(Albanian)<\/p>\n\n\n\n<div lang=\"sq\">KUJDES: N\u00ebse flitni shqip, p\u00ebr ju ka n\u00eb dispozicion sh\u00ebrbime t\u00eb asistenc\u00ebs gjuh\u00ebsore, pa pages\u00eb. Telefononi n\u00eb <a href=\"tel:+18777711119\">1-877-771-1119<\/a> (TTY: 711).<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<p class=\"has-text-align-center\">Questions? Call HomeFirst today.<\/p>\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center\" id=\"h-1-866-386-4177\"><a href=\"tel:1-866-386-4177\">1-866-386-4177<\/a><\/h4>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity hr vc_separator\">\n\n\n\n<h4 class=\"wp-block-heading has-text-align-center\" id=\"h-tty-711\"><a href=\"tel:711\"><\/a><a href=\"tel:711\">[TTY: 711]<\/a><\/h4>\n\n\n\n<p class=\"has-text-align-center\"><strong>Hours of Operation:<\/strong><br>8:30 a.m. to 5 p.m., Monday \u2013 Friday<\/p>\n\n\n\n<div style=\"height:25px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h5 class=\"wp-block-heading has-text-align-center\" id=\"h-homefirst-is-availablein-the-5-boroughs-of-nyc-dutchess-nassau-orange-putnam-rockland-sullivan-ulster-and-westchester-counties\">HomeFirst is available<br>in the 5 boroughs of NYC,<br>Dutchess, Nassau, Orange,<br>Putnam, Rockland, Sullivan,<br>Ulster and Westchester counties.<\/h5>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns vc_row wpb_row vc_row-fluid lfi-full-row vc_custom_1660068779200 vc_row-has-fill is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-text-align-center\" id=\"h-looking-for-information\">Looking for information\uff1f<\/h2>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-nowrap is-layout-flex wp-container-core-buttons-is-layout-94bc23d7 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/elderplan.providerlenz.com\/home\">Find a Provider<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--3\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.medicareplanrx.com\/jccf\/elderplan_medd_pharmacy_26.html\">Find a Pharmacy<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--4\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.dentaquest.com\/en\/find-a-dentist\/search-results#state=New+York&amp;planType=medicare&amp;plan=NY-ELDCARE&amp;distance=25&amp;lat=40.7127753&amp;lon=-74.0059728&amp;locDesc=New%3Dyork%2C+New+York%2C+100410&amp;currentView=provider&amp;sort=distance&amp;page=1&amp;isSearchEnabled=true&amp;city=New+York\">Find a Dentist<\/a><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-nowrap is-layout-flex wp-container-core-buttons-is-layout-94bc23d7 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--5\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/member-benefits\/elderplan-benefits\/prescription-drugs\/\">Find a Drug<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--6\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/medicare-advantage-plan-options\/plan-materials\/find-a-form\/\">Find a Form<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-outline is-style-outline--7\"><a class=\"wp-block-button__link wp-element-button\" href=\"\/files\/elderplan-broad-vaccine-network-vaccine-pharmacy-directory_updated_06012022_eng_accessible\/\">Flu Vaccine Pharmacy List<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>HomeFirst is proud to have you [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":3760,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"class_list":["post-5266","page","type-page","status-publish","hentry"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"zh","enabled_languages":["en","es","zh"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"zh":{"title":false,"content":false,"excerpt":false}}},"acf":[],"jetpack_sharing_enabled":true,"publishpress_future_action":{"enabled":false,"date":"2026-05-14 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