Effective May 16, 2022 New Assessment Procedures for Home Care Assessments • Call will be made to NY Independent Assessor (NYIA) to request initial nursing assessment • NYIA will schedule the Community Health Assessment (CHA) and CA (Clinical Appointment) within 14 days (These appointments can occur M-F 8:30am-5:00pm and Sat-Sun 10:00am-6:00pm) • CHA appointment -The NYIA nurse completes their assessment via telehealth or in person. • CA Appointment- The Independent Practitioner Panel (Independent Physician panel) examines the Applicant via telehealth or in person to determine if they are self-directing and in stale medical condition and completes a Practitioner Order for care • This Order is handed down to the Local Department of Social Services which will use both the nursing assessment and the Practitioner’s Order to create a plan of care (including number of home care hours). An Outcome Notice will be issued which will have Fair Hearing Right s if a denial of care is issued. If NYIA approves enrollment into Managed Long-Term Care (MLTC) the Outcome Notice will direct that the Applicant contact an MLTC to enroll. This notice will be good for one year as opposed to the prior 75-day deadline to enroll. *If Applicant is approved for 12 hours or less/day, the plan of care is finalized. *If Applicant is approved for more than 12 hours or more/day, there will be an Independent Review Panel review. Within 6 days the panel makes recommendation of whether the plan of care will maintain health and safety at home It is important now more than ever to engage the services of our Board-Certified Patient Advocate to assist with all phases of care coordination.