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Take me there!- Community Rating
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Current value: 0 out of 5
- Your Rating
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Current value: 0 out of 5
- Raters
- 0
- Visits
- 873
- Downloads
- 404
- Comments
- 0
- Contributors
- 0
- Category
- Health
- Permissions
- Public
- Tags
- pnds, facilities and services, directory, managed care, medicaid, plan, provider
- Data Provided By
- New York State Department of Health
- Source Link
- http://www.health.ny.gov/health_care/managed_care/mcplans.htm
- Office/Division
- Office of Quality and Patient Safety
- Time Period
- Cumulative through June 30, 2017
- Posting Frequency
- Quarterly
- Dataset Owner
- Division of Performance Improvement & Patient Safety
- Coverage
- Statewide
- Notes
- Uses of PNDS Data: 1. Provider eligibility assessment, to assure that only qualified providers are delivering health care to plan members. 2. Comprehensive services assessment to assure that comprehensive health services are available as required under Section 4403 of the Public Health Law. 3. Finding a Health Plan provider through customized directories of providers by county. 5. Capacity analysis to calculate the potential capacity of a Health Plan's primary care providers. 6. Investigation of Fraud to identify Medicaid providers who have been identified as unable to participate in Medicaid Managed Care during the quarter. 7. Provider network review by appropriate government agencies at the state, county and local government level.
- Limitations
- Provider Network Data System information is self-reported.
- Agency
- Health, Department of
Managed Care Individual Provider Network Data: June 30, 2017
Description
The primary purpose for the Provider Network Data System is to collect data needed to evaluate the provider networks including physicians, hospitals, labs, home health agencies, durable medical equipment providers, etc., for all types of health plans in New York State. Beginning in 2017, the PNDS includes Medicaid Managed Care (MMC), HIV Special Need Plans (SNP), Health and Recovery Plans (HARP), Child Health Plus (CHP), Programs of All-Inclusive Care for the Elderly (PACE), Non-PACE Managed Long-Term Care (MLTC) plans, Qualified Health Plans (QHP), Essential Plans (EP), and commercial plans (commercial plan reporting will be incomplete until Q2 2017). This dataset reflects individual provider data. Provider Network Data System information is self-reported by health plans. The PNDS data dictionary can be found at http://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf. To use the NYS Provider & Health Plan Look-Up Tool, click on the following link, https://pndslookup.health.ny.gov/.
This information is now on Primer
All the information that is in this pane, and more, is now on Primer, in a more consumable and user friendly format. You can also edit metadata from this page.
Take me there!- Community Rating
-
Current value: 0 out of 5
- Your Rating
-
Current value: 0 out of 5
- Raters
- 0
- Visits
- 873
- Downloads
- 404
- Comments
- 0
- Contributors
- 0
- Category
- Health
- Permissions
- Public
- Tags
- pnds, facilities and services, directory, managed care, medicaid, plan, provider
- Data Provided By
- New York State Department of Health
- Source Link
- http://www.health.ny.gov/health_care/managed_care/mcplans.htm
- Office/Division
- Office of Quality and Patient Safety
- Time Period
- Cumulative through June 30, 2017
- Posting Frequency
- Quarterly
- Dataset Owner
- Division of Performance Improvement & Patient Safety
- Coverage
- Statewide
- Notes
- Uses of PNDS Data: 1. Provider eligibility assessment, to assure that only qualified providers are delivering health care to plan members. 2. Comprehensive services assessment to assure that comprehensive health services are available as required under Section 4403 of the Public Health Law. 3. Finding a Health Plan provider through customized directories of providers by county. 5. Capacity analysis to calculate the potential capacity of a Health Plan's primary care providers. 6. Investigation of Fraud to identify Medicaid providers who have been identified as unable to participate in Medicaid Managed Care during the quarter. 7. Provider network review by appropriate government agencies at the state, county and local government level.
- Limitations
- Provider Network Data System information is self-reported.
- Agency
- Health, Department of