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Take me there!- Community Rating
-
Current value: 0 out of 5
- Your Rating
-
Current value: 0 out of 5
- Raters
- 0
- Visits
- 5447
- Downloads
- 963
- Comments
- 0
- Contributors
- 0
- Category
- Health
- Permissions
- Public
- Tags
- directory, managed care, medicaid, plan, provider, pnds, facilities and services
- Data Provided By
- New York State Department of Health
- Source Link
- http://www.health.ny.gov/health_care/managed_care/
- Time Period
- Cumulative through December 31, 2013
- Posting Frequency
- Quarterly
- Dataset Owner
- Division of Health Plan Contracting & Oversight
- Coverage
- Statewide
- Granularity
- County
- Units
- Managed Care Plan Provider
- Organization
- Office of Health Insurance Programs
- Data Frequency
- Quarterly
- 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. Access and travel assessment of Managed Care Plans serving Medicaid recipients are evaluated against established standards. 4. Finding a Managed Care Plan provider through customized directories of providers by county. 5. Capacity analysis to calculate the potential capacity of a Managed Care 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 Institutional Provider Network Data: December 31, 2013
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 Managed Care plans in New York State, including HIV Special Need Plans (SNP), Family Health Plus (FHP) Buy-In, Programs of All-Inclusive Care for the Elderly (PACE), and Non-PACE Managed Long-Term Care (MLTC) plans. This dataset reflects institutional provider data. Provider Network Data System information is self reported. For more information, go to http://www.health.ny.gov/health_care/managed_care/.
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
- 5447
- Downloads
- 963
- Comments
- 0
- Contributors
- 0
- Category
- Health
- Permissions
- Public
- Tags
- directory, managed care, medicaid, plan, provider, pnds, facilities and services
- Data Provided By
- New York State Department of Health
- Source Link
- http://www.health.ny.gov/health_care/managed_care/
- Time Period
- Cumulative through December 31, 2013
- Posting Frequency
- Quarterly
- Dataset Owner
- Division of Health Plan Contracting & Oversight
- Coverage
- Statewide
- Granularity
- County
- Units
- Managed Care Plan Provider
- Organization
- Office of Health Insurance Programs
- Data Frequency
- Quarterly
- 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. Access and travel assessment of Managed Care Plans serving Medicaid recipients are evaluated against established standards. 4. Finding a Managed Care Plan provider through customized directories of providers by county. 5. Capacity analysis to calculate the potential capacity of a Managed Care 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