Alphacare by Magellan Health

Revdex.com: I have reviewed the response made by the business in reference to complaint ID# [redacted] , and have determined that my complaint has NOT been resolved because: [Your Answer Here] I do not accept the business response My complaint was that I had to submit my father's paperwork times in order for them to be sent to Medicaid, so they can continue with the process Yes, he was denied the first time because Medicaid did NOT receive the paperwork I submitted to Alphacare timed beforeI had to go directly to the Medicaid office with the same paperwork I gave times to Alphacare in order for them finish the processMedicaid stated that they never received any of the paperwork from Alphacare I made numerous calls to Alphacare, including Lisa B [redacted] and Carol H [redacted] -F [redacted] and they NEVER returned any of my phone calls when I was contacted by Medicaid He was denied by Medicaid on the 2nd of Sept, but then was accepted about a week after because I had to personally finish the process myself Alphacare NEVER called to check on the status and delayed my father's chance of receiving home care because they were unprofessional and did not handle the process properly In order for the Revdex.com to appropriately process your response, you MUST answer the question above Sincerely, [redacted]

Dear Sir/Madame: We are writing in response to your letter dated January **, regarding the above-reference ComplaintAlphacare by Magellan Health (“Alphacare”), a subsidiary of Magellan Health, Inc(Magellan), is a managed health care company that is responsible for the management of the physical health benefits for Medicaid and Medicare recipients in New YorkDue to the health information privacy restrictions and requirements of the Health Insurance Portability and Accountability Act of (“HIPAA”), it’s implementing regulations, and applicable state privacy laws, we are unable to share any information with third parties such as your organization which would identify a covered individualTherefore, we are unable to participate in your complaint resolution processPlease be assured that in cases where we receive complaints from or about individuals, we do have a complaint policy and procedure in place wherein we respond directly to such individuals to address any problems or concerns and we will follow that policy in this caseThank you for bringing this issue to our attention, and we trust you will appreciate our position in this matterSincerely, Tim F [redacted] ( [redacted] ) Compliance Officer AlphaCare of New York, A Magellan Company

Responded directly to complainant via ** *** *** on 03/**/

Dear Sir/Madame: We are writing in response to your letter dated January **, regarding the above-reference ComplaintAlphacare by Magellan Health (“Alphacare”), a subsidiary of Magellan Health, Inc(Magellan), is a managed health care company that is responsible for the management of the
physical health benefits for Medicaid and Medicare recipients in New YorkDue to the health information privacy restrictions and requirements of the Health Insurance Portability and Accountability Act of (“HIPAA”), it’s implementing regulations, and applicable state privacy laws, we are unable to share any information with third parties such as your organization which would identify a covered individualTherefore, we are unable to participate in your complaint resolution processPlease be assured that in cases where we receive complaints from or about individuals, we do have a complaint policy and procedure in place wherein we respond directly to such individuals to address any problems or concerns and we will follow that policy in this caseThank you for bringing this issue to our attention, and we trust you will appreciate our position in this matterSincerely, Tim F* (***) Compliance Officer AlphaCare of New York, A Magellan Company

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted] and have determined that my complaint has NOT been resolved because:

On July **, 2015 at 11:30am, when I met with one of their employees by the name of Lisa B[redacted] at my father's residence in Jamaica, Queens, NY, I provided her with the Power of Attorney papers along with various other documentation such as his marriage certificate, medicare card, SS card, SS benefits letter, rent receipts, bank statements, green card and passport.  She said she didn't need it at the time since my father was in attendance to sign, but I gave it to her anyway.  The Power of Attprney papers list both my sister (as point Power of Attorney) as well as my name (as the successor).   I also faxed the Power of Attorney papers to Lisa B[redacted] again on August **, 2015, after I was notified by Medicaid that they never received anything  from Alphacare pertaining to my father's request for Medicaid.  I have attached the Power of Attorney that was given to Lisa B[redacted] as well as faxed to Alphacare.  They did not handle the process with Medicaid properly and I ended up going to the Medicaid office and starting the whole process over myself, which delayed care for my father.
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
I do not accept the business response.  My complaint was that I had to submit my father's paperwork 3 times in order for them to be sent to Medicaid, so they can continue with the process.  Yes, he was denied the first time because Medicaid did NOT receive the paperwork I submitted to Alphacare 3 timed before. I had to go directly to the Medicaid office with the same paperwork I gave 3 times to Alphacare in order for them finish the process. Medicaid stated that they never received any of the paperwork from Alphacare.   I made numerous calls to Alphacare, including Lisa B[redacted] and Carol H[redacted] and they NEVER returned any of my phone calls when I was contacted by Medicaid.  He was denied by Medicaid on the 2nd of Sept, but then was accepted about a week after because I had to personally finish the process myself.  Alphacare NEVER called to check on the status and delayed my father's chance of receiving home care because they were unprofessional and did not handle the process properly.
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted] and have determined that my complaint has NOT been resolved because:

On July **, 2015 at 11:30am, when I met with one of their employees by the name of Lisa B[redacted] at my father's residence in Jamaica, Queens, NY, I provided her with the Power of Attorney papers along with various other documentation such as his marriage certificate, medicare card, SS card, SS benefits letter, rent receipts, bank statements, green card and passport.  She said she didn't need it at the time since my father was in attendance to sign, but I gave it to her anyway.  The Power of Attprney papers list both my sister (as point Power of Attorney) as well as my name (as the successor).   I also faxed the Power of Attorney papers to Lisa B[redacted] again on August **, 2015, after I was notified by Medicaid that they never received anything  from Alphacare pertaining to my father's request for Medicaid.  I have attached the Power of Attorney that was given to Lisa B[redacted] as well as faxed to Alphacare.  They did not handle the process with Medicaid properly and I ended up going to the Medicaid office and starting the whole process over myself, which delayed care for my father.
 
 
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Revdex.com:
I have reviewed the response made by the business in reference to complaint ID# [redacted], and have determined that my complaint has NOT been resolved because:

[Your Answer Here]
I do not accept the business response.  My complaint was that I had to submit my father's paperwork 3 times in order for them to be sent to Medicaid, so they can continue with the process.  Yes, he was denied the first time because Medicaid did NOT receive the paperwork I submitted to Alphacare 3 timed before. I had to go directly to the Medicaid office with the same paperwork I gave 3 times to Alphacare in order for them finish the process. Medicaid stated that they never received any of the paperwork from Alphacare.   I made numerous calls to Alphacare, including Lisa B[redacted] and Carol H[redacted] and they NEVER returned any of my phone calls when I was contacted by Medicaid.  He was denied by Medicaid on the 2nd of Sept, but then was accepted about a week after because I had to personally finish the process myself.  Alphacare NEVER called to check on the status and delayed my father's chance of receiving home care because they were unprofessional and did not handle the process properly.
 
 
In order for the Revdex.com to appropriately process your response, you MUST answer the question above.
Sincerely,
[redacted]

Dear Sir/Madame: We are writing in response to your letter dated January **, 2016 regarding the above-reference Complaint. Alphacare by Magellan Health (“Alphacare”), a subsidiary of...

Magellan Health, Inc. (Magellan), is a managed health care company that is responsible for the management of the physical health benefits for Medicaid and Medicare recipients in New York. Due to the health information privacy restrictions and requirements of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), it’s implementing regulations, and applicable state privacy laws, we are unable to share any information with third parties such as your organization which would identify a covered individual. Therefore, we are unable to participate in your complaint resolution process. Please be assured that in cases where we receive complaints from or about individuals, we do have a complaint policy and procedure in place wherein we respond directly to such individuals to address any problems or concerns and we will follow that policy in this case. Thank you for bringing this issue to our attention, and we trust you will appreciate our position in this matter. Sincerely, Tim F[redacted]) Compliance Officer AlphaCare of New York, A Magellan Company