Resources
The Live Your Life Undetectable (LYLU) program helps Amida Care members living with HIV become virally suppressed. Participants who enroll in the program with an undetectable viral load or who become undetectable (<200 copies/ml) through participation will receive a financial incentive of $100 for each quarter (three-month period) that they stay undetectable.
Below you will find links to the information and resources you’ll need to support your patients who are eligible for this program:
- Live Your Life Undetectable Program Adjustments for Q2 2020 in Response to COVID-19
- LYLU Provider Training Deck: The information presented during the provider training webinars can be downloaded here, as a refresher or for those who are not able to participate live.
- LYLU Quick Reference Guides:
- Forms: Required for patient enrollment, assessment, and ongoing reporting.
- LYLU Participant Enrollment and Consent (Enrollment) – Review and discuss program requirements with patient and complete form electronically with and on behalf of patient. A completed and signed form is required for patient enrollment. English / Spanish
- RHIO Consent (Enrollment) – Review RHIO benefits with patient and complete electronically with and on behalf of patient. English/Spanish
- LYLU Comprehensive Needs Assessment (Enrollment) – This assessment (or an equivalent) will help you decide which LYLU supportive services are most appropriate for your patients. An assessment is strongly encouraged but not required for program enrollment. English / Spanish
- LYLU Provider Quarterly Attestation (Ongoing Reporting) – This form must be completed by you or your staff and submitted each calendar quarter for each Amida Care LYLU Program enrolled patient to be eligible to receive their $100 incentive.
- LYLU Participant Enrollment and Consent (Enrollment) – Review and discuss program requirements with patient and complete form electronically with and on behalf of patient. A completed and signed form is required for patient enrollment. English / Spanish
- ShareFile Guide: All forms must be completed electronically, printed, signed, scanned, and securely submitted to Amida Care via the ShareFile system. This Quick Reference Guide gives you easy three-step instructions on setting up your ShareFile account.
Provider Manual
Amida Care Formulary
Transgender Coverage Information:
- Clinical Guidelines and Coverage Criteria for the Treatment of Gender Dysphoria
- Transgender Drug Formulary
- Referral Guide
- TGNC Attestation Form: English/Spanish
- TGNC Documentation Verification Form: English/Spanish
Provider Modification Form
When you are changing your practice name, address, phone numbers, e-mail, billing company, or other practice information, you only need to complete this single form and send it via:
Email: providerservices@amidacareny.org, fax: 646-786-1803, or US mail: Amida Care, Inc. c/o Provider Services 14 Penn Plaza, 2nd Floor. New York, NY 10122.
AC Fax Form for Case Submission
This form is only for Medical UM requests.
NYCDOHMH Universal Reporting Form (URF)
Communicable disease reporting and the Universal Reporting Form (URF). For any questions or to report cases immediately, call the DOH Provider Access Line at 1-866-NYC-DOH1 or, after hours, the Poison Control Center at 1-800-222-1222.
For questions about specific Amida Care policies or requirements, please contact us at: 1-800-556-0674.
- HIV/AIDS
- Asthma
- COPD
- Diabetes
- Hypertension
- Pediatrics and Adolescents
- NYS DOH Child and Teen Program (C/THP) Provider Manual
- Recommendations for Preventative Pediatric Health Care by Bright Futures and the American Academy of Pediatrics
- CDC Immunization Schedule for Children and Adolescents (birth through age 18 years)
- American Academy of Pediatrics
- AAP safe sleep guidance
- Perinatal
- Gynecology and Obstetrics
- NYS AIDS Institute
- National Institutes of Health (NIH)
- American College of Obstetricians and Gynecologists (ACOG)
- Women’s Preventive Services Initiative (WPSI) charts in English and Spanish can be accessed here.
- Behavioral Health/Substance Use
NOTE: Amida Care partners with Beacon Health Options to manage behavioral health care and to provide a network of physicians, other licensed professionals, community agencies, and inpatient and outpatient facilities for a full spectrum of behavioral health services that includes mental health and chemical dependency services. Beacon Health Options adopts guidelines for Behavioral Health that are consistent with current standards of care. Amida Care reviews and adopts the behavioral health clinical practice guidelines as recommended by our partner Beacon Health Options.
- Transgender/GNC Health
- WPATH Standards of Care : (v8 published Sept 2022)
- Endocrine Society guidelines
- Amida Care Plan Resources
- Prevention / Screenings
- United States Preventive Services Task Force (USPSTF)
USPSTF has over 50 screenings with an A or B rating; some of the recommendations which are especially applicable to our members include: Cervical cancer, Colon cancer and Lung cancer
- United States Preventive Services Task Force (USPSTF)
Medical Record Review Standards and Criteria
USDHHS National Guidelines for the Treatment of HIV, Clinical Trials and other health topics
New York State Department of Health AIDS Institute HIV Clinical Resource HIV guidelines
USDHHS HIV treatment, prevention, research, guidelines, clinical trials
New York State Department of Health
Office of the Inspector General
Medscape.org for the latest continuing education activities, medical news, drug information, MEDLINE, and more
Pediatrics and Adolescents
- Children’s Transition/Transformation
- Project TEACH: New York State
- Transition Age Youth (TAY): Kids Transitioning to Adulthood
- First Episode Psychosis (FEP): What Is It?
- OnTrackNY:
OnTrackNY is an innovative treatment program for adolescents and young adults who have had unusual thoughts and behaviors, or who have started hearing or seeing things that others don’t. OnTrackNY helps people achieve their goals for school, work, and relationships. Programs are located throughout New York State.