Call us at 1-833-252-2737 (TTY 711)

8AM-8PM Monday-Friday

Call us at 1-833-252-2737 (TTY 711)

8AM-8PM Monday-Friday
https://static1.squarespace.com/static/570e35b01d07c0cbf8f6a375/t/65158e5697c7286a83ff9c98/1695911510295/CLH-28136_CenterLight-Pace_Logo_Horz_Color-Full_CMYK.png

Service Determination Requests

As a participating provider of CenterLight Healthcare and an integral part of maintaining the care of our Participants, your patients, we feel it is important to establish a close, collaborative partnership. Together, we can share beneficial health information about your patients—our participants. We can then have the potential to identify concerns earlier and improve patient experience and health outcomes.

Our goal is to ensure that you are always kept informed of relevant information that will assist you in caring for your patients. We would like to share a new regulation that affects the care delivery of our Participants, Service Determination Requests (SDR). We have created a brief guide to what an SDR is, how to identify one, and how they can be communicated to CLHC. We encourage you to review this guide and to become familiar with the SDR process. We appreciate your taking the time to review this important information.

After you review this guide, please complete the Service Determination Request Training Attestation confirming you have reviewed the material. Only one attestation form needs to be completed for your organization. If you have multiple providers under one Tax Identification Number (TIN), please complete one attestation for the TIN. and a member of our team will be happy to assist you.

Should you have any questions, please reach out to ProviderRelationsRequest@centerlight.org and a member of our team will be happy to assist you.

  • facebook icon
  • instagram icon
  • linkedin icon
  • youtube icon
 
We welcome your inquiries. Please call our Participant Services Department at 1-833-CL-CARES (1-833-252-2737) Monday-Friday from 8:00 AM through 8:00 PM. TTY users should call 711. You may also write to us at 136-65 37th Ave., Flushing, NY 11354.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002 Approved 09252018
Last updated on April 30, 2024
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002 Approved MMDDYYYY
Pending DOH and CMS Approval
Last updated on December 27, 2017
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ElectronicFundsTransfer Approved 01192022
Last updated on December 28, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_SDR_Training Approved 01192022
Last updated on December 21, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002PressRoom Approved 02062018

Last updated on May 8, 2018
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_Caregivers Approved MMDDYYYY
Pending DOH and CMS Approval
Last updated on December 7, 2017
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_003r1_M Approved 01072019
Last updated on January 4, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_004r1_M Approved 01072019
Last updated on January 4, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_JanuaryBLOG Approved 02132019
Last updated January 30, 2018

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2023HomePage Approved 01102023
Last updated on December 27, 2022


CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_Activities Approved 11262018
Last updated on December 31, 2018

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_005r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_006r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_007r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_WEB_Activities_Approved 03122019
Last updated on March 2, 2020
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_WEB_May Approved 05152019
Last updated on May 13, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_Caregiver_r001 Approved 03132019
Last updated on February 25, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS Approved 03132019
Last updated on February 25, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderHomeV3 Approved 01192022
Last updated on March 29, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS_caregiver Approved 03132019
Last updated on February 25, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS_caregiver_var1 Approved 05032019
Last updated on April 18, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_July2019_BLOG_home Approved 07232019
Last updated July 5, 2019
Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_LifeAtTeamcare_r001 Approved 05152019
Last updated on May 29, 2019
Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_LifeAtCenterLight Approved 06022023
Last updated on May 22, 2023

Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_Betty_landingpage Approved 07232019
Last updated on July 3, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_caregiverbettyvid Approved MMDDYYYY
Pending CMS and DOH approval Last updated on August 19, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021_TeamcareHome_JUN Approved 07022021
Last updated on June 11, 2021
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_Provider_February Approved MMDDYYYY
Pending CMS and DOH approval
Last updated on September 28, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEBWhereWeAre Approved 01132020
Last updated on January 3, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEB_covid19updates Approved 04072020
Last updated on March 17, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEB_FBevents Approved 04172020
Last updated on April 14, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021ParticipantCorner Approved 03192021
Last updated on March 4, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_providernews1 Approved 01262021
Last updated on December 30, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021ParticipantInfo Approved 01192022
Last updated on April 30, 2024

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_OTC Approved 04142021
Last updated on April 2, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderNewsMar2022 Approved 04202022
Last updated on March 29, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_myneedscard_web_v3 Approved 09062022
Last updated on September 14, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderLookUp Approved 01192022
Last updated on December 28, 2021

Photo credit: Linda Farwell Photography