New York Health Access

News

	Unwinding of COVID Public Health Emergency in progress - Tips to Renew Medicaid! 02 Aug, 2024 Since March 2020, special protections guaranteed Continuous Coverage for anyone who HAD Medicaid In March 2020 or obtained Medicaid since then. These "Maintenance of Effort" (MOE) protections are being phased out while every Medicaid recipient goes through a renewal of current eligibility. This is...

	MLTC UPDATE: CDPAP Changes Enacted,in NYS Budget, Bill to Increase MLTC Transparency, March 1st - Transportation carved out of MLTC services 21 May, 2024 This is a running news article with updates on Managed Long Term Care in NYS. FEBRUARY 2024 ALERT re CDPAP CUTS - see HERE Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY MLTC CONTACTS TO FILE COMPLAINTS And Websites SKIP DOWN TO LATEST...

	Drastic CDPAP Changes and other Medicaid Outcomes of Final NYS 24-25 Budget 13 May, 2024 FINAL NYS ENACTED BUDGET for 2024-25 Make Huge Changes in CDPAP That will Potentially Disrupt Care for 200,000 New Yorkers. 1. CDPAP CHANGES ENACTED: SINGLE FISCAL INTERMEDIARY Now there are more than 600 Fiscal Intermediaries (FI's) that handle payroll and benefits for all Personal...

	Medicaid Overpayment changes - new Q&A 15 Mar, 2024 Collections of alleged Medicaid overpayments, which were mostly paused during the Public Health Emergency, have undergone significant changes. This Q&A document by The Legal Aid Society explains what we currently know about investigations and collections going forward.

	Non-Emergency Transportation Carve-Out from Managed Long Term Care - effective 3/1/24 06 Mar, 2024 Effective 3/1/24, the non-emergency transportation benefit has been carved out from Managed Long Term Care. This does not include Program of All-Inclusive Care for the Elderly (PACE) plans. This means that Managed Long Term Care members will no longer arrange transportation through their plan, but...

Recent Articles

	Medicaid Managed Care IN THIS ARTICLE * Complaints - Where to File *Law & Regulations 1 - What is Managed Care? 2 - Mandatory Enrollment for Most People with...


	Some Medicaid Recipients are "Default Enrolled" into Medicare Special Needs Plans when they Enroll in Medicare Since April 1, 2021 Background Every month about 3,000 - 4,000 Medicaid recipients in New York State become enrolled in Medicare, either because they reach age 65 or...


	2025 Medicare Part D Plans in New York State - with changes from 2024 The Annual Enrollment Period ("AEP" or "open enrollment") for Medicare Part D and Medicare Advantage plans for 2025 runs from October 15 through...


	Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State May 2024 ALERT - Single Fiscal Intermediary to replace all FIs by April 2025 see here. 2023 UPDATE - see directives issued Oct. 2023 here...


	Medicaid Contacts in New York City (NYC Human Resources Administration - MICSA) August 5, 2024 - address for main NYC Medicaid Office - called the Brooklyn South Medicaid office - has been changed to 495 Clermont Avenue, ...


	Medicare Insurance Premium Payment Program (MIPP) Some "dual eligible" beneficiaries (people who have Medicare and Medicaid) are entitled to receive reimbursement of their Medicare Part B premiums...


	Medicare Savings Programs (MSP) in New York Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries, qualify enrollees for the ...


	Can My MLTC Plan Kick Me Out? "Involuntary Disenrollment" from MLTC plans - Changes start Nov. 1, 2024 Enrollment in a Medicaid Managed Long Term Care (MLTC) plan is mandatory for most adult Dual Eligibles (people who have Medicare or Medicaid), who...


	Medicaid Alerts & Other Protocols published by the NYC HRA Medicaid Program HRA Medicaid Alerts are periodic announcements of policy, staff and office changes published by the HRA Medicaid Progarm (formerly called the...


	Medicaid for Immigrants who are Not Permanent Residents (Do Not have "Green Cards")-- PRUCOL and Temporary Non-Immigrant Eligibility New York State Medicaid covers many immigrants not covered by federal law. Since 1996, federal Medicaid limits Medicaid eligibility to US citizens...

more...

Most Viewed

	Income and Resource Limits for New York State Public Health Insurance Programs Big increases in income and asset limits for Age 65+, Blind & Disabled (ABD) took effect Jan. 1, 2023 - read about how these were rolled out...


	Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State May 2024 ALERT - Single Fiscal Intermediary to replace all FIs by April 2025 see here. 2023 UPDATE - see directives issued Oct. 2023 here...


	Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down This article is a condensed road-map for using a pooled income trust to eliminate the Medicaid spend-down. NEW June 2022 - Big Changes in NYC -...


	Medicaid Personal Care or Home Attendant Services The Medicaid program in New York State covers a type of home care services called Personal Care services (aka PCS or "home attendant"). This is a...


	Medicare Savings Programs (MSP) in New York Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries, qualify enrollees for the ...


	Previous Medicaid Dental Benefit in NYS (Rules Effective for Services Requested Through 1/30/24) New York’s Medicaid program includes limited dental benefits. The coverage was expanded beginning on January 31, 2024 as the result of the...


	List of Pooled SNTs in New York State This is an unofficial list of non-profit organizations in New York State that offer pooled Supplemental Needs Trusts (or similar services) to people...


	Managed Long Term Care State Complaint Number for MLTC Problems - 1-866-712-7197 e-mail mltctac@health.ny.gov and put "COMPLAINT" in subject line For enrollment...


	Medicaid Spend-Down Because Medicaid is a health insurance program for the poor, one must have income and assets below a certain limit to be eligible. For a single...


	Medicaid Assisted Living Programs (ALP) in NYS INTRODUCTION The Assisted Living Program provides supportive housing and home care services to individuals who are medically eligible for...

more...