New York Health Access

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	NYS Medicaid Redesign Team II (MRT) - Minimum 3-ADL Thresholds START Sept. 1, 2025 for New Home Care and MLTC Enrollees - Webinar Aug. 26th 26 Aug, 2025 This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2. These are the: Three-ADL Minimum Threshold to qualify for Personal Care and CDPAP and enroll in MLTC - will start Sept. 1, 2025 - see more here. View recording...

	CDPAP FI Transition: Court Prelliminarily Approves Settlement in Engesser; NYS Senate Hearing Held on PPL 08 Aug, 2025 Preliminary injunction in Engesser lawsuit extended to July 1st. (see below). CLICK HERE to see LATEST STATUS UPDATES Preliminary Injunction in Engesser Lawsuit extended to August 15th, Deadline for Consumers and PAs to Register with PPL is August 1, 2025. NYS Senate Hearing...

	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...

	Medicaid Outcomes of Final NYS 24-25 Budget - including big CDPAP changes 31 May, 2024 NYS Is moving forward to overhaul the entire CDPAP program, requiring all 200,000 _+ consumers who have CDPAP services to switch their Fiscal Intermediary (FI) to the single FI that NYS has hired - Public Partnerships LLC. This includes members of MLTC plans, mainstream managed care plans, and...

	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...

Recent Articles

	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, ...


	Extra Help - The Part D Low Income Subsidy and How to Get It - 2024 Changes "Extra Help" is the federal subsidy program that helps with Medicare Part D cost sharing - reducing premiums, deductibles, and copayments. It is...


	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 for Undocumented Immigrants Age 65+ - Starts January 2024 June Starting Jan. 1, 2024, immigrants age 65+ can get FULL MEDICAID even if they do not qualify for PRUCOL status (PRUCOL is discussed in this...


	Advocate's Outline on Supplemental Needs Trusts and Rules for Impact of Lump Sums on Various Benefits This in-depth training manual or outline (updated July 2025) covers how Supplemental Needs Trusts work (both individual and pooled), when an asset...


	Medicaid Home-and-Community-Based Waiver Programs in New York State June 2025 ALERT: NYS DOH has proposed to cap the number of people who may enroll in the Nursing Home Transition & Diversion Waiver (NHTD). See...


	Medicaid Advantage Plus "MAP" - New "FIDE" Appeals & Hearing Process Being Phased Out - Jan. 1, 2026 2025 UPDATE - The integrated" appeal and fair hearing process launched for in 2020 for members of Medicaid Advantage Plus (“MAP”) plans is being...


	Medicaid Fair Hearings in NYS - Common Links and Changes Medicaid recipients have the right to request a Fair Hearing to appeal an adverse action. This includes decisions made by a managed care or Managed...


	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 (MAP) (formerly called the...


	2025 Medicaid Fair Hearing Compliance Plan = "Pre-Hearing Dispositions" or PHD's In New York, there are over 10,000 Medicaid fair hearings pending past the 90-day deadline. The backlog grew significantly during the COVID-19...

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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 - Big Changes Coming 2025! For updates about the transition to the new NYS "Single Fiscal Intermediary" (FI) and NYLAG's lawsuit challenging it - please see See this...


	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...


	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 -...


	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...

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