New York Health Access

News

	Drastic CDPAP Changes and other Medicaid Outcomes of Final NYS 24-25 Budget 11 Dec, 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...

	NYS Medicaid Redesign Team II (MRT) - Status of 30-Month.Lookback, 3-ADL Restrictions on Home Care, NY Independent Assessor 11 Dec, 2024 This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2: New York Independent Assessor Program (NYIAP) - see this article - in effect now for all Medicaid recipients newly requesting personal care services or...

	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...

	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.

Recent Articles

	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! January 2025 ALERT - Transition to a "Single Fiscal Intermediary" (FI) starts now, requiring all consumers in CDPAP to transition from their current...


	Applying for Medicaid Personal Care Services and CDPAP Outside NYC - 2016 Changes New York State's Medicaid program covers personal care services and consumer-directed personal assistance services. The model for delivery of those...


	"Qualified Medicare Beneficiaries" (QMB) - Protections against "Balance Billing" THE PROBLEM: Meet Joe, whose Doctor has Billed him for the Medicare Coinsurance Joe Client is disabled and has SSD, Medicaid and Qualified Medicare...


	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 ...


	The Medicaid Buy-In for Working People With Disabilities (MBI-WPD) The Medicaid Buy-in for Working People with Disabilities (MBI-WPD) expands eligibility for individuals with disabilities under age 65 who have work...


	Special Medicaid Income Rules That May Eliminate Your "Spend-down" or "Surplus Income" Many people age 65+, Disabled or Blind would normally have an income "spend-down" because their income is above the non-MAGI limits (which are in...


	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...


	NEW YORK INDEPENDENT ASSESSOR PROGRAM (NYIAP) - How Medicaid Home Care Eligibility is Assessed IN THIS ARTICLE: What is the Independent Assessor? Click here for the basics. Two Official Websites about NYIA When does NYIA Start? ...


	Right to a "Home Hearing" under Varshavsky Case - Special Rights in Fair Hearings Seeking Increases in Medicaid Home Care RIGHTS of People Who Cannot Travel to a Fair Hearing Because of Disability This article can also be downloaded as a Fact Sheet here. ...

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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! January 2025 ALERT - Transition to a "Single Fiscal Intermediary" (FI) starts now, requiring all consumers in CDPAP to transition from their current...


	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...

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