New York Health Access

News

	Unwinding of COVID Public Health Emergency begins - Renewals start March iand April 2023 - BE PREPARED! 31 Mar, 2023 For 3 years since March 2020, special protections guaranteed Continuous Coverage for anyone who HAD Medicaid at the time or obtained Medicaid during the Public Health Emergency. These protections are being phased out. This is called the "UNWINDING" of the Public Health Emergency. Listen to NPR...

	2023 Updated Increases Announced for Medicaid and Medicare Savings Program for Disabled/Age 65+/ Blind - View Webinar recording from Jan. 18, 2023 28 Feb, 2023 2/10/23 UPDATE - NYS Dept. of Health updated the income and resource limits based on the 2023 Federal Poverty Levels. See NYS DOH GIS 23 MA/02 - 2023 Federal Poverty Levels and ATTACHMENT New York State Income and Resource Standards for Non-MAGI Population. These update the levels previously...

	MLTC UPDATE: Consumers & Plans Jointly Report Problems with Independent Assessor; Consumers Respond to NYS Comptroller Report on MLTC 28 Feb, 2023 This is a running news article with updates on Managed Long Term Care in NYS. Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY MLTC CONTACTS & WHERE TO FILE COMPLAINTS State Dept. of Health Complaint Number for MLTC enrollment &...

	NYS Medicaid Redesign Team II (MRT) -- Independent Assessor Required for Immediate Need since 12/1/22 ..Lookback Delayed til April 1, 2024 27 Feb, 2023 This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2. A. The two MRT-2 changes that ARE being implemented NOW are: NY Independent Assessor (NYIA) - View recording of NYLAG WEBINAR on NYIA February 8, 2023 View...

	News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters 21 Dec, 2022 The Evelyn Frank Legal Resources Program at NYLAG sends out periodic updates to interested people about developments in Medicaid in New York State affecting seniors and people with disabilities, with an emphasis on people who rely on Medicaid for long-term care services or for subsidies to help...

Recent Articles

	Keeping Medicaid after Cash Public Assistance or SSI Benefits Are Terminated Scenarios: Susie is 49 years old and single, with no children. She has been receiving cash public assistance and Medicaid for three years, while...


	Holocaust or Nazi Victim Reparations -- Effect on Medicaid, SSI and other Federally Funded and New York State Benefits Under a 1994 federal law, (h.r. 1873 or public law 103-286), known as the Victims of Nazi Persecution Act of 1994, Holocaust compensation payments...


	Maintaining Community Medicaid Budgeting and SSI Benefits During Temporary Nursing Home Stays Many Medicaid recipients are admitted to nursing homes but plan to return to their homes in their community. Financially, it is important for them...


	Medicaid Renewals/Recertifications in New York City- TIPS This article available as a fact sheet in ENGLISH and SPANISH This article is for people whose Medicaid is administered by the NYC Medicaid...


	NYS Medicaid Codes - What do they Mean? When you prepare for a fair hearing and obtain an evidence packet, and in some other instances, you obtain screenshots from the eMedNY system - the...


	"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...


	Medigap (Medicare Supplemental) Policies and Rates in New York State - with Rate Tables for the Current Year Medigap (aka Medicare supplemental insurance) policies are sold by private health insurance companies to cover some of the "gaps" in expenses not...


	"Immediate Need" Fast-Track Application for Medicaid and Personal Care or CDPAP - Independent Assessor Starts Dec. 1, 2022 Medicaid has a fast-track procedure to apply for Medicaid in order to obtain home care services, which has been faster than enrolling in a managed...


	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 Contacts in New York City (NYC Human Resources Administration - MICSA) Since May 2013 the NYC Medicaid Office has been located at 785 Atlantic Ave., Brooklyn, NY 11238. The Reception Unit is on the main floor of 785...

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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) take effect Jan. 1, 2023 - read about how these will be rolled out...


	Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State COVID-19 updates & Eligibility Restrictions CDPAP services are still available from MLTC and managed care plans, for people applying for...


	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 Heads Up - Income Limits for MSP's will increase in 2023 in NYS - This article Includes: Links to the NYS Dept. of Health directives about the...


	Medicaid Dental Benefit in NYS Under Medicaid, dental benefits exist, but the coverage is limited. This limited coverage makes it important for advocates to understand the...


	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...


	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...


	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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