New York Health Access

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	MLTC UPDATE: NY Independent Assessor Expansion POSTPONED for Re-Assessments - will NOT start Jan. 2024 17 Nov, 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 TO FILE COMPLAINTS And Websites State Dept. of Health Complaint Number for MLTC enrollment &...

	NYS Medicaid Redesign Team II (MRT) - NYIA expansion to reassessments postponed INDEFINITELY - Nov. 17,. 2023 .Lookback Delayed til 2025 17 Nov, 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 Program (NYIAP) - Nov. 2023 NEWS - On Nov. 17, 2023, after...

	Unwinding of COVID Public Health Emergency begins - Renewals start March and April 2023 - BE PREPARED! 01 Sep, 2023 For 3 years 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. This is called the "UNWINDING" of the Public Health Emergency. In...

	News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters 20 Jun, 2023 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...

	Expansion of Medicaid Dental Benefit 18 May, 2023 In August, 2018, The Legal Aid Society and Willkie Farr & Gallagher filed Ciaramella v. Zucker (18-cv-06945) to challenge the New York State Department of Health’s rules preventing Medicaid coverage for replacement dentures within 8 years from initial placement and the ban on Medicaid...

Recent Articles

	The Various Types of Medicaid Home Care in New York State New York State has a range of Medicaid home care service programs, each oriented toward slightly different needs and sometimes to different...


	Medical Records Must be Provided FREE if Needed to Support Claims for Public Benefits - New September 2017 In September 2017, a new law went into effect that requires health care providers to provide medical records at no charge, when needed to support an...


	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...


	How to Prevent and Fix Medical Debt This handbook was designed for community advocates who assist New Yorkers with medical debt. The handbook covers the following: common billing...


	2024 Medicare Part D Plans in New York State - with 2023 plans The Annual Enrollment Period ("AEP" or "open enrollment") for Medicare Part D and Medicare Advantage plans for 2024 runs from October 15 through...


	Annual Open Enrollment Period for Qualified Health Plans Begins November 16, 2023 The annual open enrollment period for Qualified Health Plans on the New York State of Health exchange starts November 16, 2023. Go to the New York...


	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...


	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...


	Long Term Care Insurance Long term care insurance is a product which, if certain requirements are met, will pay for all or a portion of nursing home and/or home care...


	Can My MLTC Plan Kick Me Out? "Involuntary Disenrollment" from MLTC plans - Changes Nov. 2023 Enrollment in a Medicaid Managed Long Term Care (MLTC) plan is mandatory for most adult Dual Eligibles (people who have Medicare or Medicaid), who...

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


	Medicaid Dental Benefit in NYS Under Medicaid, dental benefits exist, but the coverage is limited. However, coverage will be expanded soon (in approximately late 2023/early 2024)...


	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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