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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...
Unwinding of COVID Public Health Emergency in progress - Tips to Renew Medicaid!
13 May, 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...
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
KNOW YOUR RIGHTS: Managed Long Term Care - Fact Sheets, Live and Recorded Webinars
A. Fact Sheets on Managed Long Term Care B. Click here for WEBINARS on LONG TERM CARE A. Fact Sheets on Managed Long Term Care BASICS ...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
May 2024 ALERT - Learn about CDPAP changes adopted in final NYS FY 24-25 BUDGET - HERE - effective April 1, 2025 2023 UPDATE - see directives...
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. ...
How to use a pooled SNT to eliminate the Medicaid spend-down.
This Fact Sheet explains how to use a Pooled Supplemental Needs Trust to eliminate the Medicaid spend-down (updated for 2024) - See SPANISH...
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 -...
Nursing Home Medicaid Coverage - Basic Financial Eligibility Rules about Income, Resources, and Spousal Protections
Medicaid rules are different for people living in the "community" than people living in institutions. For this article, the word "institution"...
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...
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...
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...
Spousal Impoverishment Protections for Married Couples where One Spouse is in a Managed Long Term Care Plan - Pooled Trusts Allowed as an Option
In this Article KNOW YOUR RIGHTS: Download Consumer Fact Sheet on Tips for Keeping More Income, including Spousal Impoverishment Protections.: ...


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 - Learn about CDPAP changes adopted in final NYS FY 24-25 BUDGET - HERE - effective April 1, 2025 2023 UPDATE - see directives...
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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