New York Health Access

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	3-ADL Thresholds STARTED Sept. 1, 2025 for New Home Care and MLTC ADULT Applicants - and other NYS Medicaid Redesign Team II (MRT) changes 14 Jan, 2026 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...

	2025 Medicaid Modernization in New York State: Medicaid Eligibility and Client Management System (MECM) 11 Nov, 2025 The New York State Department of Health (“DOH”) has launched a new program to modernize how certain Medicaid applicants/recipients will apply for and renew their Medicaid benefits. This modernization project is called the Medicaid Eligibility and Client Management system (“MECM”). MECM...

	CDPAP FI Transition: PA Health Assessment deadline postponed, Settlement in Engesser; NYS Senators Investigating Selection of PPL 27 Oct, 2025 Background. The 2024-25 NYS Budget required all 280,000 Medicaid recipients who have CDPAP services to switch their "Fiscal Intermediary" (FI") the agency that manages payroll and benefits for their Personal Assistants ("PA") to a new "single FI" called Public Partnerships LLC or "PPL." FI's have...

	MLTC UPDATE: New E-mail for Complaints to NYS Dept. of Health about MLTC - 11/1/25; Centers plan sold to Anthem, Minimum ADL Thresholds start 21 Oct, 2025 This news article has updates on Managed Long Term Care in NYS. KEY MLTC CONTACTS TO FILE COMPLAINTS And Websites SKIP DOWN TO LATEST NEWS NYS Dept of Health Complaint Unit for MLTC and MAP problems- Until Nov. 1, 2025 mltctac@health.ny.gov. After Nov. 1, 2025...

	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...

Recent Articles

	Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Note: For a quick introduction to EPSDT, see the attached powerpoint titled "NYLAG Presentation on EPSDT." Please feel free to share those slides,...


	Income and Resource Limits for New York State Public Health Insurance Programs Since Jan. 1, 2023, the income limit for the Aged, Blind and Disabled is 138% of the Federal Poverty Level (FPL -also known as "Federal Poverty...


	2026 UPDATE: Elimination of Requirement to Apply for Social Security and Maximize Other Benefits for Medicaid & MSP As of Jan. 2026, Medicaid and Medicare Savings Program (MSP) applicants and recipients are no longer required to pursue potentially available...


	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...


	Temporary Protected Status (TPS) and Public Health Insurance THE TRUMP ADMINISTRATION HAS ended Temporary Protected Status (TPS) for Haiti (ending March 16, 2026) and many other countries. See the USCIS...


	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...


	Sources of Legal Authority for Health Care Advocates Public health care programs in New York State are governed by many different legal sources. Because most programs, including Medicaid, are federal...


	Medicaid Home-and-Community-Based Services (HCBS) Waiver Programs in New York State Dec 2025 ALERT: CMS has approved NYS DOH's proposal to cap the number of people who may enroll in the Nursing Home Transition & Diversion Waiver...


	2025 Medicaid Modernization in New York State: Medicaid Eligibility and Client Management System (MECM) For a background document comparing MAGI Medicaid, Non-MAGI Medicaid, and the Medicare Savings Program, click here. For an example MECM notice...


	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...

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Most Viewed

	Income and Resource Limits for New York State Public Health Insurance Programs Since Jan. 1, 2023, the income limit for the Aged, Blind and Disabled is 138% of the Federal Poverty Level (FPL -also known as "Federal Poverty...


	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 This article...


	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 Unit for MLTC Problems - 1-866-712-7197 e-mail address is changing Nov. 1, 2025 Until Nov. 1, 2025...


	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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