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News
MLTC UPDATE: Extended MLTC plan to close, "Unwinding" of the Public Health Emergency Means all MLTC Members Must Renew Medicaid
02 Jun, 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 &...
Unwinding of COVID Public Health Emergency begins - Renewals start March and April 2023 - BE PREPARED!
01 Jun, 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...
NYS Medicaid Redesign Team II (MRT) -- Independent Assessor Required for Immediate Need since 12/1/22 ..Lookback Delayed til April 1, 2024
31 May, 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...
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...
2023 Updated Increases Announced for Medicaid and Medicare Savings Program for Disabled/Age 65+/ Blind - View Webinar recording from Jan. 18, 2023
25 Apr, 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...

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) take effect Jan. 1, 2023 - read about how these will be rolled out...
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...
Medicaid Home-and-Community-Based Waiver Programs in New York State
Medicaid home and community-based services [HCBS] are available through waiver programs to groups of individuals who would be eligible for...
What You Need to Know About the Expansion of Medicaid Dental Coverage in NYS
By the Legal Aid Society Thanks to a settlement secured by Legal Aid in Ciaramella v. McDonald many more New Yorkers will be eligible for...
Dental and Orthodontic Services to be Included in the Medicaid Managed Care Benefit Package
Dental Services to be Included in the Medicaid Managed Care Benefit Package Effective July 2, 2012, dental services...
When an MLTC Plan Closes - What are the Members' Rights? WARNING - Changes Now in Effect
Since Managed Long Term Care (MLTC) plan enrollment has been mandatory since 2013 for most adult "dual eligibles" (people with Medicaid and...
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...
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 (formerly called the...
Resources for Uninsured and Underinsured
This article briefly explains how uninsured people those without Medicare, Medicaid, or private health insurance may obtain help with hospital,...
Medicaid Recipients to be "Default Enrolled" into Medicare Special Needs Plans when they Enroll in Medicare-- April 1, 2021
.  WHAT CHANGE IS HAPPENING APRIL 1, 2021 Beginning April 1, 2021, a change is coming for New York Medicaid recipients who newly become...


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
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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