Letter of the Consumer Coalition to Protect the Rights of New York's Dual Eligibles Letter to the NYS Dept of Health and CMS on concerns about the enrollment info FIDA plans.

Training outline on Affordable Care Act - the new Medicaid budgeting for MAGI.

Appendix materials provided with NYLAG's webinar on April 24, 2014 providing update on status of Mandatory MLTC initiative in New York State.

PowerPoint presentation used in NYLAG's webinar on 4/24/14 to HIICAP and others.

NYC form for a Medicaid applicant to authorize HRA to obtain protected health information from their medical providers for purposes of determining disability. This form was used for applicants for disability-based Medicaid (i.e., DAB or SSI-related category), for MBI-WPD, and for SNTs. (Rev'd 6/6/12). As of January 2013, this form should no longer be required, as the State now requests three signed copies of the OCA 960 HIPAA form instead.

Coalition to Protect the Rights of NYS Dual Eligibles Comments on State's revised proposal to coordinate Medicare and Medicaid services for dual eligibles, letter dated May 19, 2013. Issues include enrollment of nursing home residents and protections; objections to "passive enrollment" -- auto-assignment of people who don't voluntarily enroll; and incentives for plans to provide long term care services in the community rather than institutions.

This bill would correct two due process violations: (1) The lack of "aid continuing" pending an appeal when a managed care plan reduces or terminates home care or other services -- if the "authorization period" for the services has expired, there is a right to appeal but no right to aid continuing. This provides that aid continuing must be given regardless of whether the authorization period has expired. (2) In Managed long term care, consumers must "exhaust" internal appeals before requesting a hearing. This is not required in mainstream managed care, and results in dismissal of many valid appeals because consumers don't know that they must pursue this interim internal appeal.

State policy implementing expansion of mandatory enrollment of people needing permanent nursing home coverage into managed care and Managed Long Term Care (MLTC) plans. Mandate is to start April 1, 2014, subject to CMS approval not yet given as of March 13, 2014.

Obtained through freedom of information request by Urban Justice Center, Feb. 2014