This is basic information about Medicaid eligibility for the Disabled, Aged 65+, and Blind (DAB) category and about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. (updated March 5, 2025 with final 2025 Income and Asset limits released by DOH)

Excel template to calculate Medicaid non-MAGI eligibility under the increased 2025 levels - see http://health.wnylc.com/health/news/90/. Can be used as a tool to estimate spend-down and pooled trust contributions. Template has different tabs for different types of budgeting schemes. -- See list of these at http://health.wnylc.com/health/entry/222/.

Use this worksheet to convert lifetime total amount received in Holocaust reparations / restitution from foreign currencies (Deutschmarks and Euros) into U.S. Dollars. This is for purposes of taking advantage of the exemption of saved reparations payments from the resource test for Federally-funded means-tested benefits, like Medicaid and Supplemental Security Income. Updated monthly.

NYLAG's statement in support of a bill S4786-A1907 to repeal the MRT-II cut enacted in 2020 that would impose a 30-month lookback and transfer penalty for eligibility for Medicaid home care and other community-based services.

Bill would repeal the law enacted in 2020 from the "Medicaid Redesign Team II" that will raise the minimum requirements for qualifying for Medicaid personal care, CDPAP, and MLTC enrollment. The law was put on hold during COVID but is likely to be implemented later in 2025. It will require new applicants for home care or MLTC to need physical assistance with 3 Activities of Daily Living (ADL) with the sole exception of people with dementia or Alzheimer's who can qualify if they need verbal assistance with two ADLs.

NYLAG's Memo in support of bill in FY 2025- 2026calling for the State to increase transparency about MLTC - where does the money go, what services are provided and how much, track record of plans in keeping members out of nursing homes, etc.

Comments submitted by NYLAG with recommendations and support for New York's request to the federal Medicaid agency CMS to approve a waiver that would expand the MBI-WPD program to include people age 65 and over with higher income and resource limits.

List adapted from NYS DOH List posted at https://www.health.ny.gov/health_care/medicaid/redesign/duals/index.htm (scroll down to IB-DUAL drop down and then to end). This list adds the names of the Medicare D-SNP plans and also names of counties that are excluded from Default Enrollment. Separate Excel file is posted. Some info taken from CMS 2025 plan files at http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn (NYS extracted at http://health.wnylc.com/health/download/864/). Last page lists MAP plans that do NOT have Default Enrollment, with counties and aligned D-SNP plans.

List adapted from NYS DOH List posted at https://www.health.ny.gov/health_care/medicaid/redesign/duals/index.htm (scroll down to IB-DUAL drop down and then to end). This list adds the names of the Medicare D-SNP plans and also names of counties that are excluded from Default Enrollment. Separate PDF file is posted. Some info taken from CMS 2025 plan files at http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn (NYS extracted at http://health.wnylc.com/health/download/864/). Second tab shows MAP plans with NO Default Enrollment.

2025 NYS Medicare Advantage and Special Needs Plans - see different tabs for different types of plans and NYC Medicare Advantage plan list. Can filter list by county, company, etc. Revised to include Star Ratings and Default Enrollment info