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NYS Managed Long Term Care - Hours of Home Care Provided 2010, Broken down by Categories of Usage
2010 MLTC -PACE data HHA-PCA hours.pdf
Data calculated from Cost Reports filed by MLTC and PACE plans for 2010. Shows number of hours provided by plan for Home Health Aide (HHA) and Personal Care Aide (PCS) service, with numbers of members receiving care in different amounts of hours
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10 Jul, 2012
35 kb
Downloads: 656
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Chart Explaining 5 Types of Medicaid Managed Care/ Managed Long Term Care Plans in NYS - 2012
SUMMARY OF MANAGED CARE PLANS IN MEDICARE AND MEDICAID.pdf
Chart Explaining differences between 5 Types of Medicaid Managed Care/ Managed Long Term Care/ PACE Plans in NYS - 2012, showing enrollment upstate/NYC in May 2012
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13 Jun, 2012
29 kb
Downloads: 5177
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List of Consumer Directed Personal Care Programs (CDPAP) in NYS
CDPAP list by county 5-12.pdf
List of Consumer Directed Personal Assistance Programs (CDPAP) in New York State, by county - updated 5/15/12
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15 May, 2012
75 kb
Downloads: 9641
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Class Action Complaint - Strouchler v. Shah (S.D.N.Y.)
Strouchler Class Complaint FINAL.pdf
Complaint challenges systematic violations of Mayer v Wing and validity of state regulation amendment changing definition of eligibility for "continuous 24-hour care" (split shift)
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30 Apr, 2012
105 kb
Downloads: 728
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sample memorandum of law contesting discontinuance of Medicaid personal care services
MOL - redacted Termination 2x12.doc
sample memorandum of law contesting discontinuance of Medicaid personal care services, used in NYC HRA case, raising issues under state regulations, due process as interpreted in Mayer v. Wing, the ADA, and other authorities.
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23 Apr, 2012
76 kb
Downloads: 154
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Q-Tips - Tips for completing the M-11q form
Q-TIPS 4-10.pdf
This memo by Selfhelp gives tips on completing the M-11q form to request personal care services in NYC. This is a revised version for the revised M11q effective April 1, 2010.
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23 Apr, 2012
155 kb
Downloads: 45817
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Appendix - Medicaid Spend-Down Training
Spend-down Appendix 2012.pdf
This appendix was used in Selfhelp's training on the Medicaid spend-down program. Revised 2011.
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14 Feb, 2012
1.43 mb
Downloads: 27192
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Letter Nov. 3, 2011 from Selfhelp & Other Organizations Demanding Relief in False Claims Act Case on Medicaid Personal Care
Consumer Letter to CMS -DOJ - Feldman False Claims Case.pdf
Letter sent to CMS and Dept. of Justice demanding that $54 million paid by City in settlement of US ex rel Feldman v City of New York be used to protect access to home care services.. see http://wnylc.com/health/entry/148/
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04 Nov, 2011
151 kb
Downloads: 287
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Form Letter to Apply for Medicaid using EPIC Bills to Meet the Spend-down
Spenddown EPIC letter to Medicaid.doc
This document is in WORD so that it can be adapted easily to an individual case. Use this to submit the EPIC Claims History along with the Medicaid application. Bills paid by EPIC can be used to meet the spend-down. http://nyhealth.gov/health_care/medicaid/excess_income.htm#past_bills which states:
"Bills paid by EPIC or ADAP in the three months before the month in which you applied for Medicaid may be used to meet your excess income."
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15 Aug, 2011
34 kb
Downloads: 314
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HIPAA form adapted to request claims history from EPIC
OCA Form 960 - NY Courts HIPAA Release - EPIC.pdf
Adapts the official NYS Office of Court Administration HIPAA form -- http://www.health.state.ny.us/forms/doh-2557.pdf for EPIC
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15 Aug, 2011
37 kb
Downloads: 387
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