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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: 46509
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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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Memorandum of Law of Amicus Curiae in U.S. vs New York City - False Claims Act lawsuit in
Memorandum of Amicus Curiae.pdf
Memorandum of law filed August 12, 2011, by 41 amicus organizations in support of NYC's motion for summary judgment in US vs. NYC, SDNY Civil No. 09 Civ. 8381 (JSR)
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14 Aug, 2011
288 kb
Downloads: 350
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Compilation of Medicaid Personal Care Hearing Decisions Cited in Amicus Brief in DOJ v. City of New York
Appendix - FH Decisions FINAL.pdf
Compilation of Medicaid Personal Care Hearing Decisions Cited in Amicus Brief in DOJ v. City of New York, 09 Civ,. 8381
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12 Aug, 2011
3.78 mb
Downloads: 86
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Request for CHHA Records to Prepare for Fair Hearing
Request for CHHA Record.doc
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16 Jun, 2011
29 kb
Downloads: 260
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Request for Documents for Medicaid Fair Hearing - "Rivera" Request
PFAIR PRO SE RIVERA REQUEST Rev May 2011.pdf
Request for Documents for Medicaid Fair Hearing - "Rivera" Request - Pro Se version
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16 Jun, 2011
31 kb
Downloads: 340
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