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AARP NY Letter to Gov. Hochul Urging delay of March 28th Deadline to Transition to PPL (3-17-2025) Download
2025-03-17 AARP Letter.pdf
AARP NY expresses concern that older people with disabilities will be left home without care or be forced into nursing homes on current timeline.
20 Mar, 2025 488 kb Downloads: 249
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2025 final.pdf
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)
07 Mar, 2025 279 kb Downloads: 198007
Excel Template for Medicaid Non-MAGI Budgeting -2025 FPL: Download
Medicaid Budgeting worksheet 2025.xls
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/.
07 Mar, 2025 131 kb Downloads: 8486
NYLAG Memo in Support of Repeal of the 30-Month Lookback for Medicaid Home Care (S4786-A1907) Download
A1907 - S04786 Lookback repeal Memo in Support NYLAG 2025.pdf
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.
25 Feb, 2025 207 kb Downloads: 1173
NYLAG Memo in Support of Bill S358/.A1198 to Repeal the Three-ADL Requirement for Medicaid Home Care Download
S358 A1198 ADL restrictions NYLAG Memo in Support 2025.pdf
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.
25 Feb, 2025 248 kb Downloads: 494
NYLAG Memo in Support of MLTC Data Transparency Bill A700/ S707 (2025) Download
2025 MLTC Data Transparency Bill S707 A 700.pdf
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.
25 Feb, 2025 10 kb Downloads: 797
NYLAG Comments on Proposal to Expand the Medicaid Buy-In Program for Working People with Disabilities (MBI-WPD) Download
MBI-WPD Public Comments by NYLAG - 12.5.24 - FINAL.pdf
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.
19 Dec, 2024 333 kb Downloads: 440
2025 List of NYS Medicaid Plans with "Aligned" Medicare D-SNP Plans - Integrated Care Options (PDF) Download
Default Enrollment chart - 2025 -with all MAP plans.pdf
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.
30 Oct, 2024 122 kb Downloads: 835
2025 List of NYS Medicaid Plans with "Aligned" Medicare D-SNP Plans - Integrated Care Options (Excel) Download
Default Enrollment chart - 2025 -with all MAP plans.xlsx
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.
30 Oct, 2024 16 kb Downloads: 684
2025 NYS Medicare Advantage and Special Needs Plans Download
Medicare Advantage + SNP Plans NYS 2025 -Star Ratings + Default Enrollment.3.xlsb
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
30 Oct, 2024 112 kb Downloads: 726
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