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NYLAG Comments on Proposed Changes to State Regulations for Medicaid Managed Care Appeals and Fair Hearings
Final Comments to Proposed Regulations Managed Care Fair Hearing 09.8.2020.pdf
NYLAG Comments filed on Sept. 8, 2020 on Proposed Changes to State Regulations for Medicaid Managed Care Appeals and Fair Hearings. The proposed amendments implement the "exhaustion" requirements implemented in NYS in 2018, implementing federal changes adopted in 2016.
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23 Sep, 2020
511 kb
Downloads: 2137
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NYLAG COMMENTS on Proposed Home Care Changes - Eligibility and Assessment Procedures
NYLAG COMMENTS -PCS CDPAP 2020-09-09 FINAL.pdf
NYLAG COMMENTS on Proposed Regulations implementing the Medicaid Home Care Changes - Eligibility and Assessment Procedures enacted in the 2020-21 NYS Budget. The proposed regulations are posted here - https://regs.health.ny.gov/sites/default/files/proposed-regulations/Personal%20Care%20Services%20and%20Consumer%20Directed%20Personal%20Assistance%20Program.pdf
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09 Sep, 2020
1.07 mb
Downloads: 2296
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NYLAG Comments on Proposed Changes in 1115 Waiver Governing MLTC to Impose "LOOKBACK" for Communiity Based Long Term Care
NYLAG comments 1115 Waiver Lookback 9-9-20 FINAL.pdf
NYLAG Comments on Proposed Changes in 1115 Waiver Governing MLTC to Impose "LOOKBACK" for Communiity Based Long Term Care. The waiver document is posted here https://health.ny.gov/health_care/medicaid/redesign/mrt2/proposals/mltc_elig_vol_enroll_duals.htm
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09 Sep, 2020
652 kb
Downloads: 2422
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PowerPoint on NYS Medicaid Changes Coming in 2020-21 - Lookback, Restricted Home Care Eligibility & New Assessment Procedures
NYLAG Presentation - NYS Budget Changes - Medicaid FY 2020-21.pdf
Webinar presentation by Valerie Bogart, EFLRP, NYLAG, presented on Sept. 9, 2020 on upcoming changes in Medicaid - a new lookback for community based long term care services, new ADL requirements on eligibiliity for personal care and CDPAP, and new assessments for all home care in MLTC, managed care and local Medicaid offices
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09 Sep, 2020
534 kb
Downloads: 4087
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Letters Asking Governor & State DOH to Halt Disenrollment from MLTC Plans for Nursing Home members until Pandemic Over
2020-07-02 Consumer LT GOV NH Disenrollment FINAL.pdf
Letter of 7/2/20 to Gov. Cuomo and letter dated June 29, 2020 to DOH from NYLAG, Legal Aid Society, CIDNY, Empire Justice Center & other organizations demanding the state halt disenrollment of almost 20,000 MLTC members from their MLTC plans because they have been in nursing homes for more than 3 months. With visitors banned from nursing homes, they'll have no help to appeal - and many will be forced to stay in the nursing homes, at risk of exposure to COVID.
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12 Jul, 2020
1.37 mb
Downloads: 2471
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Know Your Rights -- If an MLTC Plan Asks You to Reduce Your Hours Because of COVID-19 - You Can Say No
Voluntary Plan of Care change Fact Sheet (FINAL NYLAG 5-18-20).pdf
Fact Sheet for consumers that explains rights of MLTC members in light of a State directive to plans that allows members to "pause" their home care during Covid-19. The directive - at https://health.ny.gov/health_care/medicaid/covid19/docs/2020-04-23_guide_volplanofcare.pdf -- can be helpful for consumers who want to reduce their hours during this emergency, but if you do not want to change your hours, you can keep them as is.
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18 May, 2020
366 kb
Downloads: 3245
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NYS 2020-21 Medicaid Cuts - PowerPoint on changes enacted in State Budget April 2020 (updated 4/29/20)
2020 Budget PowerPoint WSIACA.4.pdf
Presentation by NYLAG-EFLRP for the West Side Interagency Council on Aging on April 23, 2020 describing the new Lookback requirement for home care and the changes in the Personal Care and CDPAP benefit. View the recorded webinar at https://www.youtube.com/watch?v=Ua80qZH7MG0&feature=youtu.be. Slides 10-11 updated to show no lookback for TBI, NHTDW, & OPWDD waivers.
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29 Apr, 2020
240 kb
Downloads: 3190
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NYLAG, MFJ & NYAIL Letter to DOH 4-13-20 re Economic Stimulus Payments for Nursing Home & Adult Home residents
Advocacy Ltr to DOH re economic impact payments for NH and Adult Home residents.pdf
Letter dated April 13, 2020 requesting that DOH issue guidance to Nursing Home, Adult Home & ALP administrators that the Economic Stimulus payments are exempt from being counted for Medicaid, and must be protected for the residents.
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14 Apr, 2020
296 kb
Downloads: 2507
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NYLAG, Empire Justice Center & Bronx Legal Serv Letter to DOH re MLTC/ Home Care Protections re Covid-19 0 4/1/2020
LT DOH NYLAG-EJC-BxLS 4-1-2020 FINAL.pdf
Letter from Advocates to NYS Dept. of Health requesting clarification of various policies issued re Covid-19 and for protections for Medicaid home care applicants and recipients in MLTC, mainstream managed care plans and other home care programs.
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03 Apr, 2020
432 kb
Downloads: 2846
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Advocate Covid-19 Letter to DOH 3-13-20 + 3-16-20 follow-up - RE protections needed in Enrollment and Managed Care
COVID-19 Advocates Letter to DOH 3.13.20 + 3.16.20 follow up email.pdf
Letter from Legal Aid Society, NYLAG, Empire Justice Center & other advocates to NYS DOH 3-13-20- requesting protections to ensure continuity of Medicaid eligibility and services in managed care/MLTC plans in Covid-19 emergency. Protections available under federal Section 1135 waiver and other relief.
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01 Apr, 2020
853 kb
Downloads: 2608
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