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NYLAG Comments on Medicaid State Plan Amendment to Implement the ADL Restrictions on Eligibility for Personal Care & CDPAP
NYLAG COMMENTS SPA -PCS CDPAP.pdf
Comments filed by NYLAG dated Oct. 29, 2020 on the proposed Medicaid State Plan Amendment (SPA) that would restrict elgibility for personal care and CDPAP services to require 2 or 3 ADL needs. The proposed SPA No. 20-41 was posted September 29, 2020 and is available at https://www.health.ny.gov/regulations/state_plans/status/ltcare/original/docs/os_2020-09-29_spa_20-41.pdf.
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24 Dec, 2020
841 kb
Downloads: 1805
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NYLAG Comments on Proposed Federal "Sunset" Rule That Would Repeal Thousands of Medicaid Regulations
NYLAG Comments - Sunset NPRM (12-4-20 VB).pdf
The US Dept. of Health & Human Services (HHS) has proposed a "sunset regulation" that would retroactively impose a mandatory expiration date on an estimated 18,000 duly promulgated regulations for programs ranging from Medicaid and Medicare to the FDA and CDC. NYLAG submitted comments on these rules.
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04 Dec, 2020
329 kb
Downloads: 1792
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Pre-Paying for Burial – Tip for Qualifying for Medicaid despite “Excess Resources”
Funeral Agreement Fact Sheet revised 2020-10-28.pdf
This advocacy memo from NYLAG explains the rules regarding treatment of pre-paid funeral agreements for burial arrangements for Medicaid eligibility for people age 65+, blind, or disabled.
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28 Oct, 2020
1000 kb
Downloads: 174168
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Training Presentation on 2021 Medicare Part D Annual Enrollment
NYLAG CLE PPT Part D 2021 AEP -REVISED.pdf
NYLAG PowerPoint presentation explaining the Medicare Part D program, with changes for the 2021 calendar year. The annual enrollment period for 2021 began Oct. 15, 20 and goes thru Dec. 7, 2020.
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19 Oct, 2020
594 kb
Downloads: 2633
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Benchmark Part D plans in NYS 2021 - Free Premiums for People with Extra Help/ Low Income Subsidy
Benchmark Plans 2020-2021 Comparison.2.pdf
Benchmark Part D plans in NYS 2021 - Free Premiums for People with Extra Help/ Low Income Subsidy - Seven plans will be free for those with full Extra Help. Two plans that were benchmark in 2020 are closing in 2021. This fact sheet explains how members of those plans can ensure full access to covered prescriptions in 2021.
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05 Oct, 2020
215 kb
Downloads: 2528
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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: 2332
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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: 2513
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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: 2605
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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: 4283
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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: 2667
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