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Letter from NYSBA Elder Law Section Aug. 7, 2019 to NYS Dept. of Health opposing policy requiring Statutory Gift Rider in Power of Attorney for SNT Download
8.7.19 - ELSN Letter to DOH re GIS 19 MA 04.pdf
Letter from NYSBA Elder Law section to Lisa Sbrana, Director of Eligibility and Marketplace Integration, dated 8/7/19, contesting 2 aspects of GIS 19 MA/04 - Clarification of Policy for Treatment of Income Placed in Medicaid Exception Trusts  (Feb. 4, 2019). First, letter explains why a Statutory Gift Rider should not be needed for establishing an SNT with a Power of Attorney. Second, letter critiques Attachment to the GIS, Form OHIP-0119 Explanation of the Effect of Trusts on Medicaid Eligibility. This is the Informational Notice required by Pooled Trust Notification Law enacted in 2017 that districts must include when notifying an individual of the option of using a pooled trust if they have a Medicaid spenddown. 
05 Nov, 2019 460 kb Downloads: 3443
Number Enrolled in Each MLTC Plan in NYC - 5-Year Comparison - April 2013 to April 2019 Download
NYC MLTC plan list 4-2019 in order of largest enrollment.pdf
Change in enrollment by plan in NYC from 4/2013 to April 2019 - from Source: DOH Medicaid Managed Care Enrollment Reports (Oct 2018)
https://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
by
Sorted in 2 ways- A.order of highest enrollment currently, B alphabetivally
29 May, 2019 475 kb Downloads: 5688
NYLAG Testimony on NYS FY 2019-20 Budget - Joint Hearing of the Senate Finance and Assembly Ways and Means Committees Download
NYLAG Health statement JOINT HEARING 2-04-2019.pdf
NYLAG Testimony regarding proposals to eliminate spousal refusal, change the CDPAP program, and reduce other Medicaid benefits impacting low-income seniors and people with disabilities.
04 Mar, 2019 707 kb Downloads: 2400
Medicaid Home Care in New York - List of Court Decisions, Laws and Regulations Download
LIST of Home Care Cases.2.pdf
This is a list of court decisions, key laws, regulations and directives concerning the various Medicaid home care programs in New York State. Revised Dec. 2018
12 Dec, 2018 794 kb Downloads: 43176
Medicare Part D Outline Download
Part D Outline 2019 FINAL 10-5-18.pdf
Training materials written and updated by various staff at the Evelyn Frank Legal Resources program since 2005. This outline is updated for the 2019 enrollment period (which begins 10/15/18 and ends 12/7/18) and covers the basic design of the Medicare Part D prescription drug benefit, the Extra Help subsidy for low income beneficiaries, how Part D works with other types of drug coverage including EPIC and Medicaid, and how to get Extra Help by using the Medicare Savings Program.
05 Oct, 2018 1.5 mb Downloads: 18204
Announcement of CLE/Training on Managed Long Term Care - Nov. 14, 2018 1 PM - 5:30 PM Download
NYALCA - Medicaid Seminar Registration Form November 2018.pdf
The New York Aging Life Care Association is pleased to announce a seminar:
NYS MEDICAID AND MLTC 2018 Medicaid & MLTC Changes enacted in NYS 2018-19 Budget.

Registration info in announcement.
21 Sep, 2018 765 kb Downloads: 3070
Fact Sheet on New Rules for Appealing Actions by Medicaid Managed Care and MLTC Plans - Starting May 1, 2018 Download
Exhaustion Fact Sheet - NYLAG 4-25-18.pdf
Fact Sheet on New Rules for Appealing Actions by Medicaid Managed Care and MLTC Plans - Starting May 1, 2018 - by NYLAG Evelyn Frank Legal Resources Program
25 Apr, 2018 295 kb Downloads: 6261
NYLAG Webinar on Exhaustion and MLTC Appeals - PowerPoint April 18, 2018 (amended 4/22/18) Download
NYLAG Exhaustion Webinar PowerPt FINAL amended.pdf
Compilation of regulations, sample notices, forms, advocacy documents, fact sheets, and online references for CLE Webinar conducted by NYLAG EFLRP on April 18, 2018 on the new Appeals REquirements for Medicaid Managed Care as Implemented in NYS Effective May 1, 2018 (amended slides 5 and 7 4/22/18)
22 Apr, 2018 610 kb Downloads: 6959
Form to Designate Representative to Request Managed Care/MLTC Appeal or Hearing (Rev. 4-16-18) Download
AUTHORIZATION – Medicaid Managed Care Requests (2018-04-16).pdf
Form designed by NYLAG EFLRP for a managed care or MLTC member to designate a family member, attorney or care manager, provider, and/or the ICAN Ombudsprogram to request a plan appeal, fair hearing, or a change in services from a managed care or MLTC plan. This new form is necessary because of changes starting in March 2018. At that time, one must first request an internal plan appeal before requesting a fair hearing. The request must be signed by the plan member unless a representative was previously designated. Signing this form in advance could prevent harmful delays in obtaining a client signature when requesting an appeal- especially if Aid Continuing is needed. See more at http://www.wnylc.com/health/news/80/
16 Apr, 2018 261 kb Downloads: 4890
NYLAG Webinar CLE Announcement on "Exhaustion" - New Managed Care Appeal System - April 18, 2018 Download
Exhaustion Webinar - CLE Registration Form.pdf
Changes in federal Medicaid regulations will take effect in New York State May 1, 2018. These changes affect over 4.7 million New Yorkers -- all members of Medicaid Managed Long Term Care (MLTC) Plans and “mainstream” Medicaid managed care plans. If the managed care or MLTC plan denies or reduces a service after May 1, 2018, the member will be required to request an internal “Plan Appeal” first, and wait for the plan’s decision, before they request a Fair Hearing with the NYS Office of Temporary & Disability Assistance. In other words, they are required to “exhaust” the internal plan appeal before requesting a fair hearing. See more info about the new rule here -- http://www.wnylc.com/health/entry/184/.

The CLE will explain the new rule and its limited exceptions, and the new appeal process. It will also cover the new requirements for the plan member to “authorize” a representative to request a plan appeal or a fair hearing.

WHO: The CLE is sponsored for lawyer, paralegals, and other professionals working or volunteering in the non-profit sector, including social workers who assist seniors and people with disabilities in accessing Medicaid services.

CLE: The New York Legal Assistance Group has been certified as an Accredited Provider of Continuing Legal Education. 1.5 Professional Practice credits and .5 Skills credits have been authorized for this session. This course is appropriate for both newly admitted and experienced attorneys. CLE credit will not be available for future viewing of the recorded webinar.

COST: Free for those working in or doing pro bono work for a non-profit legal services, advocacy, or social services organization. Private lawyers and geriatric care managers are asked for a suggested donation of $75 per session
27 Mar, 2018 260 kb Downloads: 2953
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