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Medicaid Managed Care
NYLAG PowerPoint on NY Independent Assessor - and other Home Care Changes 2022 Download
NYLAG NYIA for CDPAANYS 10-2022 - corrected.pdf
NYLAG Slides on NY Independent Assessor - and other Medicaid and Home Care Changes 2022 - current as of 10/27/2022, based on regulations and DOH policies slides posted at https://www.health.ny.gov/health_care/medicaid/redesign/nyia/repository/index.htm \ See more info and updates at http://www.wnylc.com/health/news/85/
05 Dec, 2022 384 kb Downloads: 3064
Know Your Rights: Is Your MLTC Plan Closing? Know Your Rights - August 2022 Download
MLTC Plan Closings (2022).pdf
Fact Sheet by NYLAG Evelyn Frank Legal Resources Program explaining the "transition rights" of MLTC members when their MLTC plan closes.
01 Aug, 2022 1.01 mb Downloads: 2378
Fact Sheet on Continuity of Care or Transition Rights - After You Enroll in an MLTC Plan (updated 8/1/22) Download
Transition Period changes Fact Sheet - updated 8-1-22.pdf
If you received Immediate Need home care, or your MLTC plan closed, or you were disenrolled from your MLTC plan involuntarily, you are required to enroll in or switch MLTC plans. You have "continuity" or "transition" rights in your new MLTC plan. Learn about those rights and current changes in the rules for what happens when the "Transition Period" ends after 90-120 days.
01 Aug, 2022 950 kb Downloads: 3815
How To Use the NY Independent Assessor Information Sharing Form Download
NYIA Authorized Rep Form - How To Complete + Submit (NYLAG - 7-7-22).v2.pdf
The New York Independent Assessor (NYIA) has posted an "Information Sharing Consent Form" for you to authorize release of health information to NYIA. The consent form allows NYIA to contact your doctors and other medical providers as needed for them to assess your eligibility to enroll in a Managed Long Term Care (MLTC) plan, or for you to obtain Medicaid personal care or Consumer-Directed Personal Assistance (CDPAP) services from your local Medicaid office or Medicaid health plan. You can also designate an authorized representative who may act on your behalf when interacting with NYIA.

To find the form, go to https://nyia.com/en/consent. This guide explains how to complete, e-sign and submit the form online, which is not easy. It also explains how to print a blank form. A PDF copy is also attached to this Guide.
27 Jul, 2022 2.73 mb Downloads: 3729
NYLAG Comments to NYS Proposed 1115 Waiver to Address Racial Health Disparities Download
NYLAG SHERPA comments - FINAL 5-20-22.pdf
NYS solicited public comments on its draft proposal that it will submit to CMS requesting an 1115 waiver for "Strategic Health Equity Reform Payment Making Targeted, Evidence-Based Investments to Address the Health Disparities Exacerbated by the COVID-19 Pandemic." Proposal is posted at
NYLAG's comments are attached.
13 Jul, 2022 858 kb Downloads: 862
NYLAG Questions to DOH on Independent Assessor Guidance Download
2022-05-03 NYIA Questions on ADM + MLTC Policy - NYLAG.pdf
In late April, DOH released an ADM and an MLTC policy with procedures for the Independent Assessor (posted at https://www.health.ny.gov/health_care/medicaid/redesign/nyia/repository/index.htm). On May 3, 2022 NYLAG sent these comments and requests for clarification to DOH.
15 May, 2022 625 kb Downloads: 1226
NYLAG 2nd Set of Questions to DOH about Independent Asssessor (3-25-22) Download
2022-03-25 NYLAG 2nd set of questions about NYIA slide decks FINAL.pdf
NYLAG's second set of comments and questions about the Independent Assessor slides posted by DOH on https://www.health.ny.gov/health_care/medicaid/redesign/nyia/. This set is about PowerPoints for Topics 2 and 3. NYLAG's 1st set of comments were about Topic 1 and the High Level OVerview from Dec. 2021, and is posted at http://www.wnylc.com/health/download/807/. For more info see http://www.wnylc.com/health/news/85/#Independnet%20Assessor%20NEW.
06 Apr, 2022 542 kb Downloads: 1193
NYLAG comments about Independent Assessor Procedures - 2-02-2022 Download
2022-02-02 NYLAG questions about NYIA slides 12-21-22 + 1-14-22 (Topic 1).pdf
NYLAG comments and questions to State DOH dated 2-2-2022, about the first sets of PowerPoints posted on new NY INdependent Asssessor website - https://www.health.ny.gov/health_care/medicaid/redesign/nyia/faqs/index.htm. These comments are about the 12-2021 presentations and Topic 1 presentations dated Jan. 14, 2022
19 Mar, 2022 93 kb Downloads: 1241
Contact List - Medicaid Managed Care Organizations in NYC Download
2021-12-30 MADPR-05 Medicaid Managed Care Plan.pdf
Contact List - Medicaid Managed Care Organizations in NYC (updated 12-30-2021)
09 Feb, 2022 150 kb Downloads: 2093
Webinar on NYS Medicaid Home Care Changes in 2022 - by NYLAG Evelyn Frank Program - Jan. 26, 2021 Download
Medicaid Home Care CLE Webinar Jan. 26-2022.pdf
PowerPoint describes the changes in Medicaid Home Care that started being rolled out Nov. 8, 2021. This PowerPoint developed before DOH launched website about Independent Assessor that starts March 1, 2022, so does not include that info posted at https://www.health.ny.gov/health_care/medicaid/redesign/nyia/. Check for more updates at http://www.wnylc.com/health/news/85/. Webinar recording will also be posted. Proposed expansion of financial eligibility for age 65+, disabled, and blind is also discussed.
31 Jan, 2022 2.23 mb Downloads: 1622
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