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Medicaid Managed Care
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: 3248
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: 629
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: 978
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: 926
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: 990
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: 1842
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: 1359
Consumer Concerns about Independent Assessor Implementtion - 12/15/22 letter updates Jan. 6, 2022 Download
Consumer Concerns re Implementing Independent Assessor 12-15-22 with 1-6-22 Followup.pdf
12/15/22 letter sent to DOH jointly from Medicaid Matters NY and NYLAG with concerns about implementation of the Independent Assessor changes on March 1, 2022 - with no guidance or procedures yet issued let alone tested and ready, and with a lack of capacity for NY Medicaid Choice to handle the huge demand of approximately 300,000 nurse assessments and 300,000 physician/practitioner assessments a year.
11 Jan, 2022 2.45 mb Downloads: 1568
NYLAG PowerPoint on 2021-22 Medicaid Home Care Changes & Lookback Download
NYLAG Budget PowerPoint Home care changes 10-2021.pdf
Powerpoint with latest info - as of Oct. 20, 2021 -- on implementation of changes enacted in the NYS FY 2020-2021 budget, including the restrictions on eligibility for Personal Care services (PCS) and CDPAP services (reqiring 2-3 ADLs), the Independent Assessor procedures, and the loosened standards allowing plans to more easily reduce hours of home care after a "transition period" for certain members.
20 Oct, 2021 1.31 mb Downloads: 1453
DOH Model 30-Day Notice of Intent to Disenroll from MLTC Plan for Long Term Nursing Home Stay Download
Plan Intent to disenroll Batch Process_07.01.21_Final.pdf
Notice sent by MLTC plans to members of intent to disenroll because of a Long Term Nursing Home Stay - a stay of more than 3 months, where the member has been approved for Nursing Home Medicaid. Notice sent 30 days prior to disenrolllment. A second notice is sent by NY Medicaid Choice 10 days prior to disenrollment, posted with more info in this article http://www.wnylc.com/health/entry/199/
20 Oct, 2021 83 kb Downloads: 1251
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