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Home Care
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2023 - FINAL.doc.pdf
This is basic general information about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. To receive Medicaid home care, you must be both financially and medically eligible. This explains the rules on financial eligibility for the Disabled, Aged 65+, and Blind (DAB) category and gives info on how to apply (updated Sept. 20, 2022 with heads up about 2023 increases in income and asset limits).
11 Jan, 2023 312 kb Downloads: 183023
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: 1746
MAP-751W Consumer/Provider Request to Change Information on File (3-25-21)(fill-able) Download
MAP-751W Request to Change Information (3-25-21) (fill-able)(with 3-4-22 memo where to submit).pdf
NYC HRA Form to notify HRA of corrections or changes, e.g. close case, combine case, add/remove individual, notify of death, change in immigration status, upgrade eligibility, request MSP evaluation, budgeting changes, pooled trust budgeting and add/remove third party health insurance. Per attached 3/2022 memo may be faxed to (917) 639-0837 or mailed. Note that a change in demographic information (such as name, address, phone number) should be reported in a different form: MAP-751K. The MAP-751W is also posted at https://www1.nyc.gov/site/hra/help/health-assistance.page in other languages.
24 Oct, 2022 376 kb Downloads: 5165
List of 2023 Medicare Special Needs Plans (SNPs) in NYS Download
2023 New York State Special Needs Plans.xlsx
List of 2023 Medicare Special Needs Plans (SNPs) in NYS. Indicates whether plan is also a Medicaid Advantage Plus (MAP) plan (includes MLTC plan in same plan), and whether the plan is subject to Default Enrollment. Includes a list of sanctioned plans.
14 Oct, 2022 79 kb Downloads: 241
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: 1522
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: 2471
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: 2296
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
www.health.ny.gov/health_care/medicaid/redesign/2022/docs/2022-04_1115_waiver_draft_amendment.pdf
NYLAG's comments are attached.
13 Jul, 2022 858 kb Downloads: 300
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: 606
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: 554
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