MFY Legal Services, NYLAG and other organizations sent this letter in response to New York Times article published May 9, 2014, titled Medicaid Shift Fuels Rush for Profitable Clients" - which uncovers disturbing behavior among the Managed Long Term Care plans early in the implementation of mandatory MLTC, as they competed for market share of new enrollees (published May 9, 2014). Article attached to letter

FIDA - Consumer Comments on Final Proposal to CMS June 30, 2012 (Consumer Coalition to Protect Rights of NY Dual Eligibles)

Consumer Comments on the FIDA Memorandum of Understanding - Sept. 23, 2013

On May 22, 2014, DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014. This is the Consumer coalition's letter of May 30, 2014 explaining proposed revisions of the notices enclosed with the letter, and recommending edits.

On May 22, 2014, DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014. This is the Consumer coalition's proposed revision of NOTICE 2 - the 90-day notice to enroll in a FIDA plan or be passively enrolled.

On May 22, 2014, DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014. This is the Consumer coalition's proposed revision of NOTICE 1 - the Announcement notice

DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014.

DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014.

Presentation to NASW Suffolk Chapter by David Silva at NYLAG

July 12, 2012
The purpose of this ALERT is to inform Community Based Organizations, Client Representatives, Certified Home Health Agencies and other providers that the Medical Assistance Program is changing the way it processes Medicaid applications for excess income eligible consumers seeking enrollment into a Managed Long Term Care (MLTC) plan. Consumers seeking MLTC enrollment who are found to only be eligible for the Medicaid Excess Income (Surplus) Program will now have their cases accepted and authorized with “06” (provisional) coverage. This will occur even if their applications are received without bills that cover their excess or surplus.

This new process will allow MLTCplans to see the provisional coverage on ePaces/eMedNY and will facilitate receipt of services for these consumers. Submitters are requested, when appropriate, to prominently indicate on the cover sheet of submitted applications that the consumer intends to enroll into an MLTC plan

Current policy will remain unchanged for all other consumers found eligible for the Excess Income Program.