For the NYS Budget 2020-21, Gov. Cuomo appointed the Medicaid Redesign Team II to recommend Medicaid cuts to balance the budget. A set of proposals were developed by the MRT and are supposed to be voted on by the MRT on 3/18 or 3/19. Between then and April 1, 2020 the legislature and Governor are supposed to agree on a budget. NYLAG opposes many of the recommended cuts in Medicaid eligibility and access to home care and prescription drugs.

Revised form Notice to be sent by New York Medicaid Choice to about 23,000 MLTC members who, as of April 2020 have been in nursing homes for 3+ months, telling them they will be disenrolled from the MLTC plan unless they request an assessment to return home or a fair hearing before the effective date, May 1, 2020.

Excerpt of State publication that explains the millions of eligibility codes that show restrictions on or categories of individual's Medicaid eligibility. The entire guide is much bigger. This SEARCHABLE excerpt contains the chapter on MEDICAID CODES.

Most members of ICS MLTC plan transferred to VNS Choice MLTC plan after ICS closed April 1, 2019. This fact sheet explains your rights if your new plan tries to reduce your services.

Letter send Feb. 10, 2020 to State DOH requesting changes in notices and other procedures for disenrolling MLTC members from their MLTC plans because they are "long term" nursing home residents, defined as in a nursing home 3+months. See more info at http://www.wnylc.com/health/entry/199/

NYSDOH Dear Administrator Letter to Nursing Homes 1-21-2020 advising them that residents who are members of MLTC plans will be disenrolled after 3 months. The letter should eventually be posted with other DAL letters here - https://www.health.ny.gov/professionals/nursing_home_administrator/letters.htm#dal. See discussion in this article http://www.wnylc.com/health/entry/199/

New Disenrollment Notice form to be sent by NY Medicaid Choice to MLTC Members who have been identified as "Long Term Nursing Home Residents" (In nursing home more than 3 months). Notice has Fair Hearing rights. See more here http://www.wnylc.com/health/entry/199/

Notice sent to all MLTC members by State DOH in week of Jan. 17, 2020 explaining the change in how nursing home care relates to MLTC. If in a nursing home for more than 3 months, will no longer be eligible for or remain in an MLTC plan. See http://www.wnylc.com/health/entry/199/.

This PDF has 2 form notices being sent in Jan. 2020 to adult Nursing Home Residents approved for Institutional Medicaid, advising them that they won't be enrolled in MLTC plans as previously notified. This is implementing the change approved by CMS for MLTC. See http://www.wnylc.com/health/entry/199/. The 1st notice is to those who received notice that they must select an MLTC plan by a certain date. The 2nd notice in the PDF is to those who were told they'd be assigned to an MLTC plan on February 1, 2020. That enrollment is now canceled.

LDSS-3559 Form RESIDENTIAL HEALTH CARE FACILITY REPORT OF MEDICAID RECIPIENT ADMISSION/DISCHARGE/READMISSION/CHANGE IN STATUS. This is last version of form from 2013, which DOH has said is under revision