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MLTC UPDATE: CDPAP Changes Enacted,in NYS Budget, Bill to Increase MLTC Transparency, March 1st - Transportation carved out of MLTC services
21 May, 2024
This is a running news article with updates on Managed Long Term Care in NYS. FEBRUARY 2024 ALERT re CDPAP CUTS - see HERE Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY MLTC CONTACTS TO FILE COMPLAINTS And Websites SKIP DOWN TO LATEST...
Unwinding of COVID Public Health Emergency in progress - Tips to Renew Medicaid!
13 May, 2024
Since March 2020, special protections guaranteed Continuous Coverage for anyone who HAD Medicaid In March 2020 or obtained Medicaid since then. These "Maintenance of Effort" (MOE) protections are being phased out while every Medicaid recipient goes through a renewal of current eligibility. This...
Drastic CDPAP Changes and other Medicaid Outcomes of Final NYS 24-25 Budget
13 May, 2024
FINAL NYS ENACTED BUDGET for 2024-25 Make Huge Changes in CDPAP That will Potentially Disrupt Care for 200,000 New Yorkers. 1. CDPAP CHANGES ENACTED: SINGLE FISCAL INTERMEDIARY Now there are more than 600 Fiscal Intermediaries (FI's) that handle payroll and benefits for all Personal...
Medicaid Overpayment changes - new Q&A
15 Mar, 2024
Collections of alleged Medicaid overpayments, which were mostly paused during the Public Health Emergency, have undergone significant changes. This Q&A document by The Legal Aid Society explains what we currently know about investigations and collections going forward.
Non-Emergency Transportation Carve-Out from Managed Long Term Care - effective 3/1/24
06 Mar, 2024
Effective 3/1/24, the non-emergency transportation benefit has been carved out from Managed Long Term Care. This does not include Program of All-Inclusive Care for the Elderly (PACE) plans. This means that Managed Long Term Care members will no longer arrange transportation through their plan, but...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
27 Feb, 2024
The Evelyn Frank Legal Resources Program at NYLAG sends out periodic updates to interested people about developments in Medicaid in New York State affecting seniors and people with disabilities, with an emphasis on people who rely on Medicaid for long-term care services or for subsidies to help...
Undocumented Immigrants Age 65 and Older Eligible for Full Medicaid - Started Jan. 1, 2024
06 Feb, 2024
See this new article to learn about the expanded Medicaid coverage for immigrants Age 65 and over who are undocumented. Because of their immmigration status, they were previously only eligible for Emergency Medicaid. See more here. Note that undocumented persons between ages 19- 64 are still...
Expanded Medicaid Dental Benefit in Effect as of 1/31/24
18 Dec, 2023
New York’s Medicaid program expanded coverage of dental benefits as of January 31, 2024 as the result of the settlement of the Ciaramella v. McDonald case (originally Ciaramella v. Zucker). This article provides detailed information about the expanded benefits. This article provides information...
NYS Medicaid Redesign Team II (MRT) - NYIA expansion to reassessments postponed INDEFINITELY - Nov. 17,. 2023 .Lookback Delayed til 2025
17 Nov, 2023
This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2. A. The two MRT-2 changes that ARE being implemented NOW are: NY Independent Assessor Program (NYIAP) - Nov. 2023 NEWS - On Nov. 17, 2023, after...
2023 Updated Increases Announced for Medicaid and Medicare Savings Program for Disabled/Age 65+/ Blind - View Webinar recording from Jan. 18, 2023
25 Apr, 2023
2/10/23 UPDATE - NYS Dept. of Health updated the income and resource limits based on the 2023 Federal Poverty Levels. See NYS DOH GIS 23 MA/02 - 2023 Federal Poverty Levels and ATTACHMENT New York State Income and Resource Standards for Non-MAGI Population. These update the levels previously...
ARCHIVES - Past guidance on COVID-19 Public Health Emergency that ended May 11, 2023
03 Apr, 2023
This is an archive of past NYS guidance on the COVID-19 Public Health Emergency. This information was previously part of the news article on COVID-19 and Medicaid in NYS. For current guidance see that article here. Nursing Home Guidance and Data Reporting - archive March 2023 - Update: NYS...
Medicaid & SSI Recipients May Keep Your Covid Stimulus Checks & Unemployment benefits - Including Nursing Home, Adult Home & ALP Residents!
08 Jul, 2022
Economic Impact Payments (EIP) (stimulus payments) first authorized by the CARES ACT in 2020 and then two later rounds of payments AND Unemployment benefits paid from March 2020 through Sept. 2021 cannot be counted as "income" for financial eligibility for Medicaid or SSI. Medicaid and SSI...
NYC Medicaid Application Changes!! Revised Medicaid App AND New "Supplement A" form required in All Applications and Must be Signed by Spouse
28 Mar, 2022
Two changes in Medicaid applications: Statewide DOH-4220 Medicaid Application form has been updated (dated 8/2021 but HRA just announced this change in NYC Medicaid Alert 3/24/22). If an applicant submits an older version of the DOH-4220, the agency will continue to accept it, and not...
NYLAG Submits Comments on proposed CMS "Sunset" Regulation - Rule Adopted January 8, 2021
08 Jan, 2021
JAN 8, 2021 Update - The Trump Administration adopted a final rule - PDF finalizing, with some changes, the proposed rule that NYLAG and many other organizations commented on, described below. In its last days, the Trump Administration is continuing to try to sabotage the incoming...
CLE/Legal Education - Webinar on Using SNTs to Protect Medicaid - View recordings of Parts 1 and 2 Nov. 2019
20 Nov, 2019
NYLAG Evelyn Frank Legal Resources Program & NY Association on Independent Living Continuing Legal Education Program Using Supplemental Needs Trusts to Protect Medicaid, SSI and other Benefits A Two-Part Webinar – Valerie Bogart, Presenter Webinar was held but you can view the...
FIDA Program Closing Dec. 31, 2019 - Watch for Notices of Options
19 Nov, 2019
CONTACT: NY Medicaid Choice for information or to Enroll 1-855-600-FIDA (1-855-600-3432) TTY: 1-888-329-1541 FAX a 1-917-228-8601 Monday to Friday 8:30 am to 8:00 pm and Saturday from 10:00 am to 6:00 pm. ICAN - NYS Ombudsprogram for MLTC and FIDA. Click here for info. ...
State Dept of Health Moves to Implement MLTC Changes Enacted in 2018-19 NYS Budget
25 Oct, 2018
Though the NYS legislature and Governor Cuomo agreed on a State Budget on April 1, 2018, many of the changes in the Managed Long Term Care program are still in the planning stages for implementation. Here is the status of state budget provisions affecting Medicaid for seniors and people with...
Webinar on Changes Coming May 1st in Fair Hearing Rights for MLTC and Managed Care Members - Recording Available for Online Viewing
22 Apr, 2018
On May 1, 2018, New York State will implement massive changes in appeal rights for members of Medicaid managed care plans, including members of Managed Long Term Care plans. These changes in federal Medicaid regulations governing Medicaid managed care plans were made by the Obama Administration. ...
30,000 NYS Residents Age 65+ May Lose Medicaid If They Do Not Apply to Enroll in Medicare - 2,204 in NYC Who Lost Medicaid Restored Temporarily
14 Mar, 2018
March 14, 2018 UPDATE: After ​​​advocacy by Legal Services NYC, including a threat of litigation, the State DOH has agreed to restore Medicaid coverage to all 2,204 NYC Medicaid recipients who had coverage terminated on March 6th. They had all received notices that they must provide proof...
Pooled Trust Notification Bill Signed into Law! Thanks to Assembly Health Chair Gottfried and State Senator Rob Ortt!
26 Dec, 2017
On Monday, December 18, 2017, Governor Andrew Cuomo signed into law the "Pooled Trust Notification Bill." This legislation will require for the first time that Medicaid applicants and recipients who have a spend-down be given notice in plain language that explains the availability of supplemental...

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