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MLTC UPDATE: Extended MLTC plan to close, "Unwinding" of the Public Health Emergency Means all MLTC Members Must Renew Medicaid
02 Jun, 2023
This is a running news article with updates on Managed Long Term Care in NYS. Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY MLTC CONTACTS & WHERE TO FILE COMPLAINTS State Dept. of Health Complaint Number for MLTC enrollment &...
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Unwinding of COVID Public Health Emergency begins - Renewals start March and April 2023 - BE PREPARED!
01 Jun, 2023
For 3 years 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. This is called the "UNWINDING" of the Public Health Emergency. In...
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NYS Medicaid Redesign Team II (MRT) -- Independent Assessor Required for Immediate Need since 12/1/22 ..Lookback Delayed til April 1, 2024
31 May, 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 (NYIA) - View recording of NYLAG WEBINAR on NYIA February 8, 2023 View...
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Expansion of Medicaid Dental Benefit
18 May, 2023
In August, 2018, The Legal Aid Society and Willkie Farr & Gallagher filed Ciaramella v. Zucker (18-cv-06945) to challenge the New York State Department of Health’s rules preventing Medicaid coverage for replacement dentures within 8 years from initial placement and the ban on Medicaid...
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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...
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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...
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News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
21 Dec, 2022
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...
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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...
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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...
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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...
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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...
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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. ...
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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...
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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. ...
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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...
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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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Governor Signs Law Ensuring Free Access to Health Records for Those in Need
14 Sep, 2017
In a huge win for disabled New Yorkers, a bill (A7842/S6078) that will streamline the process for thousands of New Yorkers needing to obtain their own health records has been signed into law by Governor Andrew Cuomo. Accurate and comprehensive health records are needed for applications to Social...
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Trump-Care: Info re Proposals to Repeal ACA and Cut Medicaid
23 Mar, 2017
Efforts are moving ahead not only to repeal the Affordable Care Act - with or without a replacement - but to alter the Medicaid program for millions of people, including seniors and people with disabilities, by changing it from an "entitlement" program to block grants or "per capita caps." ...
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MLTC Update 2016 - Centerlight MLTC to close Feb 2017, New State policies clarify assessments of hours, Minimum Wage increases funded for home care
22 Dec, 2016
KEY CONTACTS State Complaint Number for MLTC Problems - 1-866-712-7197 or e-mail mltctac@health.ny.gov Request Conflict-Free MLTC Assessment - needed to enroll in an MLTC plan call NY Medicaid Choice at 1-855-222-8350 complaints re Conflict-Free...
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Fast-Tracking of Medicaid Applications for those with Immediate Need for Medicaid Home Care - DOH issues Q&A,HRA Launches New Procedure and Form
28 Oct, 2016
On Oct. 24, 2016 - NYS DOH issued a Q & A about the new Immediate Need Procedure - 2016 LCM-02 - Immediate Need for Personal Care Services and Consumer Directed Personal Assistance Program (CDPAP). The Q&A clarifies that the local district is required to process the Medicaid application...
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