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Found 64 result(s)
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NYS Medicaid Redesign Team II (MRT) - Minimum 3-ADL Thresholds START Sept. 1, 2025 for New Home Care and MLTC Enrollees
This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2. These are the: Three-ADL Minimum Threshold to qualify for Personal Care and CDPAP and enroll in MLTC - will start Sept. 1, 2025 - see more here. ...
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06 Jul, 2025
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CDPAP FI Transition: Preliminary Injunction Extended to July 1st while Negotiations continue; NYS Senate Hearing scheduled on PPL July 9th
Preliminary injunction in Engesser lawsuit extended to July 1st. (see below). CLICK HERE to see LATEST STATUS UPDATES Preliminary Injunction extended to July 1st NYS Senate Hearing Scheduled for July 9th. - and Legislation proposed to Improve the PPL Transition - and ...
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23 Jun, 2025
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Unwinding of COVID Public Health Emergency in progress - Tips to Renew Medicaid!
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 is...
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02 Aug, 2024
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Medicaid Outcomes of Final NYS 24-25 Budget - including big CDPAP changes
NYS Is moving forward to overhaul the entire CDPAP program, requiring all 200,000 _+ consumers who have CDPAP services to switch their Fiscal Intermediary (FI) to the single FI that NYS has hired - Public Partnerships LLC. This includes members of MLTC plans, mainstream managed care plans, and...
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31 May, 2024
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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
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...
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21 May, 2024
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Medicaid Overpayment changes - new Q&A
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.
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15 Mar, 2024
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Non-Emergency Transportation Carve-Out from Managed Long Term Care - effective 3/1/24
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...
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06 Mar, 2024
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News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
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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27 Feb, 2024
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Undocumented Immigrants Age 65 and Older Eligible for Full Medicaid - Started Jan. 1, 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...
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06 Feb, 2024
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Expanded Medicaid Dental Benefit in Effect as of 1/31/24
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...
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18 Dec, 2023
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