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news Advocacy needed for some EPIC recipients with changes in income
10 Apr, 2015
If you are working with an EPIC recipient, you may want to doublecheck and make sure the person is in the correct category of coverage (fee vs deductible) and at the proper level. EPIC relies on prior year's income. So if you initially applied in 2013, EPIC used your 2012 income to determine...
news News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
25 Mar, 2015
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...
news MLTC Roll-Out --–Conflict-Free Assessment expands upstate, updated roll-out schedule,
16 Mar, 2015
KEY CONTACTS State Complaint Number for MLTC Problems - 1-866-712-7197 or e-mail mltctac@health.ny.gov (CORRECTED 3-18-2015) cc ican@complaints@cssny.org Request Conflict-Free MLTC Assessment - needed to enroll in an MLTC plan call NY Medicaid Choice at...
news "FIDA" Demo Starts in NYC and Nassau County but delayed in Suffolk & Westchester - Updated Enrollment Numbers
12 Mar, 2015
Fully Integrated Dual Advantage (FIDA) demonstration program has started: CONTACT: NY Medicaid Choice for information or to Opt Out 1-855-600-FIDA (1-855-600-3432) TTY: 1-888-329-1541 FAX authorization to opt out someone else 1-917-228-8601 Monday to Friday 8:30 am...
news NYS BUDGET for 2015-2016 Again Proposes End to Spousal Refusal and "Immediate Need" Medicaid
12 Feb, 2015
The Governor's proposed New York State budget for 2015-16 includes some good and some bad for health care for low-income New Yorkers. Click here to see the actual Health and Mental Hygiene (HMH) Bill and the Governor's Health and Mental Hygiene (HMH) Memorandum in Support. NYLAG is one of many...

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document KNOW YOUR RIGHTS: Managed Long Term Care and FIDA - Fact Sheets, Live and Recorded Webinars
Fact Sheets on Managed Long Term Care and FIDA. FACT SHEET 1: Basics on Managed Long Term Care FACT SHEET 2: Grievance and Appeal...
document Medicaid Alerts & Other Protocols published by the NYC HRA Medical Insurance and Community Services Administration (MICSA)
HRA MICSA Alerts are periodic announcements of policy, staff and office changes published by the Medical Insurance and Community Services...
document Income and Resource Limits for New York State Public Health Insurance Programs
The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT...
document Applying for Medicaid Personal Care Services in New York City - BIG CHANGES SEPTEMBER 2012
New York State's Medicaid program covers personal care services, also known as "home attendant" and "housekeeping" services. This is a type of...
document "FIDA (Fully-Integrated Dual Advantage)" - Managed Care Expansion for Dual Eligibles in NYC Metro Area - Delayed Until Jan. 2015
Fully Integrated Dual Advantage demonstration program has started: NYC and Nassau (Region I), with the first "voluntary" opt-i enrollment...


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document Income and Resource Limits for New York State Public Health Insurance Programs
The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT...
document Medicaid Personal Care or Home Attendant Services
The Medicaid program in New York State covers a type of home care services called Personal Care Assistance (aka PCA or "home attendant"). To obtain...
document Managed Long Term Care
Managed Long Term Care (MLTC) plans are insurance plans that are paid a monthly premium ("capitation") by the New York Medicaid program to approve...
document Medicaid Spend-Down
Because Medicaid is a health insurance program for the poor, one must have income and assets below a certain limit to be eligible. For a single...
document Medicaid Certified Home Health Agency (CHHA) Services
A Certified Home Health Agency (CHHA) provides what is commonly known as “visiting nurse” services, as well as physical or occupational or...



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