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news "FIDA" Demo Continues in NYC and Nassau County, still delayed in Suffolk & Westchester - Updated Enrollment Numbers
17 Jun, 2015
Fully Integrated Dual Advantage (FIDA) demonstration program continues to roll out in NASSAU county and NYC: 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...
news MLTC Roll-Out --–Mandatory MLC & Conflict-Free Assessment expandupstate, New Fair Hearing Rights July 1st, 2015
17 Jun, 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 Coming July 1st: MLTC Members May Request Fair Hearing Without first Requesting Internal Appeal from Plan ("Exhaustion" Requirement ELIMINATED)
11 Jun, 2015
Managed Long Term Care Appeals System Change Exhaustion Requirement to be Eliminated Effective July 1, 2015 Since early June 2015, everyone in Managed Long Term Care (MLTC) plans have been receiving a notice from their MLTC plan that looks like this sample notice. This notice has caused a lot...
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...

Recent Articles
 
document NYS Directives on Medicaid changes under the Affordable Care Act
The New York State Department of Health (DOH) has issued additional directives outlining the new procedures for Medicaid applications and renewals...
document Keeping Medicaid after Cash Public Assistance or SSI Benefits Are Terminated
Scenarios: Susie is 49 years old and single, with no children. She has been receiving cash public assistance and Medicaid for three years, while...
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 The Various Types of Medicaid Home Care in New York State
New York State has a range of Medicaid home care service programs, each oriented toward slightly different needs and sometimes to different...
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...


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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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