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news MLTC Roll-Out – Conflict-Free Assessment Begins October, New MLTC Counties, Delayed NH Roll-out
08 Oct, 2014
State Complaint Number for MLTC Problems - 1-866-712-7197 e-mail mltcworkgroup@health.state.ny.us and put "COMPLAINT" in subject line For enrollment complaints - call NY Medicaid Choice - 1-855-886-0570 (Advocates line) 1-888-401-6582 (Consumers line) State...
news 2015 Part D and Medicare Advantage plan information is out
22 Sep, 2014
CMS has released its annual landscape of Medicare Part D (prescription drug) and Medicare Advantage plans. Get more information here ...
news Mandatory Enrollment of Nursing Home residents into Managed Care & MLTC - Delayed Until at Least Oct. 1, 2014 or later
16 Sep, 2014
Nursing Home Resident Transition to Managed Care As of Sept. 16, 2014 the federal Medicaid agency CMS has still not approved the expansion of the 1115 waiver that will allow the State to require new nursing home residents to enroll in mainstream Medicaid managed care and MLTC plans. Oct. 1, 2014...
news Consumer Advocates Call for Further Protections in Medicaid Managed Long Term Care
01 Sep, 2014
Consumer advocates have submitted several comments to the New York State Department of Health and the Centers for Medicare and Medicaid Services (CMS) that would protect the rights consumers as Managed Long Term Care is implemented. September 2014 - NYLAG, Empire Justice Center and other...
news CMS announces Part D Extra Help benchmark rates for 2015
05 Aug, 2014
On July 31st, CMS posted their annual release of Part D national average bid amount and other Part C&D bid-related information for calendar year 2015. In New York State, the Part D Regional Low-Income Subsidy (“benchmark”) amount will be $36.94 (down from 37.23 in 2014) De minimis...

Recent Articles
 
document CASA Contact List - NYC
The NYC Medicaid Home Care Services Program, which is part of the NYC Human Resources Administration Medical Insurance Community Services...
document 2015 Part D and Medicare Advantage plan landscape information
CMS has released its landscape (comprehensive list) of Medicare Part D prescription drug plans for 2015, as well as the Medicare Advantage and...
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 KNOW YOUR RIGHTS: Managed Long Term Care - Fact Sheets and Training Announcements
Here are Fact Sheets on Managed Long Term Care, written by Medicaid Matters NY, a coalition of organizations that advocate for consumer rights in...
document Medicaid Home-and-Community-Based Waiver Programs in New York State
Advocates Guide to Medicaid Long Term Services and Supports Medicaid home and community-based services [HCBS] are available through waiver...


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document Income and Resource Limits for New York State Public Health Insurance Programs
The Affordable Care Act changes the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers, expanding eligibility for many people...
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 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...
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...



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