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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. Detailed information on these programs oriented toward advocates is or will be posted on this site. The programs are:
Medicaid Personal Care services...
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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 PCA services, a person must become eligible for Community Medicaid, and must get prior approval and a determination of the number of hours per...
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CASA Contact List
Selfhelp assembled this list of contact information for staff in the NYC Home Care Services Program. (updated June 2011)(Note that CASA III and V were combined in May 2011, and that contact information for the new combined office is not yet fully...
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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 speech therapy (PT/OT) in the home, "home health aide" (HHA) services, and medical supplies. The nursing visits are...
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Medicaid Reimbursement of Home Care and other Medical Expenses
Reimbursement in General
Because Medicaid coverage can be retroactive up to three months, it is possible for a Medicaid applicant or his or her family member who paid the applicant's medical expenses to get reimbursed for some of the home care costs and other medical bills they incurred and paid...
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Applying for Medicaid Personal Care Services in New York City
New York State's Medicaid program covers personal care services, also known as home attendant services. This is a type of unskilled, custodial care provided in the home to people with physical or mental impairments that interfere with their ability to independently perform activities of...
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Applying for Medicaid Personal Care Services Outside NYC
New York State's Medicaid program covers personal care services, also known as home attendant services. This is a type of unskilled, custodial care provided in the home to people with physical or mental impairments that interfere with their ability to independently perform activities of...
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Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
The Consumer Directed Personal Assistance Program (CDPAP) is a statewide Medicaid program that provides an alternative way of receiving home care services. Rather than assigning a home care vendor or agency that controls selection, training, and scheduling of aides, the...
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SDOH Transitional Care Policy
Updated transitional care policy for new managed care enrollees issued May 2009. Clarifies the responsibilities of Medicaid and Family Health Plus managed care plans for providing continuity of care, including certified home health agency care, for new enrollees who are receiving an...
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Where to Apply for Medicaid and Medicaid Home Care in New York City
New York City's Medicaid program is run by the Human Resources Administration (HRA) Medical Insurance and Community Services Administration (MICSA).
A. There are two networks of offices to apply for Medicaid in the community:
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Long Term Care Insurance
Long term care insurance is a product which, if certain conditions are met, will pay for all or a portion of, nursing home and/or home care expenses. Such policies have been marketed to individuals who do not wish to have their assets depleted should they need long term care.
While such...
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Managed Long Term Care
New York is planning a huge change in the delivery of Medicaid home care services. The 2011 budget mandates that as of April 1, 2012, everyone now receiving community-based long-term care services particularly personal care/home attendant services and long-term Certified Home Health Agency...
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Medicaid Home-and-Community-Based Waiver Programs in New York State
Medicaid home and community-based services [HCBS] are available through waiver programs to groups of individuals who would be eligible for Medicaid if institutionalized and, but for the services, would be institutionalized in a hospital or nursing facility. Under section 1915(c) of the Social...
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KNOW YOUR RIGHTS: Fact Sheet Explaining Basic Rules on NYS Financial Medicaid Eligibility for People who are Disabled, Aged 65+, or Blind
This Fact Sheet (updated January 2011) s intended for people who are age 65+ or who have disabilities, or their family members and caregivers. It explains the basic financial rules on eligibility for Medicaid in the community for this category of people. Community Medicaid ...
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Medicaid Alerts --published by the Medical Insurance and Community Services Administration (MICSA) of New York City's Department of Human Resources (HRA)
HRA MICSA Alerts are periodic announcements of policy, staff and office changes published by the Medical Insurance and Community Services Administration (MICSA). MICSA is the part of New York City’s Human Resource Administration (HRA) that administers HRA’s medically- related programs...
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Medicaid Short-Term Rehabilitation Benefit
As you may know, there are three different levels of Medicaid coverage in New York State, each with different resource documentation requirements. These can be summarized as follows (see this more detailed chart):
Level of Coverage:
Community Coverage...
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US Lawsuit Against NYC for "False Claims" - Says HRA Wrongly Approved 24-Hour Medicaid Home Care
On August 12, 2011, Selfhelp Community Services, New York Lawyers for the Public Interest, Legal Services-NYC, and Cardozo Bet Tzedek Legal Services led 41 organizations in filing an amicus or "friend of the court" brief supporting the New York City Medicaid Program, run by the Human...
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Medicaid Assisted Living Programs (ALP) in NYS
INTRODUCTION
The Assisted Living Program provides supportive housing and home care services to individuals who are medically eligible for placement in a nursing facility but, whose needs can be met in a less restrictive and lower cost residential setting. he operator of the assisted...
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