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Federal Health Reform
 
document Help for those who missed the first open enrollment period
Do you or someone you know need health insurance? Did you miss the open enrollment period? You may still have options to get coverage! Medicaid, Essential Plan and Child Health Plus enrollment is year-round! If you have experienced certain life events, you may qualify for a special enrollment...
document Income and Resource Limits for New York State Public Health Insurance Programs
Click here for NYS Medicaid Income and Resource Levels Chart for 2017 (NYC Human Resources Administration publishes chart annually based on NYS Dept. of Health figures). Chart shows income and resource limits for Medicaid and other public health insurance programs in New York State, including the...
document "MAGI" Medicaid Eligibility under the Affordable Care Act - Rules for Most People Under age 65 Without Medicare
Medicaid eligibility rules changed significantly on January 1, 2014 for some New Yorkers as a result of the Affordable Care Act’s eligibility expansion and streamlining provisions. The expansion only applies to a population called the "MAGI" population. Generally, the new rules do NOT apply to...
document Affordable Care Act --New York State Health Exchange Open Year-Round for Medicaid Applications and for Certain "Special Enrollment" categories
New York State Official Website on Exchange http://healthbenefitexchange.ny.gov/. Open enrollment on the New York State Health Exchange ended on 3/31/14, with an extension through April 15th to complete applications that were filed before that date. However, it is not too late to enroll for...
document NYS Bridge Plan coverage ends on June 30, 2013
The NY Bridge Plan, New York State's Pre-Existing Condition Plan (PCIP) will no longer provide coverage after June 30, 2013. All current enrollees are being provided with the opportunity to transition over to the federal PCIP from July 1 through December. 31, 2013. (On January 1, 2014, PCIP...
document Medicaid Expansion in Federal Health Care Reform: The Gift of the MAGI
This article was co-authored by Trilby de Jung of Empire Justice and Lisa Sbrana of the Legal Aid Society and published in the Summer 2010 issue of the Legal Services Journal.  “The Gift of the MAGI” is a famous O. Henry short story about a poverty-stricken husband and wife who make...
document Health Plan Appeal Rights in New York After the Affordable Care Act
Samuel Salganik, an attorney at Community Health Advocates, wrote this incredibly thorough article breaking down the types of appeal rights available to individuals covered by the various types of private health insurance plans in New York.  This article includes coverage of the changes to...
document New York Medicaid Expansion under the ACA ... and other 2013 budget changes
This year’s Health Budget makes significant changes to New York’s Medicaid program – expanding eligibility to 133% of the federal poverty law (FPL) and changing budgeting rules and enrollment processes for Medicaid and Child Health Plus (CHP) to conform to the Affordable Care Act. The...
document Empire Justice Center Reports on Immigrant Access to Health Care in NY's Health Insurance Exchange
The Empire Justice Center published a report in May, 2013 exploring the policies that guide immigrant access to health care and making recommendations for improving immigrant access through New York's Health Insurance Exchange: New York's Exchange Portal: A Gateway to Coverage for Immigrants ...
document The Affordable Care Act Implementation: New Opportunities and New Hurdles for Low-Income Communities in New York City
As the first open enrollment season in the New York State Health Benefit Exchange (NYHBE) looms closer (starting on October 1, 2013), there has been extensive press and community education regarding the ACA's viability and implementation on a national and state level. The attached materials...
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 under the Affordable Care Act, effective in 2014. For newest directives scroll to the bottom of this page. 1. 13 ADM-04 - Medicaid Application...
document The Affordable Care Act Implementation: Medicaid Expansion and MAGI Budgeting
One of the major components of the Affordable Care Act implementation has been the option for States to expand their Medicaid programs. New York State opted to expand its program; with this expansion comes new budgeting rules. On October 1, 2013, New York State's Exchange, New York State of...
document Special Income Standard for Housing Expenses: If Discharged from Nursing Homes or Adult Homes and Enroll in MLTC Plan
A huge barrier to people returning to the community from nursing homes is the high cost of housing. One way New York State is trying to address that barrier is with the Special Housing Disregard that allows certain members of Managed Long Term Care or FIDA plans to keep more of their income to pay...


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