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KNOW YOUR RIGHTS: Managed Long Term Care - Fact Sheets, Live and Recorded Webinars

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Posted: 27 Aug, 2014
by Valerie Bogart (New York Legal Assistance Group)
Updated: 11 Mar, 2020
by Valerie Bogart (New York Legal Assistance Group)

Fact Sheets on Managed Long Term Care

BASICS

  1. Basics on Managed Long Term Care  (In process of being updated - 2-2020)  see also  Article on Managed Long Term Care

  2. FACT SHEET ON Medicaid eligibility rules for Aged 65+, Disabled and Blind Individuals in New York State and basics of MLTC enrollment 

  3.  What is MLTC?  (from ICAN Ombuds program- link to read online or download brochures  in 9 languages

Fact Sheets About Enrolling in MLTC Plans - and Alternative Path to Obtaining Home Care thru Immediate Need

  1. How Do I Join MLTC?  (from ICAN program - link to read online or download brochures  in 9 languages)

  2. Troubleshooting Problems Enrolling in MLTC Plans - Tips for Solving Medicaid Spend-down Problems and Barriers that Block Enrollment - including NURSING HOME DISCHARGES 

  3. Explanation of the Conflict Free Evaluation and Enrollment Center and MLTC Evaluation --describes the evaluation process for someone who is on Medicare and Medicaid (approved or application pending) who requires enrollment into a Managed Long Term Care plan.

  4. CFEEC Fact Sheet Printable English (Legal Aid Society)(online version)

  5. Applying for Personal Care or CDPAP based on IMMEDIATE NEED - alternative fast-track path to accessing Medicaid home care  - with key forms (NYC).  See more info here

Fact Sheets on Navigating MLTC - Including Appeals

  1. Grievance and Appeal Rights in Managed Long Term Care  - new Requirement to Request Plan Appeal Before a Fair Hearing   -- see more here - Article on Appeal Rights in Managed Long Term Care

  2. Your Rights as an MLTC Member 

  3. Tips on Requesting Services from a Medicaid Managed Care or MLTC plan, including Increases in Hours of Home Care

Fact Sheets with Special Strategies about Reducing the Medicaid Spend-down 
  1. Fact Sheet with Tips to Reduce Spenddown - For people temporarily in a nursing home and in other situations:

    1.  Temporary Nursing Home Stay - Right to keep income to pay rent - "Community  Budgeting" - see more here for people not receiving SSI

    2.  Special Income Disregard for Housing Expenses for People Leaving a Nursing Home or Adult Home and enrolling in or staying enrolled in an MLTC plan - see more here 

    3. Spousal Impoverishment protections - for couples where one spouse is in an MLTC plan, a nursing home, or receiving "Immediate Need" services, and the other is not receiving any of these services.   See more here

  2.  Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down
What If Your MLTC Plan Closes?

LIVE AND RECORDED TRAINING SESSIONS ON MLTC AND FIDA -

  • April 2018 - webinar on new MLTC APPEALS rules requiring EXHAUSTION OF internal plan appeals before requesting a Fair Hearing

    • View the recorded webinar on You-tube here 

    • Download the PowerPoint used in the webinar here (slides 5 and 7 have been revised since the webinar)

    • Download the Appendix used in the webinar here - with federal regulations, State notice templates, State and consumer-advocate fact sheets for consumers,  advocacy materials 

  • May 18, 2016  Recorded webinar of NY Metropolitan Elder Law Institute, a project of UCS Trust Services, "Pooled Trusts and the Changing MLTC Landscape - Special Issues for Married Couples, by Valerie Bogart, recorded May 18, 2016 (discusses spousal impoverishment and other budgeting strategies to reduce the spend-down, including the housing disregard for those discharged from NH or Adult Home, and pooled trusts generally.    See other recordings at the same institute on Medicaid planning.

  • Summer 2016 - NYLAG Webinar Series on Medicare and Medicaid

  • April 20, 2015 Seminar conducted by NYLAG Evelyn Frank Program on MLTC and FIDA -   was not recorded, but click here for the PowerPoint and for the Appendix of documents referenced in the program.

  • April 13, 2015  1 PM - 3PM -NYLAG Evelyn Frank Program on MLTC and FIDA
    • Presentation was conducted in Spanish and targeted Spanish Speaking consumers, their caregivers, and professionals who work with this population.

    • Recording: Presentación Sobre FIDA en Español.  Esto es una grabación de una presentación que fue realizada el 13 de Abril 2015 en una organización local en Brooklyn para  los residentes de ese edificio. La presentación es en español.  Esta presentación se enfoca en los temas de Medicare, Medicaid, planes de cuidado a largo plazo (MLTC), y planes de doble ventaja totalmente integrado (FIDA).

    • Powerpoint: Presentación de powerpoint que acompaña la grabación.

  • Jan. 30, 2015 - Empire Justice Center webinar on MLTC and FIDA - Geoffrey Hale, Esq.
  • Dec. 3, 2014 -  Recorded webinar available for purchase from chapter of NY Chapter Geriatric Care managers at this link
    • Sponsor: New York Chapter of Professional Geriatric Care Managers and NYLAG. 
  • April 24, 2014 NYLAG Webinar on MLTC --(Valerie Bogart and David Silva of the Evelyn Frank Legal Resources Program at NYLAG).  View and listen to a recording of the entire webinar at this link:

https://attendee.gotowebinar.com/recording/1348252302283983105 (2.25 hours)

PowerPoint: http://www.wnylc.com/health/download/474/ (April 2014)

Appendix: http://www.wnylc.com/health/download/473/ 

NOTE:  An updated Powerpoint - January 2015 is available here and April 2015 powerpoint here)

  • July 16, 2013 - NYLAG Webinar on Pooled Trusts - How to Use Trusts to Reduce Spend-down (David Silva, Esq.)   .(not directly about MLTC but important tool for those who have a spend-down)
Attached files
item Requesting Services from an MCO -MLTC Plan 3-11-20.pdf (140 kb) Download
item MLTC Plan Closings - February 2020 Update for Former ICS Members - NYLAG.pdf (894 kb) Download
item Fact Sheet Immediate Need (2020-01) Statewide.pdf (927 kb) Download
item Explanation of the CFEEC and MLTC Evaluation NYLAG Letterhead rev 12-2016.pdf (413 kb) Download
item Caregiver Presentation Spanish Final 4-13-15.pdf (355 kb) Download
item Caregiver Fact Sheet (Russian) FINAL.pdf (700 kb) Download
item MLTC & FIDA Update 2015-01-12.pdf (466 kb) Download
item Caregiver Fact Sheet (Spanish) FINAL.pdf (774 kb) Download
item Caregiver Fact Sheet (Chinese) FINAL.pdf (369 kb) Download
item Troubleshooting - 4-16-15 pp.pdf (2.11 mb) Download
item CLE Flyer.pdf (400 kb) Download
item 2015 NYLAG CLE MLTC-FIDA updated 4-23-2015.pptx (1.89 mb) Download
item Appendix Final.pdf (2.24 mb) Download
item Caregiver Fact Sheet (Korean) FINAL.pdf (596 kb) Download
item Exhaustion Fact Sheet - NYLAG 4-25-18.pdf (295 kb) Download
item Fact Sheeet on Keeping Income in Nursing Home or After Discharge 2020.pdf (589 kb) Download
item SSI Temporary Institutional Stay Fact Sheet and Form (2020).pdf (420 kb) Download

Also read
item Applying for Medicaid Personal Care Services and CDPAP Outside NYC - 2016 Changes
item Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
item SDOH Transitional Care Policy
item Where to Apply for Medicaid and Medicaid Home Care in New York City
item Managed Long Term Care
item Maintaining Community Medicaid Budgeting and SSI Benefits During Temporary Nursing Home Stays
item KNOW YOUR RIGHTS: Fact Sheet Explaining Basic Rules on NYS Financial Medicaid Eligibility for People who are Disabled, Aged 65+, or Blind
item Spousal Impoverishment Protections for Married Couples where One Spouse is in a Managed Long Term Care Plan - Pooled Trusts Allowed as an Option
item Tools for Choosing a Medicaid Managed Long Term Care Plan
item Applying for Medicaid Personal Care or CDPAP Services in New York City - 2016 Changes
item Grievance and Appeal Contacts for Managed Long Term Care Plans
item Appeals & Grievances in Managed Long Term Care - "Exhaustion" of Plan Appeal Required since 2018
item "Immediate Need" Personal Care or CDPAP - Fast-Track Application for Medicaid and Home Care - New Procedures
item Special Income Standard for Housing Expenses: If Discharged from Nursing Homes or Adult Homes & Enroll in or Remain Enrolled in MLTC Plan
item Know Your Rights: NYLAG Webinars on Medicare and Medicaid -
item When an MLTC Plan Closes - What are the Members' Rights?

Also listed in
folder Medicaid -> Home Care
folder Medicaid -> Medicaid Managed Care

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