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Medicaid
Consumer Coalition July 2015 Letter to DOH and CMS on FIDA Enrollment Issues Download
FIDA enrollment letter to CMS and NYSDOH 07-14-14 FINAL.pdf
Letter of the Consumer Coalition to Protect the Rights of New York's Dual Eligibles Letter to the NYS Dept of Health and CMS on concerns about the enrollment info FIDA plans.
25 Jul, 2014 254 kb Downloads: 1066
NYLAG PowerPoint on MAGI Budgeting Download
NYLAG ACA Part 2 - MAGI.ppt
Training outline on Affordable Care Act - the new Medicaid budgeting for MAGI.
24 Jun, 2014 2.72 mb Downloads: 8694
Appendix - NYLAG Training - Managed Long Term Care Update April 2014 Download
Appendix FINAL SOFA HIICAP.2.pdf
Appendix materials provided with NYLAG's webinar on April 24, 2014 providing update on status of Mandatory MLTC initiative in New York State.
30 Apr, 2014 1.63 mb Downloads: 6343
NYLAG Training Presentation: Managed Long Term Care: Status in 2014 and Preview of FIDA Download
NYLAG MLTC PowerPoint 4-22-14.pdf
PowerPoint presentation used in NYLAG's webinar on 4/24/14 to HIICAP and others.
24 Apr, 2014 584 kb Downloads: 3570
MAP-751E - Authorization to Release Medical Information Download
MAP-751E Authorization to Release Medical Information.pdf
NYC form for a Medicaid applicant to authorize HRA to obtain protected health information from their medical providers for purposes of determining disability. This form was used for applicants for disability-based Medicaid (i.e., DAB or SSI-related category), for MBI-WPD, and for SNTs. (Rev'd 6/6/12). As of January 2013, this form should no longer be required, as the State now requests three signed copies of the OCA 960 HIPAA form instead.
21 Apr, 2014 479 kb Downloads: 4532
Consumer Coalition May 2013 Letter on Changes in Proposed Dual Eligible "FIDA" Demonstration Waiver Download
CPRNYDE comments re addendum May 2013.pdf
Coalition to Protect the Rights of NYS Dual Eligibles Comments on State's revised proposal to coordinate Medicare and Medicaid services for dual eligibles, letter dated May 19, 2013. Issues include enrollment of nursing home residents and protections; objections to "passive enrollment" -- auto-assignment of people who don't voluntarily enroll; and incentives for plans to provide long term care services in the community rather than institutions.
18 Mar, 2014 88 kb Downloads: 1431
NYLAG Support of NY Assembly Bill A4996 - Correcting Violations of Due Process Appeal RIghts in Managed Care Download
A4996 Gottfried MLTC Appeals Bill NYLAG 2014 FINAL.pdf
This bill would correct two due process violations: (1) The lack of "aid continuing" pending an appeal when a managed care plan reduces or terminates home care or other services -- if the "authorization period" for the services has expired, there is a right to appeal but no right to aid continuing. This provides that aid continuing must be given regardless of whether the authorization period has expired. (2) In Managed long term care, consumers must "exhaust" internal appeals before requesting a hearing. This is not required in mainstream managed care, and results in dismissal of many valid appeals because consumers don't know that they must pursue this interim internal appeal.
18 Mar, 2014 202 kb Downloads: 1556
Consumer Advocacates Letter to DOH & CMS 3-14-14 - Asking for Delay on Managed Care Expansion to Nursing Home Population Download
NH Carve in Consumer Concerns 3-14-14.2.pdf
14 Mar, 2014 544 kb Downloads: 2029
NYS Dept. of Health Policy - Jan. 2014 - Transition of Nursing Benefit & Population into Managed Care Download
OHIP Guidance - Transition of NH Benefit & Population into Managed Care.pdf
State policy implementing expansion of mandatory enrollment of people needing permanent nursing home coverage into managed care and Managed Long Term Care (MLTC) plans. Mandate is to start April 1, 2014, subject to CMS approval not yet given as of March 13, 2014.
13 Mar, 2014 2.58 mb Downloads: 986
Contact list at NYC Medicaid Program (MICSA) - by Program with directors - 12/2013 Download
MICSA Contact List 12-2013.pdf
Obtained through freedom of information request by Urban Justice Center, Feb. 2014
10 Mar, 2014 50 kb Downloads: 9624
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