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Financial Eligibility
NYS 2020-21 Medicaid Cuts - PowerPoint on changes enacted in State Budget April 2020 (updated 4/29/20) Download
2020 Budget PowerPoint WSIACA.4.pdf
Presentation by NYLAG-EFLRP for the West Side Interagency Council on Aging on April 23, 2020 describing the new Lookback requirement for home care and the changes in the Personal Care and CDPAP benefit. View the recorded webinar at https://www.youtube.com/watch?v=Ua80qZH7MG0&feature=youtu.be. Slides 10-11 updated to show no lookback for TBI, NHTDW, & OPWDD waivers.
29 Apr, 2020 240 kb Downloads: 1249
NYLAG, MFJ & NYAIL Letter to DOH 4-13-20 re Economic Stimulus Payments for Nursing Home & Adult Home residents Download
Advocacy Ltr to DOH re economic impact payments for NH and Adult Home residents.pdf
Letter dated April 13, 2020 requesting that DOH issue guidance to Nursing Home, Adult Home & ALP administrators that the Economic Stimulus payments are exempt from being counted for Medicaid, and must be protected for the residents.
14 Apr, 2020 296 kb Downloads: 502
Advocate Covid-19 Letter to DOH 3-13-20 + 3-16-20 follow-up - RE protections needed in Enrollment and Managed Care Download
COVID-19 Advocates Letter to DOH 3.13.20 + 3.16.20 follow up email.pdf
Letter from Legal Aid Society, NYLAG, Empire Justice Center & other advocates to NYS DOH 3-13-20- requesting protections to ensure continuity of Medicaid eligibility and services in managed care/MLTC plans in Covid-19 emergency. Protections available under federal Section 1135 waiver and other relief.
01 Apr, 2020 853 kb Downloads: 609
NYLAG, Legal AId, EJC & Other Advocates Letter to OTDA 3-24-20 on Covid-19 Fair Hearing Procedures Download
Letter from advocates to the NYS Office of Temporary & Disability Assistance, 3/24/20 requesting clarification of GIS isued 3/12/2020 https://otda.ny.gov/policy/gis/2020/20DC014.pdf establishing phone hearing procedures during Covid-19 and as a demonstration program.. Letter requests additional protections for appellants.
01 Apr, 2020 122 kb Downloads: 486
2020-02-20 Substantial Home Equity Limit Download
2020-02-20 Substantial Home Equity.pdf
30 Mar, 2020 166 kb Downloads: 364
2020-03-27 New York State Medicaid Program Modifications COVID-19 Emergency Download
2020-03-27 COVID-19 Program Modifications.pdf
MICSA alert
30 Mar, 2020 415 kb Downloads: 932
NYS DOH Covid19 Guidance: Medicaid Eligibility & Enrollment Download
DOH COVID-19 Medicaid Eligibility Guidance.pdf
Guidance to local Departments of Social Services regarding streamlining Medicaid applications and enrollment, and suspending discontinuance actions during the pandemic emergency
29 Mar, 2020 1.93 mb Downloads: 1577
NYLAG Statement Opposing Proposed Medicaid Redesign Team II Cuts in Home Care, Eligibility & Prescription Drugs Download
NYLAG - MRT Statement - 3-18-20.pdf
For the NYS Budget 2020-21, Gov. Cuomo appointed the Medicaid Redesign Team II to recommend Medicaid cuts to balance the budget. A set of proposals were developed by the MRT and are supposed to be voted on by the MRT on 3/18 or 3/19. Between then and April 1, 2020 the legislature and Governor are supposed to agree on a budget. NYLAG opposes many of the recommended cuts in Medicaid eligibility and access to home care and prescription drugs.
18 Mar, 2020 310 kb Downloads: 1072
NYS DOH-OTDA WMS Workers' Guide to Codes (2-9-2017)(Excerpt on MEDICAID only) Download
Workers Guide to Codes - MEDICAID ONLY 2-2017.pdf
Excerpt of State publication that explains the millions of eligibility codes that show restrictions on or categories of individual's Medicaid eligibility. The entire guide is much bigger. This SEARCHABLE excerpt contains the chapter on MEDICAID CODES.
25 Feb, 2020 3 mb Downloads: 2632
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2020 .pdf
This is basic general information about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. To receive Medicaid home care, you must be both financially and medically eligible. This explains the rules on financial eligibility for the Disabled, Aged 65+, and Blind (DAB) category and gives info on how to apply (updated for 2020 Dec. 27, 2019).
27 Dec, 2019 210 kb Downloads: 163619
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