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Know Your Rights -- If an MLTC Plan Asks You to Reduce Your Hours Because of COVID-19 - You Can Say No Download
Voluntary Plan of Care change Fact Sheet (FINAL NYLAG 5-18-20).pdf
Fact Sheet for consumers that explains rights of MLTC members in light of a State directive to plans that allows members to "pause" their home care during Covid-19. The directive - at https://health.ny.gov/health_care/medicaid/covid19/docs/2020-04-23_guide_volplanofcare.pdf -- can be helpful for consumers who want to reduce their hours during this emergency, but if you do not want to change your hours, you can keep them as is.
18 May, 2020 366 kb Downloads: 347
Using an SNT to eliminate the Medicaid spend-down Download
SNT Short Updated for Garcia v. Banks (VB).pdf
How to get Medicaid despite having "excess income" - Using a Supplemental Needs Trust to Eliminate the Spend-down for Persons who are Elderly (65+), Blind or Disabled. Written by New York Legal Assistance Group (originally from Selfhelp Community Services) updated January 2020
04 May, 2020 1.16 mb Downloads: 139269
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: 371
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: 207
NYLAG, Empire Justice Center & Bronx Legal Serv Letter to DOH re MLTC/ Home Care Protections re Covid-19 0 4/1/2020 Download
LT DOH NYLAG-EJC-BxLS 4-1-2020 FINAL.pdf
Letter from Advocates to NYS Dept. of Health requesting clarification of various policies issued re Covid-19 and for protections for Medicaid home care applicants and recipients in MLTC, mainstream managed care plans and other home care programs.
03 Apr, 2020 432 kb Downloads: 320
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: 272
NYLAG, Legal AId, EJC & Other Advocates Letter to OTDA 3-24-20 on Covid-19 Fair Hearing Procedures Download
COVID19 OTDA FH LTR FINAL 3-24-20.pdf
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: 206
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: 697
Know your Rights: Tips for Requesting New or Increased Services from a Medicaid Managed Care or MLTC Plan Download
Requesting Services from an MCO -MLTC Plan 3-11-20.pdf
Fact Sheet prepared by the NYLAG Evelyn Frank Legal Resources Program explaining tips on how to request new or increased services from a Medicaid managed care or MLTC plan, including the timeline in which the plan must process the increase. If the request is denied, see separate Fact sheet on appealing denials. http://www.wnylc.com/health/download/654/
11 Mar, 2020 140 kb Downloads: 205
Know Your Rights: Former Members of ICS MLTC Plan - Update on Your Rights - Feb. 2020 Download
MLTC Plan Closings - February 2020 Update for Former ICS Members - NYLAG.pdf
Most members of ICS MLTC plan transferred to VNS Choice MLTC plan after ICS closed April 1, 2019. This fact sheet explains your rights if your new plan tries to reduce your services.
17 Feb, 2020 894 kb Downloads: 417
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