NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Non-Profit
Consumer Concerns about Independent Assessor Implementtion - 12/15/22 letter updates Jan. 6, 2022 Download
Consumer Concerns re Implementing Independent Assessor 12-15-22 with 1-6-22 Followup.pdf
12/15/22 letter sent to DOH jointly from Medicaid Matters NY and NYLAG with concerns about implementation of the Independent Assessor changes on March 1, 2022 - with no guidance or procedures yet issued let alone tested and ready, and with a lack of capacity for NY Medicaid Choice to handle the huge demand of approximately 300,000 nurse assessments and 300,000 physician/practitioner assessments a year.
11 Jan, 2022 2.45 mb Downloads: 493
Using an SNT to Eliminate the Medicaid spend-down - Fact Sheet (12-2021) Download
SNT Short 12-2021 .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 Evelyn Frank Legal Resources Program, updated December 2021 with 3 new forms needed to submit trust to HRA or other local DSS for approval, and with 2022 figures.
30 Dec, 2021 1.18 mb Downloads: 150255
Fact Sheet on Continuity of Care or Transition Rights - After You Enroll in an MLTC Plan Download
Transition Period Changes Fact Sheet - 12-8-21.2.pdf
If you received Immediate Need home care, or your MLTC plan closed, or you were disenrolled from your MLTC plan involuntarily, you are required to enroll in or switch MLTC plans. You have "continuity" or "transition" rights in your new MLTC plan. Learn about those rights and current changes in the rules for what happens when the "Transition Period" ends after 90-120 days.
08 Dec, 2021 460 kb Downloads: 776
NYLAG Fact Sheet on Applying for Medicaid and Home Care if "Immediate Need" for Personal Care or Consumer-Directed Services Download
Fact Sheet Immediate Need (2021-12-3) Complete.pdf
Fact Sheet includes key forms (updated 12-2021)
03 Dec, 2021 925 kb Downloads: 12113
NYS Medicaid Managed Care Plans selected for "Default enrollment" for Members who Become Enrolled in Medicare - 3-2021 (2022 update) Download
Default Enrollment Plans_2021 (with NYLAG additions 2022).pdf
List of Medicaid managed care (MMC) and HARP plans approved to start Default Enrollment into Medicare plans beginning April 1, 2021. Members who become enrolled in Medicare beginning April 2021 are being "default enrolled" into the aligned Medicare Dual-Special Needs Plan, and for those who receive Medicaid home care, into the same company's MAP plan. See article at http://www.wnylc.com/health/entry/230/. List updated to show aligned Dual-SNP for 2022.
27 Oct, 2021 380 kb Downloads: 1255
NYLAG PowerPoint on 2021-22 Medicaid Home Care Changes & Lookback Download
NYLAG Budget PowerPoint Home care changes 10-2021.pdf
Powerpoint with latest info - as of Oct. 20, 2021 -- on implementation of changes enacted in the NYS FY 2020-2021 budget, including the restrictions on eligibility for Personal Care services (PCS) and CDPAP services (reqiring 2-3 ADLs), the Independent Assessor procedures, and the loosened standards allowing plans to more easily reduce hours of home care after a "transition period" for certain members.
20 Oct, 2021 1.31 mb Downloads: 602
Advocacy 8-5-21 Letter to CMS with Concerns re NYS Spending Plan for Federal HCBS Funding Download
NYS HCBS eFMAP plan consumer advocate CMS ltr 8.5.21 final.pdf
Letter sent by NYLAG, Medicaid Matters NY, Legal Aid Society, Empire Justice Center and other NYS advocacy organizations to CMS dated Aug. 5, 2021. Expresses concerns about the NYS plan for spending billions of enhanced federal Medicaid dollars available under the American Rescue Plan Act of 2021 (ARPA) that must be used for enhancing access to Home & Community Based Services (HCBS). NYS Spending Plan and other info about this funding is at https://www.health.ny.gov/health_care/medicaid/redesign/hcbs/enhanced_funding/.
13 Sep, 2021 427 kb Downloads: 199
Health Plan Appeal Rights in New York After the Affordable Care Act Download
Appeals Paper final with 2021 updates - CSS.pdf
Article from the New York State Bar Association Health Law Journal about the impact of Federal health reform on appeal rights under private health insurance plans. By Samuel Salganik, Community Health Advocates (CHA). Community Service Society of New York, NYSBA Health Law Journal |Winter 2012 |Vol. 17 |No. 1

THis version includes 2021 updates on pages 32 and 37.
13 Aug, 2021 125 kb Downloads: 20055
Know your Rights: Tips for Requesting New or Increased Services from a Medicaid Managed Care or MLTC Plan Download
Requesting Services from an MCO 2021.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. Russian translation posted at http://www.wnylc.com/health/download/782/

If the request is denied, see separate Fact sheet on appealing denials. http://www.wnylc.com/health/download/654/.
03 Aug, 2021 360 kb Downloads: 1972
Know your Rights: Tips for Requesting New or Increased Services from a Medicaid Managed Care or MLTC Plan (RUSSIAN) Download
Requesting Services from an MCO - 2021 Russian Translation.pdf
Russian Translation of 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. English version is at http://www.wnylc.com/health/download/723/

If the request is denied, see separate Fact sheet on appealing denials. http://www.wnylc.com/health/download/654/
03 Aug, 2021 659 kb Downloads: 234
← Prev Next
1 2 3 4 5 6 7 8 9 10


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.