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NYLAG & Other Advocates Call For NYS Budget to Ensure Access to Community Based Long Term Care Services Download
Consumer Advocate Letter re Community based LTC NYS 21-22 Budget.2.pdf
Letter to Governor Cuomo and leaders of the legislature calling for NYS Budget initiatives that will ensure access to home care to prevent unnecessary institutionalization -- COVID-19 has been a wake-up call for the need to avoid nursing home placement when ever possible.
26 Mar, 2021 638 kb Downloads: 125
NYLAG COMMENTS on Proposed Home Care Regulation Changes - Eligibility and Assessment Procedures Download
NYLAG Comments 505.14 - 505.28 3-13-21 with NYSBA copy.pdf
NYLAG's comments submitted on the 2nd round of proposed State regulations implementing 2020 changes in State law restricting eligibility for personal care, CDPAP and MLTC enrollment, and changing the procedures for how Medicaid home care services are assessed. The proposed State reg can be found at https://health.ny.gov/health_care/medicaid/redesign/mrt2/express_terms_summary.htm. The NYSBA Elder Law & Special Needs Section comments are also attached to and referenced in the NYLAG comments.
19 Mar, 2021 1.28 mb Downloads: 192
NYS Medicaid Managed Care Plans selected for "Default enrollment" for Members who Become Enrolled in Medicare - 3-2021 Download
Default Enrollment Plans_2021 as of 3-3-21 DOH (with NYLAG additions).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 will be "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/
03 Mar, 2021 379 kb Downloads: 332
Fact Sheet on Keeping Income During and After a Temporary Nursing Home Stay Download
Fact Sheet on Keeping Income In & After Nursing Home Stays.pdf
NYLAG Fact Sheet on consumer Right to keep more income during a temporary nursing home stay, as well as after a nursing home stay if a consumer is enrolled in a Managed Long Term Care plan or for some consumers who are married.
01 Feb, 2021 497 kb Downloads: 2723
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic 2021 Final (1-28-21).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 2021 Jan. 28, 2021).
28 Jan, 2021 409 kb Downloads: 168140
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (01-2021).xlsx
Use this worksheet to convert lifetime total amount received in Holocaust reparations / restitution from foreign currencies (Deutschmarks and Euros) into U.S. Dollars. This is for purposes of taking advantage of the exemption of saved reparations payments from the resource test for Federally-funded means-tested benefits, like Medicaid and Supplemental Security Income. Updated through Dec. 2020
12 Jan, 2021 152 kb Downloads: 6161
Fact Sheet & Form for Keeping SSI for 90 Days in Temporary Hospital or Nursing Home Placement Download
SSI Temporary Institutional Stay Fact Sheet and Form 2021.pdf
This fact sheet explains requirements for maintaining SSI (Supplemental Security Income) for up to 90 days during a temporary hospital or nursing home stay. The PDF also includes a form for requesting continuation of SSI benefits, which must be filed with the Social Security Administration within strict timelines. NYS SSA office contacts also listed. Note that if SSI benefits are terminated, Medicaid will also be terminated, after "Stenson" notices are mailed giving the recipient an opportunity to recertify for Medicaid without SSI. See http://www.wnylc.com/health/entry/85/
12 Jan, 2021 360 kb Downloads: 9803
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. If the request is denied, see separate Fact sheet on appealing denials. http://www.wnylc.com/health/download/654/
12 Jan, 2021 360 kb Downloads: 972
NYLAG Comments on Proposed Changes in 1115 Waiver - ADL Limits for MLTC and Staying in Medicaid Managed Care when Enroll in Medicare Download
NYLAG CMS comments 1115 Waiver NYS 12-24-20.pdf
NYS DOH has requested that CMS change the 1115 waiver that governs MLTC and managed care in 2 ways. (1) Restrict enrollment in MLTC to those meeting new 2- or 3- ADL requirement enacted in State budget in April 2020; (2) Keep people in mainstream Medicaid managed care plans when they start getting Medicare, if they are enrolled in a Dual-Special Needs Plan. They could opt out but otherwise would automatically stay in managed care. See waiver request at https://content.govdelivery.com/accounts/USCMSMEDICAID/bulletins/2aea7cd. NYLAG comments posted here
24 Dec, 2020 1012 kb Downloads: 186
NYLAG Comments on Medicaid State Plan Amendment to Implement the ADL Restrictions on Eligibility for Personal Care & CDPAP Download
NYLAG COMMENTS SPA -PCS CDPAP.pdf
Comments filed by NYLAG dated Oct. 29, 2020 on the proposed Medicaid State Plan Amendment (SPA) that would restrict elgibility for personal care and CDPAP services to require 2 or 3 ADL needs. The proposed SPA No. 20-41 was posted September 29, 2020 and is available at https://www.health.ny.gov/regulations/state_plans/status/ltcare/original/docs/os_2020-09-29_spa_20-41.pdf.
24 Dec, 2020 841 kb Downloads: 148
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