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Q-Tips - Tips for completing the M-11q form Download
Q-TIPS 4-10.pdf
This memo by Selfhelp gives tips on completing the M-11q form to request personal care services in NYC. This is a revised version for the revised M11q effective April 1, 2010.
23 Apr, 2012 155 kb Downloads: 28656
Appendix - Medicaid Spend-Down Training Download
Spend-down Appendix 2012.pdf
This appendix was used in Selfhelp's training on the Medicaid spend-down program. Revised 2011.
14 Feb, 2012 1.43 mb Downloads: 27192
Letter Nov. 3, 2011 from Selfhelp & Other Organizations Demanding Relief in False Claims Act Case on Medicaid Personal Care Download
Consumer Letter to CMS -DOJ - Feldman False Claims Case.pdf
Letter sent to CMS and Dept. of Justice demanding that $54 million paid by City in settlement of US ex rel Feldman v City of New York be used to protect access to home care services.. see http://wnylc.com/health/entry/148/
04 Nov, 2011 151 kb Downloads: 287
Form Letter to Apply for Medicaid using EPIC Bills to Meet the Spend-down Download
Spenddown EPIC letter to Medicaid.doc
This document is in WORD so that it can be adapted easily to an individual case. Use this to submit the EPIC Claims History along with the Medicaid application. Bills paid by EPIC can be used to meet the spend-down. http://nyhealth.gov/health_care/medicaid/excess_income.htm#past_bills which states:

"Bills paid by EPIC or ADAP in the three months before the month in which you applied for Medicaid may be used to meet your excess income."
15 Aug, 2011 34 kb Downloads: 314
HIPAA form adapted to request claims history from EPIC Download
OCA Form 960 - NY Courts HIPAA Release - EPIC.pdf
Adapts the official NYS Office of Court Administration HIPAA form -- http://www.health.state.ny.us/forms/doh-2557.pdf for EPIC
15 Aug, 2011 37 kb Downloads: 387
Memorandum of Law of Amicus Curiae in U.S. vs New York City - False Claims Act lawsuit in Download
Memorandum of Amicus Curiae.pdf
Memorandum of law filed August 12, 2011, by 41 amicus organizations in support of NYC's motion for summary judgment in US vs. NYC, SDNY Civil No. 09 Civ. 8381 (JSR)
14 Aug, 2011 288 kb Downloads: 350
Compilation of Medicaid Personal Care Hearing Decisions Cited in Amicus Brief in DOJ v. City of New York Download
Appendix - FH Decisions FINAL.pdf
Compilation of Medicaid Personal Care Hearing Decisions Cited in Amicus Brief in DOJ v. City of New York, 09 Civ,. 8381
12 Aug, 2011 3.78 mb Downloads: 86
Request for CHHA Records to Prepare for Fair Hearing Download
Request for CHHA Record.doc
16 Jun, 2011 29 kb Downloads: 260
Request for Documents for Medicaid Fair Hearing - "Rivera" Request Download
Request for Documents for Medicaid Fair Hearing - "Rivera" Request - Pro Se version
16 Jun, 2011 31 kb Downloads: 340
Johnson v. Shah - Class Action Complaint (EDNY April 2011) Download
NYLAG lawsuit re. CHHA terminations.pdf
class action complaint filed April 2011 challenging unlawful terminations and reductions of Medicaid CHHA services as a result of State budget cuts in reimbursement.
09 May, 2011 2.51 mb Downloads: 5
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