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NYS Managed Long Term Care - Data on Numbers of MLTC Members in Nursing Homes for a Full Quarter - 2010 Download
2010Q4 MLTC data highlights NH use.pdf
Data compiled by Selfhelp COmmunity Services based on Cost Reports filed with NYS Dept. of Health by MLTC plans for 2010.
10 Jul, 2012 6 kb Downloads: 580
NYS Managed Long Term Care - Hours of Home Care Provided 2010, Broken down by Categories of Usage Download
2010 MLTC -PACE data HHA-PCA hours.pdf
Data calculated from Cost Reports filed by MLTC and PACE plans for 2010. Shows number of hours provided by plan for Home Health Aide (HHA) and Personal Care Aide (PCS) service, with numbers of members receiving care in different amounts of hours
10 Jul, 2012 35 kb Downloads: 656
Chart Explaining 5 Types of Medicaid Managed Care/ Managed Long Term Care Plans in NYS - 2012 Download
Chart Explaining differences between 5 Types of Medicaid Managed Care/ Managed Long Term Care/ PACE Plans in NYS - 2012, showing enrollment upstate/NYC in May 2012
13 Jun, 2012 29 kb Downloads: 5177
List of Consumer Directed Personal Care Programs (CDPAP) in NYS Download
CDPAP list by county 5-12.pdf
List of Consumer Directed Personal Assistance Programs (CDPAP) in New York State, by county - updated 5/15/12
15 May, 2012 75 kb Downloads: 9641
Class Action Complaint - Strouchler v. Shah (S.D.N.Y.) Download
Strouchler Class Complaint FINAL.pdf
Complaint challenges systematic violations of Mayer v Wing and validity of state regulation amendment changing definition of eligibility for "continuous 24-hour care" (split shift)
30 Apr, 2012 105 kb Downloads: 728
sample memorandum of law contesting discontinuance of Medicaid personal care services Download
MOL - redacted Termination 2x12.doc
sample memorandum of law contesting discontinuance of Medicaid personal care services, used in NYC HRA case, raising issues under state regulations, due process as interpreted in Mayer v. Wing, the ADA, and other authorities.
23 Apr, 2012 76 kb Downloads: 154
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: 31772
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
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