This bill would correct two due process violations: (1) The lack of "aid continuing" pending an appeal when a managed care plan reduces or terminates home care or other services -- if the "authorization period" for the services has expired, there is a right to appeal but no right to aid continuing. This provides that aid continuing must be given regardless of whether the authorization period has expired. (2) In Managed long term care, consumers must "exhaust" internal appeals before requesting a hearing. This is not required in mainstream managed care, and results in dismissal of many valid appeals because consumers don't know that they must pursue this interim internal appeal.

Letter to HRA to cease the unlawful practice of denying this impoverishment income allowance to community spouses who did a spousal refusal. HRA responded and corrected its policy, provided spouse provides complete information regarding income and resources. For links to these documents and to the letters from the NYSBA and HRA, see http://www.wnylc.com/health/entry/96/

Practical Guide on getting Medicaid to reimburse for home care expenses incurred during the 3-month retroactive period, and during the pendency of the application, in New York City. Includes citations to pertinent case law and regulations.

Sample unofficial form affidavit, created by NYLAG in consultation with NYC HRA Reimbursement Unit.

Opposing Governor's Budget proposal for SFY 2014-15

After the Federal CMS agency entered a "memorandum of understanding" with NYS to approve the FIDA proposal to manage care for Dual Eligibles, a 3-way contract had to be approved between the State, the Feds and the FIDA plans. THis is the consumer coalition's comments on what protections are needed in this contract.

Paper dated March 23, 2012 filed with US Center for Medicare & Medicaid Services and NYS Dept. of Health to incentivize community-based services in the roll-out to mandatory managed long term are.

Use this checklist to make sure that a particular client is appropriate for using a pooled income trust to eliminate/reduce the Medicaid spend-down or qualify for MSP in New York.

This is a PowerPoint presentation used by NYLAG in their annual Medicare Part D training. Updated for 2014 in Oct. 2013.