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Health Plan Appeal Rights in New York After the Affordable Care Act Download
Appeals Paper final.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
105 E. 22nd Street | New York, NY 10010
ssalganik@cssny.org

NYSBA Health Law Journal |Winter 2012 |Vol. 17 |No. 1
02 Jul, 2014 112 kb Downloads: 9331
NYLAG PowerPoint on MAGI Budgeting Download
NYLAG ACA Part 2 - MAGI.ppt
Training outline on Affordable Care Act - the new Medicaid budgeting for MAGI.
24 Jun, 2014 2.72 mb Downloads: 8588
Consumer Coalition March 2013 Position Paper on Appeals System in "FIDA" Dual Eligible Demo Waiver Download
CPRYDE Integrated Appeals March 2013.pdf
"Creating an Integrated Appeal Process for the Fully Integrated Dual Advantage Health Plans" - Coalition to Protect the RIghts of New York's Dual Eligibles March 27, 2013
12 Jun, 2014 781 kb Downloads: 944
PowerPoint explaining Spousal Impoverishment Protections in Managed Long Term Care Download
Spousal Impoverishment Protections in MLTC.pptx
Prepared by NYLAG Evelyn Frank Legal Resources Program
12 Jun, 2014 1.1 mb Downloads: 2554
Consumer Advocates Letter to DOH & CMS 5-20-14 - Concerns about MLTC Managed Long Term Care Implementation Download
Letter to State and CMS_MLTC abuses_FINAL2.pdf
MFY Legal Services, NYLAG and other organizations sent this letter in response to New York Times article published May 9, 2014, titled Medicaid Shift Fuels Rush for Profitable Clients" - which uncovers disturbing behavior among the Managed Long Term Care plans early in the implementation of mandatory MLTC, as they competed for market share of new enrollees (published May 9, 2014). Article attached to letter
12 Jun, 2014 1.75 mb Downloads: 1941
FIDA - Consumer Comments on Final Proposal to CMS June 30, 2012 Download
Letter from beneficiary advocates re NYS dual eligible demonstration 6-30-12 pdf.pdf
FIDA - Consumer Comments on Final Proposal to CMS June 30, 2012 (Consumer Coalition to Protect Rights of NY Dual Eligibles)
11 Jun, 2014 242 kb Downloads: 997
Consumer Advocate Comments on Revised NYS Proposal for Fully Integrated Dual Eligible Waiver (FIDA) Download
Comments from beneficiary advocates re NYS dual eligible demonstration.pdf
Comments filed May 17, 2012 on proposal to require all dual eligibles to join a managed care plan covering both Medicare and Medicaid services
05 Jun, 2014 291 kb Downloads: 1807
Consumer Advocate Comments on NYS Proposal for Fully Integrated Dual Eligible Waiver (FIDA) Download
Comments re NYSDOH demonstration proposal to integrate care for dual eligible individuals.pdf
Comments submitted to State April 20, 2012 on waiver proposal Demonstration to Integrate Care for Dual Eligibles-- http://www.health.ny.gov/facilities/long_term_care/docs/demo_integrate_care_for_dual_elig.pdf
05 Jun, 2014 2.63 mb Downloads: 2074
Consumer Comments on the FIDA Memorandum of Understanding - Sept. 23, 2013 Download
CPRNYDE Comments on the FIDA MOU Sep 2013.pdf
Consumer Comments on the FIDA Memorandum of Understanding - Sept. 23, 2013
05 Jun, 2014 453 kb Downloads: 864
Consumer Coalition Proposed Revision - FIDA NOTICES - Cover Letter to State and CMS (5/30/14) Download
2014-05-30 CPRNYDE letter re FIDA notices.pdf
On May 22, 2014, DOH provided Consumer advocates with drafts of notices regarding passive enrollment in FIDA to begin fall 2014. This is the Consumer coalition's letter of May 30, 2014 explaining proposed revisions of the notices enclosed with the letter, and recommending edits.
04 Jun, 2014 357 kb Downloads: 1132
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