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Pooled Trust Readiness Checklist Download
Pooled Trust Readiness Checklist.pdf
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.
24 Oct, 2013 158 kb Downloads: 8628
Medicare Part D - Training Presentation Download
Part D Presentation 2014_131010152018.pdf
This is a PowerPoint presentation used by NYLAG in their annual Medicare Part D training. Updated for 2014 in Oct. 2013.
10 Oct, 2013 1.81 mb Downloads: 2557
Medicaid Resource Disregards Download
ResourceDisregards.pdf
This table lists all of the types of resources (aka, assets) that are excluded for purposes of Medicaid eligibility, including which Medicaid categories they apply to, and citations to authority.
Do not use for MAGI Medicaid effective 1/1/2014.
Updated 10/7/2013.
07 Oct, 2013 66 kb Downloads: 33489
Medicaid Income Disregards Download
IncomeDisregards.pdf
This table lists all of the different sources of income that are excluded from countable income for Medicaid purposes, indicating which categories of Medicaid the exclusion applies to and citations to authority.
Note: do not use for MAGI Medicaid eligibility effective 1/1/2014.
Updated 10/7/2013.
07 Oct, 2013 106 kb Downloads: 89916
NYLAG Legal Training: Managed Long-Term Care Download
MLTC Training.pdf
NYLAG training materials, including PowerPoint and Appendix, on Medicaid Managed Long-Term Care in New York. As of 6/21/2013, the latest version of the presentation given by the Evelyn Frank Legal Resources Program 50 times in the last year.
21 Jun, 2013 755 kb Downloads: 7775
Medicare Advantage, Medicaid Advantage/ MAP/PACE/MLTC enrollment by plan in NYC Feb - March 2013 Download
Medicare Advantage-MA-MA Plus enrollment NYC 2-2013.pdf
Chart showing all Medicare Advantage, Medicaid Advantage, Medicaid Advantage Plus and PACE plans in NYS - IN NEW YORK CITY by borough, with number of Medicare beneficiaries enrolled in each plan.

Medicare Advantage data from Feb. 2013 - http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/index.html

Medicaid plan data from Mar. 2013 - monthly Medicaid Managed Care Enrollment Report - http://www.health.ny.gov/health_care/managed_care/reports/enrollment/monthly/
23 Apr, 2013 11 kb Downloads: 3810
Medicare and Medicaid Managed Care for Dual Eligibles - Enrollment Penetration in Plans in NYS (Outside NYC) Download
MA Chart NYS February 2013 with MAP - MA - MLTC - Outside NYS.pdf
Chart showing all Medicare Advantage, Medicaid Advantage, Medicaid Advantage Plus and PACE plans in NYS - outside NYC by county, with number of Medicare beneficiaries enrolled in each plan.

Medicare Advantage data from Feb. 2013 - http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/index.html

Medicaid plan data from Mar. 2013 - monthly Medicaid Managed Care Enrollment Report
23 Apr, 2013 33 kb Downloads: 3571
New York’s 2012 Managed Long Term Care Report: An Incomplete Picture Download
CPRNYDE Response to the 2012 DOH Report - April 5 2013.pdf
Critique of State Dept of Health Report on MLTC, prepared by Coalition to Protect the Rights of New York’s Dually Eligible, dated April 5, 2013
05 Apr, 2013 756 kb Downloads: 2039
Performance Standards and Quality Measures for FIDA Program  Download
Consumer Advocate Recs on Performance Standards and Quality Measures 010913.pdf
Trepared by the Center for Disability Rights, Center for Independence of the Disabled NY 
Community Service Society of NY, Empire Justice Center, and Medicare Rights Center  --  
January 9, 2013 -- The following principles and recommendations are submitted to the New York State Department ofHealth and members of the FIDA work group on quality by the Duals Taskforce of Health Care for All New Yorkers.  
07 Feb, 2013 218 kb Downloads: 2837
Performance Standards & Quality Measures for New York FIDA program Download
Recs re Performance Standards and Quality Measures - with State rec measures 010913.pdf
This document was authored by the New York Coalition to Protect Dual Eligibles as input for the NY State Department of Health's Quality Work Group which was formed in the fall of 2012 to collect stakeholder input on the design of the Fully Integrated Dual Advantage (FIDA) program. The paper focuses on the need to create new quality measures to ensure appropriate measurement of plan performance and to provide incentives to shift care from institutions to the community.
29 Jan, 2013 154 kb Downloads: 999
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