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Consumer Advocacates Letter to DOH & CMS 3-14-14 - Asking for Delay on Managed Care Expansion to Nursing Home Population Download
NH Carve in Consumer Concerns 3-14-14.2.pdf
14 Mar, 2014 544 kb Downloads: 2181
NYS Bar Association Elder Law Section Letter to NYC HRA Dec. 17 2013 - Spousal Impoverishment Allowances Illegally Denied Download
NYCHRA_NYSBA_Letter spousal budgeting 2013-12-17 REDACTED.pdf
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/
04 Mar, 2014 178 kb Downloads: 3754
Medicaid Reimbursement for Home Care Expenses Download
Medicaid Homecare Reimbursement.pdf
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.
03 Mar, 2014 319 kb Downloads: 15065
Affidavit to request reimbursement of home care expenses paid in cash Download
Homecare Reimbursement Affidavit NEW.dot
Sample unofficial form affidavit, created by NYLAG in consultation with NYC HRA Reimbursement Unit.
03 Mar, 2014 30 kb Downloads: 4516
Preserve "Spousal Refusal" in NYS - Statement of Coalition to Protect the RIghts of NY's Dually Eligible Download
CPRNYDE Spousal Refusal - 2014-2015 Budget FINAL.pdf
Opposing Governor's Budget proposal for SFY 2014-15
05 Feb, 2014 574 kb Downloads: 1722
Consumer Coalition Letter to NYS and Federal CMS to Nov. 27, 2013 with Comments on Three-Way Contract for FIDA Download
CPRNYDE letter to MMCO and NYSDOH re Contract Priorities FINAL 11-27-13 .pdf
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.
16 Jan, 2014 117 kb Downloads: 2263
Consumer Advocacy Position Paper on Promoting Community-Based Incentives for Managed Long Term Care in NYS Download
Incentives for Com-Based Services in NYS MLTC 032312.pdf
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.
20 Dec, 2013 126 kb Downloads: 3596
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: 10566
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: 3039
Medicaid Resource Disregards Download
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: 36683
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