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MAP-751K Consumer Request to Change Information on File (1-21-21) Download
MAP-751K (1-21-2021)(English).pdf
NYC HRA Form to use to notify HRA of change in name, address, mailing address, date of birth, SSN, and to request mail in different languages or formats for disability (Updated 12-28-2020). The MAP-751K is also posted at https://www1.nyc.gov/site/hra/help/health-assistance.page in other languages. Upon completion, it can be faxed to HRA using 917-639-0837. (Updated 2-18-2021) NOTE: The 751k is no longer used to request a change in budgeting. A new form is being issued for that and will be posted when finalized. Check for updates here https://www1.nyc.gov/assets/hra/downloads/pdf/services/health/MAP-751K.pdf (though not updated since 2/2020).
23 Feb, 2021 82 kb Downloads: 4600
Know Your Rights: Varshavsky - Special Rights in Home Care Hearings if Consumer is Homebound Download
Varshavsky Fact Sheet (2021-02-02) with attachments.pdf
Fact Sheet about the Class Action Injunction in the Varshavsky v Perales case, which gives special rights for people appealing adverse denials of increases of Medicaid home care services. In some cases, the consumer has the right to a temporary increase in home care hours 45 days after requesting the hearing, while the hearing takes its course. If a phone hearing cannot be favorably decided, the consumer has the right to a home hearing. Learn advocacy tips in this fact sheet, also posted as an article at http://www.wnylc.com/health/entry/228/
02 Feb, 2021 1.1 mb Downloads: 173
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic 2021 Final (1-28-21).pdf
This is basic general information about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. To receive Medicaid home care, you must be both financially and medically eligible. This explains the rules on financial eligibility for the Disabled, Aged 65+, and Blind (DAB) category and gives info on how to apply (updated for 2021 Jan. 28, 2021).
28 Jan, 2021 409 kb Downloads: 166583
Know your Rights: Tips for Requesting New or Increased Services from a Medicaid Managed Care or MLTC Plan Download
Requesting Services from an MCO 2021.pdf
Fact Sheet prepared by the NYLAG Evelyn Frank Legal Resources Program explaining tips on how to request new or increased services from a Medicaid managed care or MLTC plan, including the timeline in which the plan must process the increase. If the request is denied, see separate Fact sheet on appealing denials. http://www.wnylc.com/health/download/654/
12 Jan, 2021 360 kb Downloads: 873
NYLAG Comments on Proposed Changes in 1115 Waiver - ADL Limits for MLTC and Staying in Medicaid Managed Care when Enroll in Medicare Download
NYLAG CMS comments 1115 Waiver NYS 12-24-20.pdf
NYS DOH has requested that CMS change the 1115 waiver that governs MLTC and managed care in 2 ways. (1) Restrict enrollment in MLTC to those meeting new 2- or 3- ADL requirement enacted in State budget in April 2020; (2) Keep people in mainstream Medicaid managed care plans when they start getting Medicare, if they are enrolled in a Dual-Special Needs Plan. They could opt out but otherwise would automatically stay in managed care. See waiver request at https://content.govdelivery.com/accounts/USCMSMEDICAID/bulletins/2aea7cd. NYLAG comments posted here
24 Dec, 2020 1012 kb Downloads: 131
NYLAG Comments on Medicaid State Plan Amendment to Implement the ADL Restrictions on Eligibility for Personal Care & CDPAP Download
NYLAG COMMENTS SPA -PCS CDPAP.pdf
Comments filed by NYLAG dated Oct. 29, 2020 on the proposed Medicaid State Plan Amendment (SPA) that would restrict elgibility for personal care and CDPAP services to require 2 or 3 ADL needs. The proposed SPA No. 20-41 was posted September 29, 2020 and is available at https://www.health.ny.gov/regulations/state_plans/status/ltcare/original/docs/os_2020-09-29_spa_20-41.pdf.
24 Dec, 2020 841 kb Downloads: 91
Know Your Rights: Is Your MLTC Plan Closing? Know Your Rights - Dec. 2020 Download
MLTC Plan Closings (2021).pdf
Fact Sheet by NYLAG Evelyn Frank Legal Resources Program explaining the "transition rights" of MLTC members when their MLTC plan closes.
10 Dec, 2020 1007 kb Downloads: 231
Sample Notice to MLTC Members Explaining new Lock-In Rule that Starts Dec. 1, 2020 Download
Lock in notice 2020-10 redacted.pdf
Sample Notice sent to MLTC Members in October 2020 Explaining new Lock-In Rule that Starts Dec. 1, 2020. This notice is from VNS Choice, but each plan would be sending their own versiono n their letterhead, using State-approved language.
29 Oct, 2020 1.95 mb Downloads: 432
MLTC Member Handbook Amendment - New "Lock-in" Download
MLTC Partial Lock In Member Handbook.pdf
Language that Plans must add to their MLTC Member Handbooks to explain the new Lock-in that begins Dec 1, 2020 for people enrolling in a plan after that date, whether a first-time enrollee or changing plans on or after that date
29 Oct, 2020 18 kb Downloads: 284
NYLAG Comments on Proposed Changes to State Regulations for Medicaid Managed Care Appeals and Fair Hearings Download
Final Comments to Proposed Regulations Managed Care Fair Hearing 09.8.2020.pdf
NYLAG Comments filed on Sept. 8, 2020 on Proposed Changes to State Regulations for Medicaid Managed Care Appeals and Fair Hearings. The proposed amendments implement the "exhaustion" requirements implemented in NYS in 2018, implementing federal changes adopted in 2016.
23 Sep, 2020 511 kb Downloads: 310
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