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NYLAG PowerPoint on NY Independent Assessor - and other Home Care Changes 2022 Download
NYLAG Medicaid Home care changes 5-18-2022.pdf
NYLAG Slides on NY Independent Assessor - and other Medicaid and Home Care Changes 2022 - current as of 5/16/2022, based on regulations and DOH policies slides posted at https://www.health.ny.gov/health_care/medicaid/redesign/nyia/repository/index.htm \ See more info and updates at http://www.wnylc.com/health/news/85/
16 May, 2022 2.45 mb Downloads: 753
NYLAG Questions to DOH on Independent Assessor Guidance Download
2022-05-03 NYIA Questions on ADM + MLTC Policy - NYLAG.pdf
In late April, DOH released an ADM and an MLTC policy with procedures for the Independent Assessor (posted at https://www.health.ny.gov/health_care/medicaid/redesign/nyia/repository/index.htm). On May 3, 2022 NYLAG sent these comments and requests for clarification to DOH.
15 May, 2022 625 kb Downloads: 156
NYLAG 2nd Set of Questions to DOH about Independent Asssessor (3-25-22) Download
2022-03-25 NYLAG 2nd set of questions about NYIA slide decks FINAL.pdf
NYLAG's second set of comments and questions about the Independent Assessor slides posted by DOH on https://www.health.ny.gov/health_care/medicaid/redesign/nyia/. This set is about PowerPoints for Topics 2 and 3. NYLAG's 1st set of comments were about Topic 1 and the High Level OVerview from Dec. 2021, and is posted at http://www.wnylc.com/health/download/807/. For more info see http://www.wnylc.com/health/news/85/#Independnet%20Assessor%20NEW.
06 Apr, 2022 542 kb Downloads: 244
Fact Sheet on Continuity of Care or Transition Rights - After You Enroll in an MLTC Plan (updated 3/22/22) Download
Transition Period changes Fact Sheet - updated 3-22-22.pdf
If you received Immediate Need home care, or your MLTC plan closed, or you were disenrolled from your MLTC plan involuntarily, you are required to enroll in or switch MLTC plans. You have "continuity" or "transition" rights in your new MLTC plan. Learn about those rights and current changes in the rules for what happens when the "Transition Period" ends after 90-120 days.
22 Mar, 2022 481 kb Downloads: 1599
NYLAG comments about Independent Assessor Procedures - 2-02-2022 Download
2022-02-02 NYLAG questions about NYIA slides 12-21-22 + 1-14-22 (Topic 1).pdf
NYLAG comments and questions to State DOH dated 2-2-2022, about the first sets of PowerPoints posted on new NY INdependent Asssessor website - https://www.health.ny.gov/health_care/medicaid/redesign/nyia/faqs/index.htm. These comments are about the 12-2021 presentations and Topic 1 presentations dated Jan. 14, 2022
19 Mar, 2022 93 kb Downloads: 303
2022-02-04 Changes to the LDSS-3183 Provider or MLTC Plan and Recipient Letter Download
2022-02-04 Changes to LDSS-3183 Provider or MLTC Plan & Recipient Letter.pdf
A Medicaid Recipient who submits medical bills from a Provider to meet the spenddown will receive an OHIP-3183 “Provider/Recipient Letter” indicating which medical expenses are the responsibility of the Recipient (and which the Provider should not bill to Medicaid). When the Recipient is enrolled with a Managed Long Term Care Plan (MLTC), the Recipient and the MLTC will receive an OHIP-0128 “MLTC/Recipient Letter” indicating the amount that the Recipient owes to the MLTC (after deducting the medical expenses/bills from the spenddown). These forms replace the LDSS-3183 form.
17 Feb, 2022 810 kb Downloads: 588
MAPDR-05 (12/30/2021) List of Managed Care & Managed Long Term Care Plans in NYC Download
2021-12-30 MADPR-05 Medicaid Managed Care Plan.pdf
This includes a list of all managed care organizations participating in the following types of Medicaid managed care, including ID and code numbers, contact information, and service areas:
* Medicaid Managed Care
* Health and Recovery Plan Managed Care Plans (HARP)
* Managed Long Term Care (MLTC)
* Medicaid Advantage Plus (for dual eligibles, includes MLTC)
* HIV Special Needs Plans (SNP)
* Programs of All-inclusive Care for the Elderly (PACE)
* Fully Integrated Dual Advantage (FIDA) IDD

Updated February 9, 2022
09 Feb, 2022 150 kb Downloads: 57601
Webinar on NYS Medicaid Home Care Changes in 2022 - by NYLAG Evelyn Frank Program - Jan. 26, 2021 Download
Medicaid Home Care CLE Webinar Jan. 26-2022.pdf
PowerPoint describes the changes in Medicaid Home Care that started being rolled out Nov. 8, 2021. This PowerPoint developed before DOH launched website about Independent Assessor that starts March 1, 2022, so does not include that info posted at https://www.health.ny.gov/health_care/medicaid/redesign/nyia/. Check for more updates at http://www.wnylc.com/health/news/85/. Webinar recording will also be posted. Proposed expansion of financial eligibility for age 65+, disabled, and blind is also discussed.
31 Jan, 2022 2.23 mb Downloads: 680
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2022 - FINAL.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 2022 Jan. 28, 2022).
28 Jan, 2022 316 kb Downloads: 178520
Consumer Concerns about Independent Assessor Implementtion - 12/15/22 letter updates Jan. 6, 2022 Download
Consumer Concerns re Implementing Independent Assessor 12-15-22 with 1-6-22 Followup.pdf
12/15/22 letter sent to DOH jointly from Medicaid Matters NY and NYLAG with concerns about implementation of the Independent Assessor changes on March 1, 2022 - with no guidance or procedures yet issued let alone tested and ready, and with a lack of capacity for NY Medicaid Choice to handle the huge demand of approximately 300,000 nurse assessments and 300,000 physician/practitioner assessments a year.
11 Jan, 2022 2.45 mb Downloads: 968
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