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Covid-19 Resources on Medicaid in NYS - COVID Flexibilities extended thru 2021 - Nursing Home Visitation Updated - Vaccines for Homebound
27 Apr, 2021
As Social Distancing and shuttered offices become the new normal, New Yorkers who depend on Medicaid or need to apply for it need to learn new policies and procedures that are quickly being developed by the federal government (CMS), the NYS Department of Health (DOH), and by each local Medicaid...
NYS Medicaid Cuts 2020-21-22- LOOKBACK Delayed until Jan. 1, 2022 & Medicaid Home Care Changes
16 Apr, 2021
Severe cuts in Medicaid eligibility and access to home care services were enacted in the 2020-21 State Budget on April 2, 2020. Summary starts here. This article discusses the two main changes the LOOKBACK and the changes in eligibility and assessment of HOME CARE. See how to view webinars...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
06 Apr, 2021
The Evelyn Frank Legal Resources Program at NYLAG sends out periodic updates to interested people about developments in Medicaid in New York State affecting seniors and people with disabilities, with an emphasis on people who rely on Medicaid for long-term care services or for subsidies to help...
Medicaid & SSI Recipients May Keep Your Covid Stimulus Checks - Including Nursing Home, Adult Home & ALP Residents!
02 Apr, 2021
2021 UPDATEs - The third round of stimulus payments being made in March-April 2021 are exempt from Medicaid, SSI and other federal needs-based benefits. See this article by the National Center on Law & Elder Rights and their additional info about the stimulus payments. Economic Impact...
MLTC UPDATE: Healthfirst MAP Plan makes Appeals Mistakes, New Default Enrollment in MAP plans, Update on NYS Budget Changes
30 Mar, 2021
This is a running news article with updates on Managed Long Term Care in NYS. Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY MLTC CONTACTS State Dept. of Health Complaint Number for MLTC enrollment & services problems- ...
NYC Medicaid Application Changes!! New "Supplement A" form required in All Applications and Must be Signed by Spouse
08 Jan, 2021
HRA recently posted a new Medicaid Alert - Asset Verification System Expanded to all DAB/SSI Related Submissions (Dec.22, 2020). Why this electronic system is expanding is explained below. But buried in the Alert is the bigger news some big changes for filing all Medicaid applications in NYC for...
NYLAG Submits Comments on proposed CMS "Sunset" Regulation - Rule Adopted January 8, 2021
08 Jan, 2021
JAN 8, 2021 Update - The Trump Administration adopted a final rule - PDF finalizing, with some changes, the proposed rule that NYLAG and many other organizations commented on, described below. In its last days, the Trump Administration is continuing to try to sabotage the incoming...
CLE/Legal Education - Webinar on Using SNTs to Protect Medicaid - View recordings of Parts 1 and 2 Nov. 2019
20 Nov, 2019
NYLAG Evelyn Frank Legal Resources Program & NY Association on Independent Living Continuing Legal Education Program Using Supplemental Needs Trusts to Protect Medicaid, SSI and other Benefits A Two-Part Webinar – Valerie Bogart, Presenter Webinar was held but you can view the...
FIDA Program Closing Dec. 31, 2019 - Watch for Notices of Options
19 Nov, 2019
CONTACT: NY Medicaid Choice for information or to Enroll 1-855-600-FIDA (1-855-600-3432) TTY: 1-888-329-1541 FAX a 1-917-228-8601 Monday to Friday 8:30 am to 8:00 pm and Saturday from 10:00 am to 6:00 pm. ICAN - NYS Ombudsprogram for MLTC and FIDA. Click here for info. ...
State Dept of Health Moves to Implement MLTC Changes Enacted in 2018-19 NYS Budget
25 Oct, 2018
Though the NYS legislature and Governor Cuomo agreed on a State Budget on April 1, 2018, many of the changes in the Managed Long Term Care program are still in the planning stages for implementation. Here is the status of state budget provisions affecting Medicaid for seniors and people with...
Webinar on Changes Coming May 1st in Fair Hearing Rights for MLTC and Managed Care Members - Recording Available for Online Viewing
22 Apr, 2018
On May 1, 2018, New York State will implement massive changes in appeal rights for members of Medicaid managed care plans, including members of Managed Long Term Care plans. These changes in federal Medicaid regulations governing Medicaid managed care plans were made by the Obama Administration. ...
30,000 NYS Residents Age 65+ May Lose Medicaid If They Do Not Apply to Enroll in Medicare - 2,204 in NYC Who Lost Medicaid Restored Temporarily
14 Mar, 2018
March 14, 2018 UPDATE: After ​​​advocacy by Legal Services NYC, including a threat of litigation, the State DOH has agreed to restore Medicaid coverage to all 2,204 NYC Medicaid recipients who had coverage terminated on March 6th. They had all received notices that they must provide proof...
Pooled Trust Notification Bill Signed into Law! Thanks to Assembly Health Chair Gottfried and State Senator Rob Ortt!
26 Dec, 2017
On Monday, December 18, 2017, Governor Andrew Cuomo signed into law the "Pooled Trust Notification Bill." This legislation will require for the first time that Medicaid applicants and recipients who have a spend-down be given notice in plain language that explains the availability of supplemental...
Governor Signs Law Ensuring Free Access to Health Records for Those in Need
14 Sep, 2017
In a huge win for disabled New Yorkers, a bill (A7842/S6078) that will streamline the process for thousands of New Yorkers needing to obtain their own health records has been signed into law by Governor Andrew Cuomo. Accurate and comprehensive health records are needed for applications to Social...
Trump-Care: Info re Proposals to Repeal ACA and Cut Medicaid
23 Mar, 2017
Efforts are moving ahead not only to repeal the Affordable Care Act - with or without a replacement - but to alter the Medicaid program for millions of people, including seniors and people with disabilities, by changing it from an "entitlement" program to block grants or "per capita caps." ...
MLTC Update 2016 - Centerlight MLTC to close Feb 2017, New State policies clarify assessments of hours, Minimum Wage increases funded for home care
22 Dec, 2016
KEY CONTACTS State Complaint Number for MLTC Problems - 1-866-712-7197 or e-mail mltctac@health.ny.gov Request Conflict-Free MLTC Assessment - needed to enroll in an MLTC plan call NY Medicaid Choice at 1-855-222-8350 complaints re Conflict-Free...
Fast-Tracking of Medicaid Applications for those with Immediate Need for Medicaid Home Care - DOH issues Q&A,HRA Launches New Procedure and Form
28 Oct, 2016
On Oct. 24, 2016 - NYS DOH issued a Q & A about the new Immediate Need Procedure - 2016 LCM-02 - Immediate Need for Personal Care Services and Consumer Directed Personal Assistance Program (CDPAP). The Q&A clarifies that the local district is required to process the Medicaid application...
NYLAG Evelyn Frank Program 5-Part Webinar Series on Medicare & Medicaid Available Online - Free Viewing
11 May, 2016
The Evelyn Frank Legal Resources Program just completed its five-part Continuing Legal Education Webinar program that provides tools to understand and navigate the complex world of Medicare and Medicaid in New York. The focus is on eligibility and application procedures for older persons and...
Final NYS Budget 2016-17 - Harsh Medicaid Cuts Avoided
04 Apr, 2016
In the final New York State Executive Budget effective for the fiscal year beginning April 1, 2016, most of the harshest cuts to Medicaid eligibility that Gov. Cuomo had proposed were not enacted. The Medicaid budget language is in the Health and Mental Hygiene (HMH) (S6407-C/A9007-C)- find it...
Delivery System Reform Incentive Payment (DSRIP): What You Need to Know about New York’s Changes to Medicaid
17 Mar, 2016
DSRIP restructures the current Medicaid delivery system with the ultimate goal of reducing avoidable hospital admissions by 25%. This is accomplished by putting an emphasis on the use of primary care, and providers using a data sharing system so that all of a person’s providers can share...

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