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04 Nov, 2011
It's not too late to take steps NOW, in the last months of 2011, to the EPIC program will be drastically cut back. Read about these changes here. This article gives tips to take steps NOW, in the remainder of 2011, to prevent clients from being unable to pay for drugs in...
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04 Nov, 2011
On November 3, 2011, Selfhelp, NYLPI, the Legal Aid Society and other organizations wrote to CMS and the United States Attorney, protesting the settlement of the False Claims Act case against NYC alleging fraud in its Medicaid Personal Care program, and demanding that the settlement money...
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03 Nov, 2011
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16 Sep, 2011
On September 15, 2011, CMS announced the Part D and Medicare Advantage plans for 2012.
CMS announced them earlier than usual because the ANNUAL OPEN ENROLLMENT PERIOD for 2012 is earlier this year .
it will start October 15, 2011 and continue through December...
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15 Sep, 2011
The NYS EPIC program is mailing more information about the January 1, 2012 program changes to all 292,000 members
this letter was sent to 15,000 EPIC members in Medicare Advantage Plans without Part D, warning them that if they don't enroll in a Part D plan, they will lose EPIC in...
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01 Sep, 2011
Effective October 1, 2011, Medicaid’s pharmacy benefit will be moved into the managed care benefit package. The pharmacy benefit includes all FDA approved prescription drugs, as well as some over-the-counter drugs and medical supplies. The Family Health Plus (FHP) pharmacy benefit, which is less...
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29 Jul, 2011
One of the first changes from the state budget is taking effect on Monday, August 1, 2011. On that day, all Medicaid recipients in "mainstream" Medicaid managed care plans who receive personal care (a/k/a home attendant services including housekeeping) will be required to receive those...
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20 Jun, 2011
Interim settlements have been reached with two certified home health agencies that were sued in a federal lawsuit challenging arbitrary cuts in Medicaid Certified Home Health Agency (CHHA) services, precipitated by changes in reimbursement enacted in the State...
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08 Jun, 2011
The State Dept. of Health has moved ahead to implement the changes enacted in the State Budget in late March 2011. The changes are generally described in this article . Here is information on the status of implementation of some of the changes some of which require a "waiver"...
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27 May, 2011
Selfhelp's Evelyn Frank Legal Resources Program has scheduled a series of legal educational programs. Online registration is available. Information on all the sessions is available on this link on the "BrownPaperTickets" website.
CLE credit is approved or pending for...
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01 Apr, 2011
The Health Budget passed this week makes fundamental and far-reaching changes to New York’s Medicaid program, with savings reported at $2.8 billion. The proposals that were presented to the legislature in the Governor’s 30 day amendments represented a package submitted by the Medicaid Redesign...
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23 Mar, 2011
New York City's Medicaid Fair Hearing Division and Conference Unit will be relocating from 330 West 34th Street, 3rd floor in Manhattan to 111 Livingston Street, 4th floor in Brooklyn effective Friday, March 25, 2011. This also includes all Medicaid and Medicaid home care fair hearings (located...
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21 Mar, 2011
Thank you to all who came to our our third annual benefit reception on March 3, or those who made a generous donation. Those who attended heard poignant words by honoree Gail Sheehy, best-selling author of Passages 30 years ago and more recently "Passages in Caregiving - Turning...
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25 Feb, 2011
Yesterday, February 24, 2011, the governor’s Medicaid Redesign Team approved a package of 79 cost-cutting Medicaid recommendations nearly half of which were hurriedly presented that day for the first time. The team , which had solicited ideas for cost-cutting and...
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19 Nov, 2010
On Friday, November 19, 2010, the New York State Department of Health launched a new web page that explains how consumers can obtain Medicaid through the Medicaid "Excess Income" or "Spend-down" program.
The new page was designed in collaboration with a statewide working group...
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27 Sep, 2010
As of September 1, 2010, there is no longer an HIV/ AIDS exemption from mandatory Medicaid managed care in New York City.
People living with HIV and AIDS who are Medicaid recipients will be required to join a Medicaid managed care plan if they are not eligible for another...
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31 Aug, 2010
CMS has issued a reminder to Part D sponsors that they are obligated to provide transition supplies to current enrollees who are negatively affected by changes to their plan's formulary.
The memo, released on August 27, 2010, gives...
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21 Aug, 2010
The NY Bridge Plan began accepting applications on August 20, 2010, with coverage available beginning October 1, 2010. The "Pre-Existing Condition Insurance Plan" (PCIP) is partially funded by the federal government and subject to federal regulations established under the Patient...
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17 Aug, 2010
Many New Yorkers age 65+ have both EPIC coverage and are enrolled in a Medicare Part D drug plan. Together, EPIC and Medicare Part D work together to cut prescription drug costs for New York seniors. While there are still many ways in which EPIC and Part D will...
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29 Dec, 2009
This website is a joint venture of the Empire Justice Center, the Legal Aid Society, and Selfhelp Community Services, and is funded in part by the New York State Office For the Aging and the New York Community Trust. The Western New York Law Center has graciously provided the web hosting and...
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