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NYS Budget Victories - "Spousal" and "Parental" Refusal Remain Intact, "Aid Continuing" Rights in Managed Care & MLTC, SCRIE Increase
31 Mar, 2014
The details of the 2014-15 NYS Budget is just being voted on today posted at A9205/6914 details are just being digested, but Medicaid recipients can celebrate at least two hard-won victories!! We owe a huge thank you to Assembly Health Committee Chair Richard Gottfried and the staff of the Assembly...
State Announces new Procedures for Spousal Impoverishment Protections in MLTC & Other Waiver Programs
28 Mar, 2014
New York State has gradually expanded use of spousal impoverishment protections in various home care programs. Once available only in the Lombardi Long Term Home Health Care program, these protections have expanded to all Managed Long Term Care (MLTC) services, and other Home and Community Based...
New contact list posted for Main NYC Medicaid Offices that moved to Brooklyn in May 2013
10 Mar, 2014
As of Monday, May 6, 2013 the NYC Medicaid Office (known as MICSA) moved from 330 W. 34th Street in Manhattan to 785 Atlantic Ave., Brooklyn, NY 11238. All MICSA-Medicaid operations, including TBI and NHTD waiver programs, have been relocated to this address. The Reception Unit which handled...
HRA Corrects Illegal Practice of Denying "Spousal Impoverishment" Income Allowance to Some Spouses of Nursing Home Residents
04 Mar, 2014
A community spouse is entitled to the community spouse monthly income allowance (CSMIA) even if she does a spousal refusal to contribute resources. However, since mid-2012, the NYC HRA Medicaid program has violated this longstanding state rule and has denied the community spouse this income...
Court Reverses Cuts in Medicaid Coverage for Compression Stockings and Orthopedic Footwear
20 Dec, 2013
On December 9, 2013, the Hon. Charles J. Siragusa granted a plaintiff class of Medicaid recipients' motion for summary judgment, ordering a permanent injunction against the State's limits on orthopedic footwear and compression stockings. Davis et al v. Shah (Case number: 12-CV-6134-CJS). Download...
MLTC Updates - 2012 - 2013
25 Nov, 2013
NYLAG has been publishing a running news article with updates about the roll-out of Managed Long Term care. The most current news is posted here http://www.wnylc.com/health/news/41/. - includes updates since Jan. 1, 2014. Earlier postings from 2013 are in this article More information about...
Health Exchange Navigators/In-Person Assistors Announced
10 Jul, 2013
The New York State Department of Health has released a map containing all the In-Person Assistors/Navigators for New York State. In-Person Assistors/Navigators will provide in-person enrollment assistance to individuals, families, small businesses and their employees who apply for Health...
CMS suspends marketing and enrollment for SmartD RX Part D plans
25 Apr, 2013
Due to "significant compliance failures" which "create a serious threat to enrollee health and safety," CMS has issued an immediate sanction against SmartD Rx, a Medicare Part D contractor, and suspended all its marketing and enrollment activities effective April 23, 2013. SmartD RX (S0064) is...
Evelyn Frank Legal Resources Program Moves from Selfhelp to New York Legal Assistance Group
09 Apr, 2013
Mergers don't only happen in the hospital world. Effective April 1, 2013, the Evelyn Frank Legal Resources Program (EFLRP) which was founded by and has been a division of Selfhelp Community Services, Inc. since the 1990's, has merged with the New York Legal Assistance Group (NYLAG). All...
2013 Health Budget Restructures Medicaid Eligiblity
05 Feb, 2013
The Proposed 2013-2014 Health Budget contains sweeping changes to Medicaid eligibility and enrollment as required to implement the Affordable Care Act (ACA). The numerous existing population categories are consolidated into two groups - those whose eligibility will be determined according to the...
Hurricane Sandy Resources on Health Benefits Access- Emergency Rules & Deadlines Extended
14 Nov, 2012
The Empire Justice Center has compiled links to Resources for Those Affected by Hurricane Sandy. Please see that link for information on Immediate/Emergency assistance, legal assistance, Food Stamps, Consumer, Social Security, Medicare, Medicaid, Housing, Immigration, and general information on...
CDPAP Services Covered by Mainstream Medicaid Managed Care as of Nov. 1, 2012 for People Without Medicare
02 Nov, 2012
On November 1, 2012, Consumer-Directed Personal Assistance Program (CDPAP) services were added to the benefit package for "mainstream" Medicaid managed care (MMC) plans.   Most Medicaid recipients in New York State who do not also have Medicare, are already enrolled in these plans,...
State Clarifies 24-hour Split-Shift Medicaid Personal Care Eligibility, and Class Members have 21 Days to Request Reinstatement - Under Preliminary Injunction in Strouchler Class Action
05 Oct, 2012
There are 2 developments in implementation of the preliminary injunction in Strouchler v. Shah,  which challenges across-the-board cuts by the NYC Medicaid program in 24-hour "split shift" Medicaid personal care services. 1. ...
Mandatory enrollment into Medicaid managed care for homeless and undomiciled New Yorkers
30 Aug, 2012
If you are homeless and have Straight Medicaid (also known as “regular” Medicaid), your Medicaid will be changing soon. You may have already received a letter from New York Medicaid CHOICE (NYMC) telling you that you have to enroll in a health plan. If you haven’t gotten this letter, you...
Several Important Gains for Health Consumers in the 2012 Budget -Medicaid and other Health Matters
05 Apr, 2012
This year’s New York State 2012 Medicaid and health budget included a number of important advances for low-income consumers, and two notable disappointments. The following list summarizes the issues of particular import to the Empire Justice Center. First, the disappointments in the health...
Legislature Restores Most EPIC Benefits for 2013 -- Seniors must Cope with Cuts for Rest of 2012
05 Apr, 2012
The 2012 NYS Budget restored significant parts of the EPIC program that were cut in the 2011 Budget.   Last year's EPIC cuts went into effect January 1, 2012 and have been devastating to many lower income seniors.  See this article.   The State Legislature heard these stories...
NYC Settles False Claims Act Suit on Medicaid Personal Care - Selfhelp and 41 Non-Profit Organizations Demand Feds Use $70 Million Fine to Ensure Access to Home and Community-Based Services
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 be...
Automated Renewal Introduced for SSI-related Medicaid Recipients
03 Nov, 2011
Normal 0 false false false EN-US X-NONE X-NONE ·           Beginning in...
2012 Medicare Part D Plans Announced - Enrollment begins early - October 15, 2011
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 7,...
Medicaid Budget Cuts Triggering Illegal Cuts in Certified Home Health Services -- Know Your Client's Rights - Interim Settlements in Federal Court Lawsuit
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 budget...

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