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news 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...
news 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...
news 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...
news 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...
news 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...
news 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...
news 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...
news 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,...
news 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. ...
news 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...
news 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...
news 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...
news 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...
news Automated Renewal Introduced for SSI-related Medicaid Recipients
03 Nov, 2011
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news 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,...
news 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...
news State Moves Forward with Implementing Medicaid Cuts and Changes Enacted in State Budget
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"...
news Fundamental Changes to NYS Medicaid in 2011 State Budget
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...
news New York City's Medicaid Fair Hearing Office has moved!
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...
news Thank you for supporting Selfhelp -- for donating or coming to Selfhelp's benefit reception!
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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