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 with Medicare out-of-pocket costs. "d
Here are links to past issues of our e-lerts.
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2017-12-28 E-Lert - "Exhaustion" of Internal Appeals to be required for MLTC and Medicaid Managed Care March 2018; new "SNT Notification Bill" Passed in NYS; 5 FIDA Plans closing; Medicaid Recipients age 65+ Must Enroll in Medicare or Risk Discontinuance of Medicaid
2017-10-17 E-Lert New DOH MLTC Policy 17.02 on Plan Closings - Continuity of Care Requirements apply to Guildnet & Northshore LIJ MLTC closings; Court Decisions on 24-hour live-in care; Reminder re Part D Enrollment Period, Other News
2017-05-23 E-lert - NYS 2017-18 Budget News - Spousal Refusal Intact, Cuts in Medicaid Nursing Home Bed Hold Payments; Update on Guildnet MLTC Leaving 3 Counties, Elderplan/HomeFirst Announces Leaving Suffolk County
2017-04-27 E-Lert - Guildnet MLTC Leaving 3 Counties; Report on How QMB Beneficiaries Could be Better Identified - written by EFLRP attorney Peter Travitsky and sponsored by Justice in Aging, NYS Budget Update
2017-03-24 E-Lert - How Proposals to Repeal ACA will Affect Older New Yorkers - Let Congress Know you Oppose Cuts in Medicaid and Health Insurance!
2017-02-28 E-Lert - Announcement of Seminar on MLTC for Aging LIfe Care Assn. and FIDA Expanding to Suffolk and Westchester Counties
2016-Dec. 28th E-lert MLTC Update and Last Chance to Give in 2016 (Includes news that Conflict Free assessment good for 75 days instead of 60, Centerlight MLTC plan closing, New DOH MLTC policies help consumers, and FIDA extended 2 years
2016-Nov. 22nd E-Lert #Giving Tuesday! Please Support the NYLAG Evelyn Frank Legal Resources Program!
2016-August 8th E-Lert: New Fast Track Procedures for Medicaid Home Care Applications and Report on Fair Hearings
regarding MLTC Reductions in Hours - with links to New York Times coverage.
2016-March 31st E-Lert and Webinar Series Announcement (Corrected April 5, 2016)
CORRECTION: The e-lert sent March 31, 2016 said that NO payment would be made for Medicare co-insurance for QMB enrollees in Medicare Advantage Plans if the Medicaid rate for the service is lower than the Medicare rate for the service, which is usually the case. The final budget provides that the provider will be paid 85 percent of the Medicare co-insurance due. Since this applies to Medicare Advantage plans, most plans charge a flat copayment and not co-insurance. Click on the corrected e-lert for an example. n a partial victory for consumers, this payment will be made regardless of whether the Medicaid rate is lower than the Medicare rate.
2014 - Feb. 4th E-lert