January 2018 UPDATE: 4,000 Upstate Medicaid Recipients age 65 have already had Medicaid discontinued effective Jan. 1, 2018 under this new requirement! In NYC, a corrected letter was sent on Jan. 6, 2018 to 5,500 recipients, extending their deadline to submit proof that they applied for Medicare to Feb. 7, 2018. See the CORRECTED Jan. 10, 2018 Medicaid Alert Be alert for these cases and more to come - see advocacy tips including fair hearing rights here.
From November 2017 - February 2018, letters have been or will be mailed out to 30,000 NYS Medicaid recipients age 65+ who do not have either Medicare Parts A or B, telling them that they must go to the Social Security Administration (SSA) and try to enroll in Medicare, in order to keep Medicaid coverage. They will need to provide their local Medicaid program with proof that they tried to enroll in Medicare in order to prevent discontinuance of their Medicaid. Notices are being sent solely to those who:
Are age 65+ and have neither Medicare Part A or Part B,
Are US Citizens or have been Permanent Resident Aliens for 5+ years, but who are not "PRUCOL" - as they are definitely not eligible for Medicare.
Have incomes below the Medicare Savings Program SLIMB level (120% Federal Poverty Level)
See more about this State initiative in this article, including links to NY State and NYC guidance and samples of the notices. The Medicare Rights Center created a Tip Sheet about this issue.
Going forward, those applying for Medicaid who meet the criteria above will be required to show that they have applied to enroll in Medicare if they are not already enrolled in Part A or Part B.