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news NYS AGAIN Delays Launch of "FIDA" Demonstration to Manage Care for Dual Eligibles - to January 2015
09 Jul, 2014
After a prior 6-month postponement announced in January 2014, New York State in July 2014 again delayed the start of its Fully Integrated Dual Advantage demonstration program until January 2015 (in NYC and Nassau Counties, April 2015 in Westchester and Suffolk Counties). The initial voluntary...
news MLTC Roll-Out - MLTC Expansion to Nursing Homes delayed 1 Month, Free Webinar on MLTC, New Directives Issued
08 Jul, 2014
State Complaint Number for MLTC Problems - 1-866-712-7197 e-mail mltcworkgroup@health.state.ny.us and put "COMPLAINT" in subject line For enrollment complaints - call NY Medicaid Choice - 1-855-886-0570 (Advocates line) 1-888-401-6582 (Consumers line) State...
news Mandatory Enrollment of Nursing Home residents into Managed Care & MLTC - Delayed Until at Least August 1, 2014
08 Jul, 2014
Nursing Home Resident Transition to Managed Care As of June 27th, 2014 (and presumably as of July 7th) the federal Medicaid agency CMS has still not approved the expansion of the 1115 waiver that will allow the State to require nursing home residents to enroll in managed care and MLTC plans....
news Providers Must be Enrolled in NYS Medicaid Program to ORDER/PRESCRIBE/REFER/ATTEND Medicaid Services
03 Jul, 2014
Physicians and other healthcare providers are required to enroll with the NY State Medicaid program before Medicaid will pay for services that the providers prescribe, order, or refer. The rule applies to ordering, prescribing, referring and attending physicians and healthcare providers (“OPRA...
news HEAP cooling assistance program shuts down June 26, 2014
19 Jun, 2014
OTDA has announced that the 2014 HEAP cooling assistance program will be closing down on June 26, 2014. June 26th is the last day that applications will be accepted for the benefit. The HEAP cooling assistance program can pay for an air conditioner for certain low income individuals whose...

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document Income and Resource Limits for New York State Public Health Insurance Programs
The Affordable Care Act changes the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers, expanding eligibility for many people...
document Managed Long Term Care
Managed Long Term Care (MLTC) plans are insurance plans that are paid a monthly premium ("capitation") by the New York Medicaid program to approve...
document Help for those who missed the first open enrollment period
Do you or someone you know need health insurance? Did you miss the open enrollment period? You may still have options to get coverage! Medicaid and...
document Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down
This article is intended as a condensed road-map for using a pooled income trust to eliminate the Medicaid spend-down. This article contemplates...
document "FIDA (Fully-Integrated Dual Advantage)" - Managed Care Expansion for Dual Eligibles in NYC Metro Area - Delayed Until Jan. 2015
After a prior 6-month postponement announced in January 2014, New York State in July again delayed the start of its Fully Integrated Dual Advantage...


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document Income and Resource Limits for New York State Public Health Insurance Programs
The Affordable Care Act changes the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers, expanding eligibility for many people...
document Medicaid Personal Care or Home Attendant Services
The Medicaid program in New York State covers a type of home care services called Personal Care Assistance (aka PCA or "home attendant"). To obtain...
document Medicaid Certified Home Health Agency (CHHA) Services
A Certified Home Health Agency (CHHA) provides what is commonly known as “visiting nurse” services, as well as physical or occupational or...
document Medicaid Spend-Down
Because Medicaid is a health insurance program for the poor, one must have income and assets below a certain limit to be eligible. For a single...
document Managed Long Term Care
Managed Long Term Care (MLTC) plans are insurance plans that are paid a monthly premium ("capitation") by the New York Medicaid program to approve...


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