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News
MLTC UPDATE: ICS MLTC Plan to close March 31, 2019 - Transfers to VNS CHOICE get One-Year Continuity of Care
04 Mar, 2019
This is a running news article with updates on Managed Long Term Care in NYS. Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY CONTACTS State Dept. of Health Complaint Number for MLTC Problems - 1-866-712-7197 or e-mail...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
17 Jan, 2019
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...
State Dept of Health Moves to Implement MLTC Changes Enacted in 2018-19 NYS Budget
25 Oct, 2018
Though the NYS legislature and Governor Cuomo agreed on a State Budget on April 1, 2018, many of the changes in the Managed Long Term Care program are still in the planning stages for implementation. Here is the status of state budget provisions affecting Medicaid for seniors and people with...
Webinar on Changes Coming May 1st in Fair Hearing Rights for MLTC and Managed Care Members - Recording Available for Online Viewing
22 Apr, 2018
On May 1, 2018, New York State will implement massive changes in appeal rights for members of Medicaid managed care plans, including members of Managed Long Term Care plans. These changes in federal Medicaid regulations governing Medicaid managed care plans were made by the Obama Administration. ...
30,000 NYS Residents Age 65+ May Lose Medicaid If They Do Not Apply to Enroll in Medicare - 2,204 in NYC Who Lost Medicaid Restored Temporarily
14 Mar, 2018
March 14, 2018 UPDATE: After ​​​advocacy by Legal Services NYC, including a threat of litigation, the State DOH has agreed to restore Medicaid coverage to all 2,204 NYC Medicaid recipients who had coverage terminated on March 6th. They had all received notices that they must provide proof...

Recent Articles
Medicaid Alerts & Other Protocols published by the NYC HRA Medical Insurance and Community Services Administration (MICSA)
HRA MICSA Alerts are periodic announcements of policy, staff and office changes published by the Medical Insurance and Community Services...
Managed Long Term Care
State Complaint Number for MLTC Problems - 1-866-712-7197 e-mail mltctac@health.ny.gov and put "COMPLAINT" in subject line For enrollment...
Spousal Impoverishment Protections for Married Couples where One Spouse is in a Managed Long Term Care Plan - Pooled Trusts Allowed as an Option
A. What are Spousal Impoverishment Rules? Since 1998, a spouse of a nursing home resident on Medicaid is allowed to keep a reasonable level of...
Medigap (Medicare Supplemental) Policies and Rates in New York State - with Rate Tables for the Current Year
Medigap (aka Medicare supplemental insurance) policies are sold by private health insurance companies to cover some of the "gaps" in expenses not...
Long Term Care Insurance
Long term care insurance is a product which, if certain conditions are met, will pay for all or a portion of, nursing home and/or home care...


Most Viewed
Income and Resource Limits for New York State Public Health Insurance Programs
Here is the 2019 HRA Income and Resource Levels chart. Please note that income limits based on the Federal Poverty Line, highlighted in green, are...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
WHO MAY BE HIRED AS THE PERSONAL ASSISTANT? Changes effective APRIL 1, 2016 An adult who is not...
Medicaid Personal Care or Home Attendant Services
The Medicaid program in New York State covers a type of home care services called Personal Care services (aka PCS or "home attendant"). Covered...
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...
Medicare Savings Programs (MSP) in New York
Funded by the State Medicaid program, Medicare Savings Programs (MSPs) help eligible individuals meet some or all of their cost-sharing obligations...



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