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news New NYS directives implementing the Affordable Care Act
11 Dec, 2013
DOH has released more directives outlining the changes to New York's Medicaid program as a result of Affordable Care Act (ACA) implementation.   These include the new income and resource limits for 2014. See this article for more information.
news MLTC Roll-Out - Expansion to 4 Upstate Counties, VNS Suspension of Enrollment Lifted
22 Nov, 2013
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...
news Update on hospice coverage for Medicaid recipients
01 Nov, 2013
There has been a change to the way that Medicaid pays for hospice coverage for many Medicaid recipients.    Mainstream managed care and hospice: As of October 1, 2013, the provision of hospice services to enrollees in mainstream Medicaid managed care (MMC) is the...
news CMS Approves Launch of Demonstration to Manage Care for All Dual Eligibles -
29 Aug, 2013
On August 26, 2013, CMS approved a "Memorandum of Understanding" (MOU) between NYS and DOH to launch a demonstration program by which "dual eligibles" - people who have both Medicare and Medicaid - will enroll in managed care plans that cover not only Medicaid long-term care services, as MLTC...
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...

Recent Articles
 
document NYS DOH releases more directives on Medicaid changes under the Affordable Care Act
The New York State Department of Health (DOH) has issued additional directives  outlining the new procedures for Medicaid applications and...
document 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...
document Medicaid in 2014: Understanding MAGI & the Marketplace
Medicaid eligibility rules are changing significantly on January 1, 2014 as a result of the Affordable Care Act’s eligibility expansion and...
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...
document Tools for Choosing a Medicaid Managed Long Term Care Plan
As described in this article, most adults in NYC, Westchester, Nassau and Suffolk counties who have Medicaid and Medicare, who are receiving...


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document Income and Resource Limits for New York State Public Health Insurance Programs
Income and Resource Limits for Medical Assistance Programs in New York State Each year, New York City's Human Resources Administration...
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...
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...
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...
document 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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