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news MLTC Roll-Out –FIDA NEWS - Plan list, roll-out schedule, Conflict-Free Assessment Extended to NYC & Nassau, Pooled Trusts Again Allowed for Married MLTC Enrollees.
22 Nov, 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) To request...
news HRA Says 2500 SSI Recipients Had Medicaid Terminated in Error
29 Oct, 2014
By a NYC Medicaid Alert released September 26, 2014, NYC HRA Medicaid program announced that approximately 2,500 consumers in NYC eligible for SSI benefits were incorrectly identified for closing of their Medicaid cases as of 10/31/14. These consumers were sent a Stenson renewal notice. Read...
news 2015 Part D and Medicare Advantage plan information is out
22 Sep, 2014
CMS has released its annual landscape of Medicare Part D (prescription drug) and Medicare Advantage plans. Get more information here ...
news Mandatory Enrollment of Nursing Home residents into Managed Care & MLTC - Delayed Until at Least Oct. 1, 2014 or later
16 Sep, 2014
Nursing Home Resident Transition to Managed Care As of Sept. 16, 2014 the federal Medicaid agency CMS has still not approved the expansion of the 1115 waiver that will allow the State to require new nursing home residents to enroll in mainstream Medicaid managed care and MLTC plans. Oct. 1, 2014...
news Consumer Advocates Call for Further Protections in Medicaid Managed Long Term Care
01 Sep, 2014
Consumer advocates have submitted several comments to the New York State Department of Health and the Centers for Medicare and Medicaid Services (CMS) that would protect the rights consumers as Managed Long Term Care is implemented. September 2014 - NYLAG, Empire Justice Center and other...

Recent Articles
 
document KNOW YOUR RIGHTS: Managed Long Term Care - Fact Sheets and Training Announcements
PLEASE NOTE CORRECTED ADDRESS FOR DECEMBER 3, 2014 CLE/TRAINING ON MLTC AND FIDA BELOW. Here are Fact Sheets on Managed Long Term Care, written by...
document "FIDA (Fully-Integrated Dual Advantage)" - Managed Care Expansion for Dual Eligibles in NYC Metro Area - Delayed Until Jan. 2015
NEWS: Fully Integrated Dual Advantage demonstration program to start January 2015, after earlier delays. Notices will start going out in December...
document State Rescinds Directive that Banned Use of Pooled Trusts for Married Couples where One Spouse is in a Managed Long Term Care Plan - Pending Clarification from CMS
In response to advocacy by the NYS Bar Association Elder Law Section, on November 3, 2014 the NYS Dept. of Health issued yet another directive on...
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 Where to Apply for Medicaid and Medicaid Home Care in New York City
New York City's Medicaid program is run by the Human Resources Administration (HRA) Medical Insurance and Community Services Administration (MICSA)....


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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 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 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...



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