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news "FIDA" Demo Starts in NYC and Nassau County but delayed in Suffolk & Westchester - Update
04 Mar, 2015
Fully Integrated Dual Advantage (FIDA) demonstration program has started: NYC and Nassau (Region I), with the first "voluntary" opt-in enrollment effective January 1, 2015, and new opt-ins starting each month, and "passive enrollment" scheduled for those who do not OPT OUT on April 1,...
news MLTC Roll-Out --–Confict-Free Assessment in Westchester & Suffolk, updated roll-out schedule,
13 Feb, 2015
KEY CONTACTS State Complaint Number for MLTC Problems - 1-866-712-7197 or e-mail mltcworkgroup@health.state.ny.us and put "COMPLAINT" in subject line For MLTC enrollment complaints - call NY Medicaid Choice - 1-855-886-0570 (Advocates line) 1-888-401-6582...
news NYS BUDGET for 2015-2016 Again Proposes End to Spousal Refusal and "Immediate Need" Medicaid
12 Feb, 2015
The Governor's proposed New York State budget for 2015-16 includes some good and some bad for health care for low-income New Yorkers. Click here to see the actual Health and Mental Hygiene (HMH) Bill and the Governor's Health and Mental Hygiene (HMH) Memorandum in Support. NYLAG is one of many...
news Mandatory Enrollment of Nursing Home residents into Managed Care & MLTC - scheduled to begin Feb. 1, 2015
27 Jan, 2015
Nursing Home Resident Transition to Managed Care February 1, 2015 marks the start date for the new requirement for nursing home residents who became "permanent" residents after that date to enroll in managed care or MLTC plans. CMS approved this expansion of MLTC and mainstream Medicaid managed...
news News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
19 Dec, 2014
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...

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document "FIDA (Fully-Integrated Dual Advantage)" - Managed Care Expansion for Dual Eligibles in NYC Metro Area - Delayed Until Jan. 2015
Fully Integrated Dual Advantage demonstration program has started: NYC and Nassau (Region I), with the first "voluntary" opt-i enrollment...
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 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...
document Medicaid & MSP: Must apply for Social Security and Other Potentially Available Income - and Medicare
Medicaid applicants and recipients can be required to pursue potentially available income as a condition of receiving Medicaid, and also to apply...
document KNOW YOUR RIGHTS: Managed Long Term Care and FIDA - Fact Sheets and Recorded Webinars
Here are Fact Sheets on Managed Long Term Care and FIDA. FACT SHEET 1: Basics on Managed Long Term Care FACT SHEET 2: Grievance and...


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document Income and Resource Limits for New York State Public Health Insurance Programs
The Affordable Care Act changed the rules for Medicaid income eligibility for many BUT NOT ALL New Yorkers. People in the "MAGI" category - those NOT...
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 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 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...


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