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Non-Emergency Transportation Carve-Out from Managed Long Term Care - effective 3/1/24
06 Mar, 2024
Effective 3/1/24, the non-emergency transportation benefit has been carved out from Managed Long Term Care. This does not include Program of All-Inclusive Care for the Elderly (PACE) plans. This means that Managed Long Term Care members will no longer arrange transportation through their plan, but...
MLTC UPDATE: CDPAP Budget Cuts Proposed, Bill to Repeal and Replace MLTC, March 1st - Transportation Changes for MLTC Members
05 Mar, 2024
This is a running news article with updates on Managed Long Term Care in NYS. FEBRUARY 2024 ALERT re CDPAP CUTS - see HERE Please see archives for past articles: MLTC updates 2014 - 2016 MLTC Updates - 2012 - 2013 KEY MLTC CONTACTS TO FILE COMPLAINTS And Websites SKIP DOWN TO LATEST...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
27 Feb, 2024
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...
Undocumented Immigrants Age 65 and Older Eligible for Full Medicaid - Started Jan. 1, 2024
06 Feb, 2024
See this new article to learn about the expanded Medicaid coverage for immigrants Age 65 and over who are undocumented. Because of their immmigration status, they were previously only eligible for Emergency Medicaid. See more here. Note that undocumented persons between ages 19- 64 are still...
Expanded Medicaid Dental Benefit in Effect as of 1/31/24
18 Dec, 2023
New York’s Medicaid program expanded coverage of dental benefits as of January 31, 2024 as the result of the settlement of the Ciaramella v. McDonald case (originally Ciaramella v. Zucker). This article provides detailed information about the expanded benefits. This article provides information...

Recent Articles
NYS Essential Plan - Expands April 2024 from 200% to 250% Federal Poverty Level
The NYS Essential Plan (EP) will have expanded eligibility levels starting April 1, 2024, under a recently approved federal 1332 Waiver program....
Maintaining Community Medicaid Budgeting and SSI Benefits During Temporary Nursing Home Stays
Many Medicaid recipients are admitted to nursing homes but plan to return to their homes in their community. Financially, they need to maintain...
Medicaid for Undocumented Immigrants Age 65+ - Starts January 2024
Starting Jan. 1, 2024, immigrants age 65+ can get FULL MEDICAID even if they do not qualify for PRUCOL status (PRUCOL is discussed in this article)....
Medicaid Transportation in NYS
States are required under federal regulations (42 C.F.R. §431.53) to assure necessary transportation to Medicaid beneficiaries to and from medical...
Expanded Medicaid Dental Benefits - Effective 1/31/24
New York’s Medicaid program includes limited dental benefits. The coverage has been expanded beginning on January 31, 2024 as the result of the...
Income and Resource Limits for New York State Public Health Insurance Programs
Big increases in income and asset limits for Age 65+, Blind & Disabled (ABD) took effect Jan. 1, 2023 - read about how these were rolled out...
How to use a pooled SNT to eliminate the Medicaid spend-down.
This Fact Sheet explains how to use a Pooled Supplemental Needs Trust to eliminate the Medicaid spend-down (updated for 2023) - See SPANISH...
Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down
This article is a condensed road-map for using a pooled income trust to eliminate the Medicaid spend-down. NEW June 2022 - Big Changes in NYC -...
Special Medicaid Income Rules That May Eliminate Your "Spend-down" or "Surplus Income"
Many people age 65+, Disabled or Blind would normally have an income "spend-down" because their income is above the non-MAGI limits (which are in...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
FEBRUARY 2024 ALERT - Learn about proposed CDPAP CUTS in NYS BUDGET - HERE 2023 UPDATE - see directives issued Oct. 2023 here clarifying that a...


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Income and Resource Limits for New York State Public Health Insurance Programs
Big increases in income and asset limits for Age 65+, Blind & Disabled (ABD) took effect Jan. 1, 2023 - read about how these were rolled out...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
FEBRUARY 2024 ALERT - Learn about proposed CDPAP CUTS in NYS BUDGET - HERE 2023 UPDATE - see directives issued Oct. 2023 here clarifying that a...
Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down
This article is a condensed road-map for using a pooled income trust to eliminate the Medicaid spend-down. NEW June 2022 - Big Changes in NYC -...
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"). This is a...
Medicare Savings Programs (MSP) in New York
Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries, qualify enrollees for the ...
Previous Medicaid Dental Benefit in NYS (Rules Effective for Services Requested Through 1/30/24)
New York’s Medicaid program includes limited dental benefits. The coverage was expanded beginning on January 31, 2024 as the result of the...
List of Pooled SNTs in New York State
This is an unofficial list of non-profit organizations in New York State that offer pooled Supplemental Needs Trusts (or similar services) to people...
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...
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...
Medicaid Assisted Living Programs (ALP) in NYS
INTRODUCTION The Assisted Living Program provides supportive housing and home care services to individuals who are medically eligible for...



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