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MLTC UPDATE: Lock-In Starts Dec. 1, 2020 - Members Notified; More Nursing Home Residents to be Disenrolled Nov. 1, 2021; Lookback Delayed until April 2021
29 Oct, 2020
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 MLTC CONTACTS State Dept. of Health Complaint Number for MLTC enrollment & services problems- ...
NYS Medicaid Cuts 2020-21 - LOOKBACK DELAYED UNTIL APRIL 1, 2021 - view Webinar on Implementation + NYLAG Comments on Implementation
16 Oct, 2020
Severe cuts in Medicaid eligibility and access to home care services were enacted in the State Budget on April 2, 2020. This article discusses the two main changes the LOOKBACK and the changes in eligibility and assessment of HOME CARE. NEWS OCT. 16, 2020 - LOOKBACK DELAYED UNTIL APRIL 1, 2021 ...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
15 Oct, 2020
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...
Covid-19 Resources and Advocacy on Medicaid in NYS - COVID Flexibilities extended through Oct. 2020
04 Oct, 2020
As Social Distancing and shuttered offices become the new normal, New Yorkers who depend on Medicaid or need to apply for it need to learn new policies and procedures that are quickly being developed by the federal government (CMS), the NYS Department of Health (DOH), and by each local Medicaid...
Attention Nursing Home, Adult Home and ALP Residents: You May Keep Your Covid Stimulus Check!
17 Jun, 2020
Economic Impact Payments (EIP) or stimulus payments authorized by the CARES ACT cannot be counted as "income" for financial eligibility for Medicaid or SSI. Medicaid and SSI recipients have 12 months to spend the checks before they are counted as a "resource" for eligibility for their benefits....

Recent Articles
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...
Appeals & Grievances in Managed Long Term Care - "Exhaustion" of Plan Appeal Required since 2018
In 2016, CMS adopted changes in federal Medicaid managed care regulations requiring "exhaustion" of Plan Appeals prior to requesting a Fair Hearing....
MLTC Members in Nursing Homes for 3+ Months to be Disenrolled from MLTC 8/1/20
Nov. 2020 Update - More Nursing Home Residents to be Disenrolled from MLTC plans Nov. 1, 2020 - after Initial Batch Disenrollment August 1, 2020 On...
Medicare Part D - Overview
The Evelyn Frank Legal Resources program has these resources for counseling Medicare beneficiaries and assisting them in accessing prescription...
Special Medicaid Income Rules That May Eliminate Your "Spend-down" or "Surplus Income"
If you are Age 65+. Disabled, or Blind, your Medicaid eligibility is likely based on "non-MAGI" budgeting, as opposed to "MAGI" budgeting. ...


Most Viewed
Income and Resource Limits for New York State Public Health Insurance Programs
NYS announced the 2020 Income and Resource levels in GIS 19 MA/12 – 2020 Medicaid Levels and Other Updates ) and levels based on the Federal...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
COVID-19 updates CDPAP services are still available from MLTC and managed care plans, for people applying for "Immediate Need" services, or who...
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...
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"). WARNING: ...
Medicare Savings Programs (MSP) in New York
Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries and qualify enrollees for the ...



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