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news Mandatory Enrollment of Nursing Home residents into Managed Care & MLTC - scheduled to begin Feb. 1, 2015
31 Dec, 2014
Nursing Home Resident Transition to Managed Care As of Dec. 29, 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. However,...
news MLTC Roll-Out –FIDA NEWS - Training Reminder Dec. 3rd on FIDA, Plan list, roll-out schedule, Pooled Trusts Again Allowed for Married MLTC Enrollees.
30 Dec, 2014
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 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...
news "FIDA" Demo Starts in NYC and Nassau County - Clearing up Confusion
17 Dec, 2014
Update: On Dec. 19,2014 CMS posted New York Fully Integrated Duals Advantage (FIDA) Provider FAQs for providers and consumers In the last week of November and first two weeks of December, 2014, New York State sent out over 100,000 "FIDA Announcement letters" to residents of NYC and Nassau County...
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...

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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...
document 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...
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 "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 has started in NYC and Nassau, with the first "announcement" notices sent in early...
document New Permanent Nursing Home Residents in NYS will be Required to Enroll in Medicaid Managed Care Plans or MLTC Plans - Effective Date postponed til Feb 2015 in NYC, Later in Other Areas
As of Dec. 29, 2014 the federal Medicaid agency CMS has reportedly verbally not approved the expansion of the 1115 waiver that will allow the State...


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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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