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News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
30 Sep, 2022
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...
MLTC UPDATE: NYLAG Launches MLTC Data Transparency Project, Independent Assessor Delayed to Dec. 1st for Immediate Need but started for MLTC Enrollment
30 Sep, 2022
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 & WHERE TO FILE COMPLAINTS State Dept. of Health Complaint Number for MLTC enrollment &...
NYS Medicaid Redesign Team II (MRT II) -- Independent Assessor delayed til Dec. 1st for Immediate Need and Expedited Requests..Lookback til April 1, 2024
29 Sep, 2022
Update 9/28/22 - LOOKBACK officially delayed until at least March 31, 2024. See https://health.ny.gov/health_care/medicaid/redesign/mrt2/proposals/30-month_lookback-final.htm UPDATE 8/30/22 - delay until 12/1/22 implementing NY Independent Assessor for Immediate need requests and expedited...
Covid-19 Resources on Medicaid in NYS - Public Health Emergency Extended til OCT. 2022
20 Jul, 2022
This article describes laws, policies and procedures developed by the federal government (CMS), the NYS Department of Health (DOH), and by New York City is HRA to protect Medicaid during the Public Health Emergency. On this page we will gather links to helpful resources and to key government...
Eligibility Expanded for Medicaid and Medicare Savings Program for Disabled/Age 65+/ Blind (DAB) in NYS Budget!
10 Jul, 2022
On April 8, 2022, the NYS Legislature and Governor reached an agreement on the NYS Budget, which included some important wins EXPANDING MEDICAID for New Yorkers age 65+ and those who have disabilities, and for undocumented immigrants age 65+. While advocates did not get everything, NYLAG thanks...

Recent Articles
Requesting a New or Increased Service from a Medicaid Managed Care or MLTC
Members of Medicaid Managed Care plans, including Managed Long Term Care (MLTC) plans, have the right to request a NEW service that was not...
Medicaid Disability Determinations - NYS Forms & Procedures (with updated forms Dec. 2021)
The Medicaid program has long had a procedure for determining disability for individuals who have not yet been determined disabled by the Social...
Medicaid Transportation in NYS
States are required under federal regulations (42 C.F.R. ยง431.53) to assure necessary transportation to Medicaid beneficiaries to and from...
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...
KNOW YOUR RIGHTS: Fact Sheet Explaining Basic Rules on NYS Financial Medicaid Eligibility for People who are Disabled, Aged 65+, or Blind
This Fact Sheet (updated 9/2022 with 2022 figures and heads up for big increases in 2023!) is intended for New Yorkers who are age 65+ or who have...
Resources for Uninsured and Underinsured
This article briefly explains how uninsured people those without Medicare, Medicaid, or private health insurance may obtain help with hospital,...
MLTC Members in Nursing Homes for 3+ Months Being Disenrolled from MLTC Plans - Since August 2020
Starting in August 2020, MLTC members are disenrolled from their plans after a "Long Term Nursing Home Stay" - defined as 3 months in a nursing home...
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...
Getting Help with Managed Long Term Care
Here are organizations where you can seek help for problems with Medicaid Managed Long Term Care and Medicaid Advantage Plus. Also see these KNOW...
Right to a "Home Hearing" under Varshavsky Case - Special Rights in Fair Hearings Seeking Increases in Medicaid Home Care
RIGHTS of People Who Cannot Travel to a Fair Hearing Because of Disability This article can also be downloaded as a Fact Sheet here. ...


Most Viewed
Income and Resource Limits for New York State Public Health Insurance Programs
1The 2022 HRA Income and Resources Level Chart was updated on March 16, 2022 and used the 2022 Federal Poverty Levels from GIS 22 MA/01 - and...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
COVID-19 updates & Eligibility Restrictions CDPAP services are still available from MLTC and managed care plans, for people applying for...
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
Heads Up - Income Limits for MSP's will increase in 2023 in NYS - see more here! Medicare Savings Programs (MSPs) pay for the monthly Medicare...
Medicaid Dental Benefit in NYS
Under Medicaid, dental benefits exist, but the coverage is limited. This limited coverage makes it important for advocates to understand the...
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...
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...
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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