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News
NYS Medicaid Redesign Team II (MRT II) -- Independent Asessor delayed til October 1st for Immediate Need and Expedited Requests.. but in effect for MLTC Enrollment
26 Jul, 2022
This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2. The two MRT-2 changes that ARE being implemented are: NY Independent Assessor (NYIA) - see more below with delay for Immediate Need and expedited managed...
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...
MLTC UPDATE: Independent Assessor started for MLTC enrollment May 16th - Delayed to Oct. 1st for Immediate Need & Expedited managed care Requests
30 Jun, 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 &...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters
12 May, 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...
Eligibility Expanded for Medicaid and Medicare Savings Program for Disabled/Age 65+/ Blind (DAB) in NYS Budget!
08 Apr, 2022
On April 8, 2022, the NYS Legislature and Governor reached an agreement on the NYS Budget, which included some important wins for New Yorkers age 65+ and those who have disabilities. While advocates did not get everything we proposed, NYLAG thanks the Governor and Legislature for taking important...

Recent Articles
"Immediate Need" Personal Care or CDPAP - Fast-Track Application for Medicaid and Home Care - New Procedures
People who apply for Medicaid in order to obtain home care services face long delays in getting Medicaid approved and then accessing home care...
When an MLTC Plan Closes - What are the Members' Rights? WARNING - Changes Now in Effect
Since Managed Long Term Care (MLTC) plan enrollment has been mandatory since 2013 for most adult "dual eligibles" (people with Medicaid and...
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...
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...
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....
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. ...
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...
COBRA - Keeping Employer Group Health Insurance After a Job Ends - Federal & New York State Protections
Here are resources on rights to continue coverage after losing one's job, under the federal "COBRA" law. FEDERAL INFO on COBRA US Dept. of...
2022 Medicare Part D plans in New York State
The Annual Enrollment Period ("AEP" or "open enrollment") for Medicare Part D and Medicare Advantage plans for 2022 runs from October 15 through...
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...


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
March 2022 Alert Tell your State Senator and Assemblyperson and Gov. Hochul to expand income limits for MSPs - Support Senate Bill S8228/A9245 -...
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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