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Getting Started (6)
Click here if you know you have questions about Medicaid, but don't know where to start.
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Overview (4)
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Applying For and Keeping Medicaid (9)
Articles about the Medicaid application, where to apply, what documents are needed, and recertification procedures
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Financial Eligibility (20)
To get Medicaid health insurance, one must have income and assets below certain limits.
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Home Care (19)
Medicaid is one of the only health insurance programs that covers long-term home care services.
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Immigrant Access (7)
Issues relating to immigrant eligibility for Medicaid, and documentation of citizenship or qualified alien status when applying for Medicaid.
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Medicaid Managed Care (11)
Most New Yorkers with Medicaid must receive their health care through a managed care organization, or HMO.
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Other Services (12)
Find out what services are covered by Medicaid, and how to solve problems accessing these services. For coverage of home care services, see the category Home Care.
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Supplemental Needs Trusts (8)
(SNT) - Legal tool for people with disabilities to obtain Medicaid (and other public benefits) in spite of excess income or assets.
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Articles
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National Health Reform -- Links to Information about the Affordable Care Act and Implementation in New York State
In March 2010, President Obama signed federal health reform into law. Health reform consists of two laws. The first and larger of the two is the Patient Protection and Affordable Care Act (PPACA) signed on March 23, 2010, and the second is the Health Care & Education Reconciliation Act, signed...
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Medicaid Alerts --published by the Medical Insurance and Community Services Administration (MICSA) of New York City's Department of Human Resources (HRA)
HRA MICSA Alerts are periodic announcements of policy, staff and office changes published by the Medical Insurance and Community Services Administration (MICSA). MICSA is the part of New York City’s Human Resource Administration (HRA) that administers HRA’s medically- related programs...
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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 January 2011) s intended for people who are age 65+ or who have disabilities, or their family members and caregivers. It explains the basic financial rules on eligibility for Medicaid in the community for this category of people. Community Medicaid ...
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Fundamental Changes to NY Medicaid in the 2011 State Budget
The Health Budget passed this week makes fundamental and far-reaching changes to New York’s Medicaid program, with savings reported at $2.8 billion. The proposals that were presented to the legislature in the Governor’s 30 day amendments represented a package submitted by the Medicaid Redesign...
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Medicaid Managed Care Fact Sheet - Pharmacy Services
Effective October 1, 2011, Medicaid’s pharmacy benefit will be moved into the managed care benefit package. The pharmacy benefit includes all FDA approved prescription drugs, as well as some over-the-counter drugs and medical supplies. The Family Health Plus (FHP) pharmacy benefit, which is less...
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Blanket Limits on Medicaid Services
An analysis of the cuts in Medicaid services enacted as part of the 2011-12 state budget, which limit access to compression stockings, prescription footwear, and enteral nutritional formula, as well as physical therapy, occupational therapy, and speech therapy.
This...
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Medicaid Managed Care
I – WHAT IS MEDICAID MANAGED CARE?
Most, but not all Medicaid beneficiaries in New York State must now join a Medicaid managed care plan. N.Y. Soc. Servs. L. §364-j (Amended by 2011 Sess. Law News of N.Y. Ch. 59). In regular or fee-for-service Medicaid,...
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Restricted Recipients
MEDICAID MANAGED CARE FACT SHEET
Restricted Recipients- the way you receive your Medicaid benefits is changing!
On August 1, 2011, Medicaid recipients who are restricted to certain providers will have to enroll in a Medicaid health plan. Before August 1, 2011, restricted...
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New York Dramatically Expands Mandatory Managed Care for Medicaid Beneficiaries
This article was published in the Summer, 2010 edition of the Legal Services Journal and provides an overview of recent legislative changes in New York's Medicaid program that have the effect of expanding the state's use of managed care.
The article covers expansion achieved through...
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Coming in 2014 - Managed Care Expansion for all Medicare and Medicaid Services Received by Dual Eligibles in NYS
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