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17 Jun, 2013
The NY Bridge Plan, New York State's Pre-Existing Insurance Coverage Plan (PCIP), is ending on June 30, 2013. Existing enrollees can transition onto the federal PCIP through December 31, 2013. See this article for more information.
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07 Jun, 2013
New in June 2013
Adult Day Care -- NYC Council Bill Would Crack Down on Proliferation of Adult Day Care Centers
By NINA BERNSTEIN (June 6, 2013 - NY Times)
LOMBARDI program will be closed to new enrollment for dual eligibles in mandatory counties on June 17th....
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07 May, 2013
As of Monday, May 6, 2013 there are no longer any MICSA-Medicaid operations at 330 W. 34th Street in Manhattan. MICSA-Medicaid operations, including TBI and NHTD waiver programs, have been relocated to 785 Atlantic Ave., Brooklyn, NY 11238.
The Reception Unit which handled...
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01 May, 2013
Consumer advocates have submitted several comments to the New York State Department of Health and the Centers for Medicare and Medicaid Services (CMS) that would protect the rights consumers as Managed Long Term Care is implemented.
April 30, 2013 - Consumer Advocates Meet with State...
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25 Apr, 2013
Due to "significant compliance failures" which "create a serious threat to enrollee health and safety," CMS has issued an immediate sanction against SmartD Rx, a Medicare Part D contractor, and suspended all its marketing and enrollment activities effective April 23, 2013.
SmartD RX...
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09 Apr, 2013
Mergers don't only happen in the hospital world. Effective April 1, 2013, the Evelyn Frank Legal Resources Program (EFLRP) which was founded by and has been a division of Selfhelp Community Services, Inc. since the 1990's, has merged with the New York Legal Assistance...
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29 Mar, 2013
This year’s state budget legislation makes significant changes to New York’s Medicaid program. For more details, read our article NY Medicaid Expansion under the ACA ... and other 2013 changes.
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05 Feb, 2013
The Proposed 2013-2014 Health Budget contains sweeping changes to Medicaid eligibility and enrollment as required to implement the Affordable Care Act (ACA). The numerous existing population categories are consolidated into two groups - those whose eligibility will be determined according...
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10 Jan, 2013
On January 7, 2013, Judge Charles J. Siragusa signed an order certifying a class in Davis et al v. Shah (Case number: 12-CV-6134-CJS). The case challenges 2011 statutory changes that denied coverage of orthopedic footwear and compression stockings to all Medicaid recipients who did not...
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14 Nov, 2012
The Empire Justice Center has compiled links to Resources for Those Affected by Hurricane Sandy. Please see that link for information on Immediate/Emergency assistance, legal assistance, Food Stamps, Consumer, Social Security, Medicare, Medicaid, Housing, Immigration, and general...
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02 Nov, 2012
On November 1, 2012, Consumer-Directed Personal Assistance Program (CDPAP) services were added to the benefit package for "mainstream" Medicaid managed care (MMC) plans. Most Medicaid recipients in New York State who do not also have Medicare, are already enrolled in these plans,...
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05 Oct, 2012
There are 2 developments in implementation of the preliminary injunction in Strouchler v. Shah, which challenges across-the-board cuts by the NYC Medicaid program in 24-hour "split shift" Medicaid personal care services.
1. ...
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30 Aug, 2012
If you are homeless and have Straight Medicaid (also known as “regular” Medicaid), your Medicaid will be changing soon. You may have already received a letter from New York Medicaid CHOICE (NYMC) telling you that you have to enroll in a health plan. If you haven’t gotten this letter,...
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30 Jun, 2012
The State DOH filed its final proposal for a Fully Integrated Dual Eligible (FIDA) managed care plan with the federal government on May 25, 2012.
FINAL Demonstration Proposal to Integrate Care for Dual Eligible Individuals
Click here for COMMENTS filed by...
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23 Apr, 2012
New York State has now made it clear that spousal impoverishment protections will be available to applicants and recipients in not just the Home and Community Based Services (HCBS) wavier program, also known as Lombardi, but in the Traumatic Brain Injury (TBI) and Nursing Home Transition and...
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05 Apr, 2012
This year’s New York State 2012 Medicaid and health budget included a number of important advances for low-income consumers, and two notable disappointments. The following list summarizes the issues of particular import to the Empire Justice Center.
First, the disappointments in the...
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05 Apr, 2012
The 2012 NYS Budget restored significant parts of the EPIC program that were cut in the 2011 Budget. Last year's EPIC cuts went into effect January 1, 2012 and have been devastating to many lower income seniors. See this article. The State Legislature heard these stories...
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04 Nov, 2011
On November 3, 2011, Selfhelp, NYLPI, the Legal Aid Society and other organizations wrote to CMS and the United States Attorney, protesting the settlement of the False Claims Act case against NYC alleging fraud in its Medicaid Personal Care program, and demanding that the settlement money...
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03 Nov, 2011
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16 Sep, 2011
On September 15, 2011, CMS announced the Part D and Medicare Advantage plans for 2012.
CMS announced them earlier than usual because the ANNUAL OPEN ENROLLMENT PERIOD for 2012 is earlier this year .
it will start October 15, 2011 and continue through December...
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