People who apply for Medicaid in order to obtain home care services face long delays in obtaining these services. This article describes several strategies to minimize these delays. Causes of Delays for new Medicaid Applicants to Enroll in Managed Long Term…
Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down
This article is intended as a condensed road-map for using a pooled income trust to eliminate the Medicaid spend-down. This article contemplates that the individual is applying for Medicaid in order to obtain home care services. The sequence of events…
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 with disabilities. We do not claim that this is an exhaustive list; there may be other pooled…
Know Your Rights: NYLAG Webinars on Medicare and Medicaid –
Focus on Disabled/Age 65+/ Blind [“DAB”] Medicaid- Part 1 – financial eligibility Income Resource Rules for this “non-MAGI” category How Income is Budgeted –Singles vs. Couples, Spousal Refusal Spousal Impoverishment Basics of Medicaid “Spend-down” and tips for reducing it Special…
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
WHO MAY BE HIRED AS THE PERSONAL ASSISTANT? Changes effective APRIL 1, 2016 An adult who is not “legally responsible” for a Medicaid consumer’s care and support may be a CDPAP assistant for that consumer. In particular, this means that…
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 and provide Medicaid home care and other long-term care services (listed below) to people who need…
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 Administration (MICSA). MICSA is the part of New York City’s Human Resource Administration (HRA) that administers HRA’s medically- related programs…
Emergency Medicaid in New York State – Limited Medicaid Coverage for Undocumented Immigrants
Enrolling in “Emergency Medicaid for undocumented immigrants and maintaining eligibility should be easier under a new 2013 policy eliminating the form physicians were previously required to fill out — DOH-4471 form for the Certification of Ttreatment of an Emergency Medical Condition.(revised in…
Keeping Medicaid after Cash Public Assistance or SSI Benefits Are Terminated
Scenarios: Susie is 49 years old and single, with no children. She has been receiving cash public assistance and Medicaid for three years, while she appeals the denial of Social Security Disability Insurance Benefits (“SSD” or “DIB”). She finally was…
Spousal Impoverishment Protections for Married Couples where One Spouse is in a Managed Long Term Care Plan
What are Spousal Impoverishment Rules? Since 1998, a spouse of a nursing home resident on Medicaid is allowed to keep a reasonable level of income and resources to live on, while still permitting Medicaid payment for the nursing home resident’s care.…