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"Immediate Need" Personal Care

Robert Green June 24, 2016 NY Medicaid

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…

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Step-by-step guide to enrolling in a pooled income trust for Medicaid spend-down

Robert Green June 14, 2016 NY Medicaid

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…

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List of Pooled SNTs in New York State

Robert Green June 2, 2016 NY Medicaid

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…

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Know Your Rights: NYLAG Webinars on Medicare and Medicaid –

Robert Green May 21, 2016 NY 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…

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Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State

Robert Green May 14, 2016 Medicaid News

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…

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Managed Long Term Care

Robert Green May 14, 2016 Medicaid News

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…

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Medicaid Alerts & Other Protocols published by the NYC HRA Medical Insurance and Community Services Administration (MICSA)

Robert Green May 14, 2016 Medicaid News

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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Emergency Medicaid in New York State – Limited Medicaid Coverage for Undocumented Immigrants

Robert Green May 14, 2016 Medicaid News

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…

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Keeping Medicaid after Cash Public Assistance or SSI Benefits Are Terminated

Robert Green May 14, 2016 Medicaid News

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…

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Spousal Impoverishment Protections for Married Couples where One Spouse is in a Managed Long Term Care Plan

Robert Green May 14, 2016 Medicaid News

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.…

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