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News
CDPAP FI Transition: Non-Profit UPTURN Publishes Survey Highlighting PPL Dysfunction
10 Sep, 2026
Background. The 2024-25 NYS Budget required all 280,000 Medicaid recipients who have CDPAP services to switch their "Fiscal Intermediary" (FI") the agency that manages payroll and benefits for their Personal Assistants ("PA") to a new "single FI" called Public Partnerships LLC or "PPL." PPL...
News from NYLAG Evelyn Frank Legal Resources Program - Newsletters, Upcoming Trainings, and News Alerts
26 Jun, 2026
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...
HR1 -Changes Coming to NYS Medicaid under the "One Big Beautiful Bill" Law - CMS Issues Work Requirement Regulations June 1, 2026
1 Jun, 2026
The Budget Reconciliation law known as HR1 enacted the One Big Beautiful Bill Act, signed into law July 4, 2025. The law imposes massive cuts in Medicaid, Medicare, SNAP, and immigrant eligibilty for these and other public programs. The strategically delayed implementation of many of the worst...
NYLAG Submits Testimony for NYS Legislative Budget Hearing on Health & Medicaid - Under Dark Cloud of H.R. 1 Cuts in Medicaid
11 Feb, 2026
NYLAG submitted testimony at the NYS Joint Legislative Public Hearing on the Proposed 2026 Executive Budget concerning Health and Medicaid. The hearing was held on February 10, 2026. Read about NYLAG's testimony here Download a copy of NYLAG's testimony here. Testimony of some of...
NYS Medicaid Redesign Team II (MRT) 2020 changes - Status of 30-month Lookback and the 3-ADL Minimum Standards for Home Care
29 Jan, 2026
This article gives updates on the Medicaid changes enacted in the 2020 NYS Budget under the "Medicaid Redesign Team II" or MRT-2. Though enached in 2020, one of these cuts - the Minimum ADL Thresholds for home care - was just implemented in Sept. 2025, and the 30-Month Lookback is still not...
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Medicaid Contacts in New York City (NYC Human Resources Administration - MICSA)
August 5, 2024 - address for main NYC Medicaid Office - called the Brooklyn South Medicaid office - has been changed to 495 Clermont Avenue, Brooklyn, NY 11238. This is around the corner from the previous address on Atlantic Avenue since 2013 see 2024-08-02 Change of address for Brooklyn_South...
NYS Dept. of Health Issues Guidance on Overtime in CDPAP
On July 22, 2026, the NYS Dept. of Health issued guidance that addresses when CDPAP Personal Assistants may work overtime, which is defined as more than 40 hours per week. Under state Labor Law, the PA must receive time-and-a-half for hours worked over 40 hours per week. The new guidance can...
Medicaid Fair Hearings in NYS - Common Links and Changes - CALL-In Hearings Started May - Roll out Schedule Changed
Introduction and Updates Medicaid recipients have the right to request a Fair Hearing to appeal an adverse action. This includes decisions made by a managed care or Managed Long Term Care plan, by the local Dept. of Social Services ("LDSS") or by NYS's contractor, NY Medicaid Choice or the NY...
2025 Medicaid Modernization in New York State: Medicaid Eligibility and Client Management System (MECM)
For a background document comparing MAGI Medicaid, Non-MAGI Medicaid, and the Medicare Savings Program, click here. For an example MECM notice showing Medicaid and MSP eligibility, click here. For an example MECM notice showing Medicaid and MSP ineligibility, click here. For the YouTube recording...
Spousal Impoverishment Protections for Married Couples - If One Spouse is in MLTC, Waiver or Immediate Need - Can use Pooled Trust
In this Article KNOW YOUR RIGHTS: Download Consumer Fact Sheet on Tips for Keeping More Income, including Spousal Impoverishment Protections.: What are Spousal Impoverishment Rules? Which Married couples can Use Spousal Impoverishment Protections? Spousal Impoverishment...
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Income and Resource Limits for New York State Public Health Insurance Programs
INTRODUCTION AND NEWS ALERTS Feb. 13, 2026 UPDATE - NYS DOH announced the 2026 limits are in effect for Medicaid GIS 26 MA/05 - 2026 Federal Poverty Levels (PDF) GIS 26 MA/05 - 2026 Federal Poverty Levels Chart Since Jan. 1, 2023, the income limit for the Aged, Blind and...
Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
Introduction and links to info about transition to the new NYS "Single Fiscal Intermediary" (FI) This article for latest news including settlement of Calderon lawsuit PPL - the Single Fiscal Intermediary for CDPAP in NYS - Nuts & Bolts includes registration, timekeeping, requirements...
Medicaid Personal Care or Home Attendant Services
INTRO and RECENT UPDATES 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 service under NYS's "State Medicaid Plan," which means that the rules described here apply whether the consumer receives it...
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 - See STEP TWO and STEP Three below - NEW DISABILITY forms required! DOWNLOAD OUR our longer FACT SHEET on this topic (updated May 2024 to reflect...
Medicare Savings Programs (MSP) in New York
Introduction Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries, qualify enrollees for the "Extra Help" subsidy for Part D prescription drugs, and for those in QMB - pay Medicare coinsurance and deductibles. As of 2023, there are...
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