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News
CDPAP FI Transition: Timekeeping Change July 20th, Notice Sent to Downstate PAs Affected by Settlement of Wage Theft Suit Against PPL; U.S. Sues PPL and NYS Officials for Misrepresentation
21 Jul, 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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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...
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...
NEW YORK INDEPENDENT ASSESSOR PROGRAM (NYIAP) - How Medicaid Home Care Eligibility is Assessed
What is the NY Independent Assessor Program? The Basics In 2020, a NYS law was enacted that required an "independent assessor" to assess the need for and approve personal care, CDPAP, and Managed Long Term Care (MLTC) enrollment. For MLTC, this was not new because the COnflict-Free...
Medicaid Managed Care
IN THIS ARTICLE * Complaints - Where to File *Law & Regulations & Model Contracts, CMS Special Terms & Conditions 1 - What is Managed Care? 2 - Mandatory Enrollment for Most People with Medicaid - and LOCK-IN 3 - Who is Exempt or Excluded from Enroling in Managed Care 4 -...
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 recipients were...
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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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