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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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NYS OTDA "CALL-IN" Phone Hearing Pilot -- Being Phased In by County in 2026
Introduction - What is the Call-In Phone Hearing Pilot? The Office of Temporary and Disability Assistance’s (OTDA) Office of Administrative Hearings (OAH) started a new pilot program for telephonic fair hearings in 2026. Under the new process, appellants residing in identified counties and their...
Right to a "Home Hearing" under Varshavsky Case - Special Rights in Fair Hearings Seeking Increases in Medicaid Home Care
This article can also be downloaded as a Fact Sheet here. INTRODUCTION Individuals who, because of mental or physical disabilities, cannot travel to a fair hearing without substantial hardship or medical detriment, have rights under an injunction in a class action called Varshavsky. Read...
The Minimum ADL Test to Qualify for MLTC, CDPAP or Personal Care - Starting Sept. 1, 2025
Starting September 1, 2025, ADULT Medicaid recipients age 21 and over who are newly applying for Personal care services ["PCS"], Consumer-Directed Personal Assistance (CDPAP), or Managed Long Term Care (MLTC) or Medicaid Advantage Plus (MAP) enrollment must meet a higher eligibility test to...
Medicaid Assisted Living Programs (ALP) in NYS
INTRODUCTION The Assisted Living Program provides supportive housing and home care services to individuals who are medically eligible for placement in a nursing facility but, whose needs can be met in a less restrictive and lower cost residential setting. he operator of the assisted living...
"MAGI" Medicaid Eligibility under the Affordable Care Act - Rules for Most People Under age 65 Without Medicare
Medicaid eligibility rules changed significantly on January 1, 2014 for some New Yorkers as a result of the Affordable Care Act’s eligibility expansion and streamlining provisions. The expansion only applies to a population called the "MAGI" population. Generally, the new rules do NOT apply to...
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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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