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News
CDPAP FI Transition: Open Enrollment for PAs Starts 4/15/26 - 5/15/26 in Benefits Plans
14 Apr, 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...
HR1 -ACTION ALERT re Changes Coming to NYS Medicaid under the "One Big Beautiful Bill" Law
8 Apr, 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...
News from NYLAG Evelyn Frank Legal Resources Program - Library of Past Newsletters & Upcoming Trainings
7 Apr, 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...
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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Emergency Medicaid in New York State - Limited Medicaid Coverage for Undocumented Immigrants & Changes for Age 65+
News and Updates 2026 Update - See the 2026 State directive applying to those under age 65 with Emergency Medicaid who have not used Medicaid for more than six months. GOOD NEWS ALERT: January 1, 2024 - Undocumented immigrants age 65+ became eligible for full Medicaid (as opposed to only...
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...
NEW YORK INDEPENDENT ASSESSOR PROGRAM (NYIAP) - How Medicaid Home Care Eligibility is Assessed
IN THIS ARTICLE: What is the Independent Assessor? Click here for the basics. Two Official Websites about NYIA When does NYIA Start? Contacts - Where to Submit Complaints, How to Request an Evidence Packet, How to Submit a Power of Attorney NYIA CONSENT FORM - Where to...
CDPAP: April 2025 Transition to PPL as Single Fiscal Intermediary - Background, Press & Archive
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." FI's have...
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...
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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 - Big Changes Coming 2025!
Introduction and links to info about transition to the new NYS "Single Fiscal Intermediary" (FI) This article for latest news and this article for the history of the transition to PPL starting in 2024 with links to press coverage. Also see https://nylag.org/engesser/ for info about...
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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