NY Health Access
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  • ADAP
    AIDS Drug Assistance Program - A prescription plan that pays for some of the medications needed by low-income people with HIV/AIDS.
  • ADHC
    Adult Day Health Care (aka "medical model" adult day care) - Medically-supervised services for individuals with physical or mental impairment.  Potentially includes nursing, transportation, leisure activities, physical therapy, speech pathology, nutrition assessment, occupational therapy, medical social services, psychosocial assessment, rehabilitation and socialization, nursing evaluation and treatment, coordination of referrals for outpatient health, and dental services.  It is covered by both fee-for-service Medicaid and Managed Long-Term Care (all flavors).
  • ADM
    Administrative Directive - A type of official memo issued by the New York State Department of Health, instructing local districts how to implement the law and regulations.
  • Advanced Premium Tax Credits (APTCs)
    Advanced Premium Tax Credits ("APTCs") are federal tax credits available on ACA exchanges (in New York, the New York State of Health) to lower the cost of the premium that low-income individuals and families owe for their commercial health insurance (in New York, Qualified Health Plans).
  • AFDC-related
    Medicaid eligibility category for children and their caretaker relatives.
  • Affordable Care Act (ACA)
    The Affordable Care Act ("ACA") is a major health care reform federal law that was enacted in March 2010. The ACA aimed to make health insurance more affordable and more accessible, and did so by: expanding Medicaid to cover all adults with incomes below 138% of the Federal Poverty Level for states that chose to expand Medicaid, providing Premium Tax Credits for to lower health insurance premiums for households with incomes between 100% and 400% of the Federal Poverty Level, and supporting innovative health care delivery methods designed to lower the cost of care.
  • Aid Continuing
    Aid Continuing is the right under the due process clause of the U.S. Constitution to have an administrative hearing (fair hearing) held and decided before benefits are reduced or terminated, where the benefits are an entitlement based on financial need.   This right was established by Goldberg v. Kelly, a US Supreme Court decision, and applies to Medicaid eligibility and services. 18 NYCRR Part 358, 360-2.9.  Notice of intent to reduce or terminate benefits must be given 10 days before the effective date of action.  18 NYCRR 358-2.23.  In order to obtain aid continuing, a hearing must be requested before the effective date on the notice.  18 NYCRR 358-2.5.  The recipient has a longer period -- 60 days from the date of the notice -- to request a hearing, but only receives the previous level of benefits unchanged pending the hearing if s/he requests the hearing within 10 days.