The Medicaid Project   a consumer's guide to Federal and state medicaid Information resources

topics:New York Medicaid Medicare, New York Medicaid Basics, New York MEDICAID FACTS, Medicaid Program Overview; Medicaide In New York; Medicaid Assistance, Getting and Keeping Health Insurance in New York information

  New York MEDICARE help   U.S. and national Medicaid topics not particular to this state   Medicaid resources in other states

New York State Medicaid, New York Public Health Insurance
Directory of Medicaid Help Information, Medicaid In New York, Medicaid assistance

Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. To help seniors and caregivers get started in their search, our editors have compiled this digest of New York Medicaid help and information resources.
 

New York Medicaid; Medicaid NY; Medicaid in New York


 
Topics on this page:
New York Medicaid • Medicaid eligibility • Medicaid Reform • Medicaid Basics • Medicaid for Children & Families  • Drug & Prescription Programs • Medicaid News  • New York Assisted Living • Medicaid Fraud
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New York Medicare: Medicare assistance and New York Medicare help Were you looking for New York Medicare instead of New York Medicaid? This link provides a directory of Medicare web sites, articles, publications, brochures
 

New York State Medicaid Eligibility; How to get Medicaid in New York

topics:Medicaid basics, eligilbility    format: web page:
What is Medicaid? (and other FAQ's)

source:New York State Department of Health
languages: English
Extensive explanation of how the New York Medicaid program works; with eligibility and requirements data. from the web page: "...How do I know if I qualify for Medicaid?; How do I apply for Medicaid?; If I think I am eligible for Medicaid, should I cancel any other health insurance I might already have?..."

 
more from New York State Department of Health
topics:Children's medicaid, eligibility   format: web page:
Children's Medicaid 2007 Income Eligibility Levels
languages: English
from the web page:"To be eligible for either Children's Medicaid or Child Health Plus, children must be under the age of 19 and be residents of New York State. Whether a child qualifies for Children's Medicaid or Child Health Plus depends on gross family income..."

topics:Family Health Insurance, eligibility   format: web page:
Family Health Plus - Who can join?
languages: English
from the web page:"Family Health Plus is available to single adults, couples without children, and parents with limited income, who are aged 19 to 64, are residents of New York State and United States citizens or fall under one of many immigration categories. If you have health insurance - either on your own or through your employer, or are eligible for employer-sponsored health coverage through a federal, state, county, municipal or school district benefit plan - you are not eligible to enroll..."


topics:New York City, Medicaid basics    format: web page:
Medicaid: Public Health Insurance

source:New York City Human Resources Administration/Department of Social Services
languages: English
from the web page: "...Medicaid is a program for New Yorkers who can not afford to pay for medical care. Medicaid is the largest source of funding for medical and health-related services for people with limited income..."


topics:Medicaid eligibility    format: web page:
NEW YORK MEDICAID & S-CHIP ELIGIBILITY

source:U.S. Health Resources and Services Administration
languages: English
from the web page: "...The Medicaid and S-CHIP (Child Health Plus or CHPlus) programs in New York are administered by the State Department of Health, Office of Medicaid Management. The S-CHIP program is a combination Medicaid Expansion (CHPlus A) and separate program (CHPlus B). There is a joint application for both programs..."

topics:Medicaid eligibility    format: web page:
Review of Medicaid Eligibility in New York State

source:HHS-OIG-Organization-Office of Audit Services
languages: English
from the web page: "...objective was to determine the extent to which the State agency made Medicaid payments on behalf of beneficiaries who did not meet Federal and State eligibility requirements. The State agency (1) made some Medicaid payments on behalf of beneficiaries who did not meet Federal and State eligibility requirements and (2) did not always adequately document eligibility determinations...."


topics:Medicaid eligibility    format: web page:
New York Extending Medicaid Eligibility and Shifting Services

source:The New York Times
languages: English
from the web page: "...In the first major expansion of New York State's Medicaid program in more than 20 years, the State Assembly today gave final passage to a bill that would extend eligibility to about 200,000 people who are living at the edge of poverty..."


topics:Medicaid eligibility, reform    format: web page:
MEDICAID ELIGIBILITY AND WELFARE REFORM IN NEW YORK CITY

source:United Hospital Fund
18 pages; languages: English
from the brochure or publication:: "...The main way that most low-income individuals receive health insurance is through Medicaid, and prior to welfare reform efforts that began in New York State and New York City in 1995 and nationwide in 1996, eligibility for Medicaid was closely tied to eligibility for cash assistance benefits, or welfare..."


Medicaid Reform

topics:Medicaid reform    format: web site:
Medicaid Matters New York

languages: English

"...a coalition of over 125 groups representing those most affected by Medicaid policy debates: Medicaid consumers low-income and disabled New Yorkers who rely on this crucial public program for basic, lifesaving health care..."

topics:Medicaid reform    format: brochure or publication:
MEDICAID WATCH ’05

source: The Public Policy Institute of New York State, Inc.

file size: 9 pg.   languages: English

Newsletter about the issue of public health insurance (Medicaid).

topics:Medicaid reform, law   format: brochure or publication:
The Facts About... The Olmstead Decision

source:Empire State Association of Assisted Living
file size: 2pg.   languages: English
from the brochure or publication: "...On June 22, 1999, the U.S. Supreme Court ruled in Olmstead v. L.C. that the unnecessary institutionalization of individuals with disabilities constitutes discrimination under the Americans with Disabilities Act (ADA.) The Olmstead decision found that failure to provide community-based services to persons with disabilities violates the ADA, which mandates that states provide their services, programs and activities “in the most integrated setting appropriate to the needs of qualified individuals with disabilities.”..."

topics:Long Term Care    format: web page:
Consumer Guide to Community-Based Long Term Care

source:New York State Department of Health

languages: English
from the web page: "...What is Medicaid and what does it pay for?... Medicaid can pay for a variety of medical services that can help you continue to live in your home, or for special services available to participants in waivers. Some of the covered services are: doctor and clinic services, prescription and non-prescription drugs, home care, personal care aides, adult day care, lab tests, transportation to medical care, physical, occupational and speech therapy, mental health services, x-rays, durable medical equipment such as wheelchairs, orthotic and prosthetic appliances..."
 
more from New York State Department of Health
topics:medicaid & long term care    format: web page:
long-term care medicaid reimbursement
languages: English
from the web page: "...Medicaid Rates... Nursing Home Rates... Adult Day Health Care Rates... Certified Home Health Agency Rates... Long Term Home Health Care Rates..."

topics:health care laws and regulations    format: web page:
New York State Health Care Reform Act (HCRA)
languages: English
from the web page: "...HCRA is a major component of New York State's Health Care financing laws which governs hospital reimbursement methodologies and targets funding for a multitude of health care initiatives. The law also requires that certain third-party payors and providers of health care services participate in the funding of these initiatives through the submission of authorized surcharges and assessments...."


Medicaid Basics

topics:Medicaid basics, children's insurance   format: brochure or publication:
New York MEDICAID FACTS

source:AMERICAN ACADEMY OF PEDIATRICS
file size: 2pg.   languages: English
Introduction to New York Medicaid, with answers to questions like "What is medicaid?" and "How is Medicaid different from Medicare?" with facts pertaining to New York residents.

topics:Medicaid facts   format: web page:
New York & United States State Medicaid Fact Sheets

source:Kaiser Family Foundation
languages: English


topics:Medicaid basics   format: brochure or publication:
Medicaid At-a-Glance 2005

source: Centers for Medicare & Medicaid Services
file size: 12 pg.   languages: English
A brief explanation of the Medicaid program.

topics:Health insurance   format: brochure or publication:
A Consumer's Guide to Getting and Keeping Health Insurance in New York

source:healthinsuranceinfo.net
file size: 45pg.   languages: English
from the brochure or publication: "...from GEORGETOWN UNIVERSITY HEALTH POLICY INSTITUTE. As a resident of New York, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition. This guide describes your protections as a resident of New York..."

topics:Medicaid basics    format: web page:
Key Medicaid Information for New York

source:Elder Law Answers
languages: English
Explains important basics about New York Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery.

topics:Medicaid reform, basics   format: brochure or publication:
MEDICAID IN NEW YORK STATE - Separating Fact from Fiction

source:Healthcare Association of New York State (HANYS)
file size: 20 pg.   languages: English
from the brochure or publication: "...New York State’s Medicaid program has established an unparalleled record of caring for the most vulnerable people in our communities. Medicaid and the associated Child Health Plus and Family Health Plus programs provide health care coverage for children and adults, expectant mothers, disabled individuals, the elderly, and people struggling with mental illness..."

topics:Medicare rights    format: brochure or publication:
Your Medicare Rights and Protections

source: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Centers for Medicare & Medicaid Services
file size: 44pp   languages: English
Fairly detailed explanations and descriptions about your Medicare rights and protections.

Medicaid for Children & Families

topics:Mental health services   format: brochure or publication:
Mental Health and Substance Abuse Services in Medicaid and SCHIP in New York

source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
file size: 9 pg.   languages: English
"In New York, low-income children may be enrolled into the Medicaid program, a SCHIP Medicaid expansion program, or a separate SCHIP program based on the child's age and their family's income."

topics:Disabled Person's Medicaid, Family Health Insurance   format: web page:
Medicaid Buy-In Program

source:Office of Citywide Health Insurance Access (New York City)
languages: English
from the web page: "The Medicaid Buy-In Program for Working People with Disabilities offers people with disabilities who are working, and earning more than the allowable limits for regular Medicaid, the opportunity to keep their health care coverage through Medicaid... "
 
more from Office of Citywide Health Insurance Access (New York City)
topics:Family Health Insurance   format: brochure or publication:
A Guide To Health Insurance Options For New York City's Small Businesses and Working Individuals
12 pages; languages: English
from the brochure:"...Finding affordable health insurance is easier than you might think. Whether you’re a small business owner, sole proprietor, or working individual, there is a special New York City health insurance option designed especially for you. There is also a City resource to help you identify the available plans and to guide you through the enrollment process....."

topics:Family Health Insurance   format: web page:
Medicaid Excess Income Program
languages: English
from the web page:"The Medicaid Excess Income Program also known as the "Medicaid Spenddown Program" or the "Medicaid Surplus Income Program" offers Medicaid coverage to individuals whose net monthly income is above the Medicaid income limits and who meet all other Medicaid eligibility requirements...."


topics:Children's Medicaid, Children's Health Insurance   format: web page:
Child Health Plus

source:Health Plus
languages: English
from the web page: "Since 1992, Health Plus has offered Child Health Plus - New York State's Health Plan for Kids. Child Health Plus/Health Plus provides a child or teenager with free or affordable health coverage depending on their household income. For most families, Child Health Plus/Health Plus may be FREE or have a small monthly cost... "

topics:Children's Medicaid, Children's Health Insurance   format: brochure or publication:
Guide to Finding Health Insurance Coverage - New York

source:Families USA
8 pages; languages: English
from the brochure or publication: "Are you uninsured? You are not alone. Millions of Americans are without health insurance. Some lost their insurance when they lost their jobs. Others work hard, but their jobs don’t provide health insurance benefits. Whatever the reason, finding health insurance can be difficult.... "

topics:Children's Medicaid, Children's Health Insurance   format: brochure or publication:
New York MEDICAID FACTS

source:National Association of Children's Hospitals and Related Institutions
languages: English
from the brochure or publication: "The Medicaid program provides health insurance for over 1.8 million low-income children in New York..."

topics:Children's Medicaid, Children's Health Insurance   format: web page:
Child Health Plus - Facilitated Enrollment

source:Community Action for Wyoming County
languages: English
from the web page: "ALL children in New York State are eligible for health insurance. For many families, this insurance is FREE or at a very low cost (based on income)... "

topics:New York City CHOICE, health care providers    format: brochure or publication:
New York Medicaid Managed Care Update

source:NYC.gov - the official New York City Web site

file size: 4pg.   languages: English

A guide to the New York Medicaid CHOICE Program for Providers.

topics:Children's insurance, health care   format: web page:
New York Public Health Insurance for Parents

source:National Center for Children in Poverty
languages: English
"Parents have access to public health insurance coverage primarily through plans that target “families”, with significant variation by state in the types of plans that are available and in the eligibility criteria that parents must meet. Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents..."

 
more from National Center for Children in Poverty:
topics:Children's insurance, health care   format: web page:
On the Edge in the Empire State - New York’s Low-Income Children
languages: English
"In New York State, one of the most populous states in the nation, more than two out of every five children live in low-income families. Recent research indicates that the income gap in this state between the wealthiest families and the lowest-income families is the largest in the nation. 1 Nearly half of all New York State residents live in New York City, where the cost of living is especially high...."


topics:Children's Medicaid, Family Health Insurance   format: web page:
Family Health Plus and Child Health Plus

source:Healthy NY
languages: English
from the web page: "Family Health Plus is a public health insurance program run by the Department of Health for adults between the ages of 19 and 64 who do not have health insurance — either on their own or through their employers — but have incomes too high to qualify for Medicaid....New York State also has a health insurance plan for kids, called Child Health Plus. Child Health Plus is run by the Department of Health. Depending on your family’s income, your child may be eligible to join either Child Health Plus A (formerly Children’s Medicaid) or Child Health Plus B. "

Medicaid Drug & Prescription Programs

topics:Preferred drug list    format: brochure or publication:
New York State Medicaid Preferred Drug Program Recipient Frequently Asked Questions

source:New York State Medicaid Preferred Drug Program

file size: 1 pg.   languages: English

from the brochure: "...Effective June 28, 2006 the New York State Medicaid program will begin using a Preferred Drug List (PDL)..."

topics:Preferred drug list    format: web page:
Medicaid Pharmacy Preferred Drug Program

source:First Health Services Corporation

languages: English

from the web page: "...The Medicaid Preferred Drug Program (PDP) promotes the use of less expensive, equally effective prescription drugs when medically appropriate. Preferred drug programs are used in the private sector, in other state Medicaid programs and in the Medicare Part D drug program. The Department of Health has contracted with First Health Services Corporation to assist with management of the PDP..."

topics:Preferred drug list    format: web site:
ACCESS NYC

languages: English

from the web site: "...a free service that identifies and screens for over 30 City, State, and Federal human service benefit programs. You may use this service anonymously or you have the option to create an account..."

Medicaid Assisted Living & Nursing Homes


topics:Nursing Homes, Long Term Care, Rehab   format: web site:
Directory of Medicaid / Medicare Nursing Homes Sorted by New York Cities
languages: English
from the web site: "...a consumer's guide to New York Medicare & Medicaid Nursing Homes... 656 New York Medicare and Medicaid nursing homes and long term care facilties..."

topics:Assisted Living    format: web page:
Assisted Living in New York State: A Summary of Findings

source:Long Term Care Community Coalition

languages: English
from the web page: "...The just-completed (October 2001) Assisted Living Project is an extensive, three-year study of the New York State, assisted living industry. For this study, assisted living facilities were defined as group-housing arrangements that reported to provide or arrange for such personal care services as help with daily-living activities such as bathing, dressing and toileting, etc. Therefore, adult homes, enriched housing, and other facilities providing such services fell within the study’s scope..."
 
more from Long Term Care Community Coalition:
topics:Long Term Care    format: web page:
ACCESS TO LONG TERM CARE
languages: English
from the web page:"...This page is dedicated to access to care issues, including plans to institute single points of entry (POEs) for long term care, compliance with the U.S.Supreme Court's decision in Olmstead (which held that the unjustified institutional isolation of people with disabilities is a form of illegal discrimination) and changes to Medicaid...."


web page:
North Dakota Medicaid and Medicare Nursing Homes

source:The Nursing Home Project
languages: English
Directory of nursing homes and long term care facilities in New York, with Medicaid and Medicare nursing home information. Besides a state directory, there are seperate pages for the main New York cities- New York NY Nursing Homes, and Brooklyn New York
.

New York Medicaid News

topics:Medicaid news, fraud   format: web page:
Maximus to root out Medicaid fraud in New York

source:Washington Business Journal: Local Business News
languages: English
from the web page: "Maximus, which manages social services programs for state and local governments, has been hired by New York state to help it reduce Medicaid fraud, waste and abuse. ..."

topics:Medicaid news, fraud   format: web page:
A needed registry - Attorney General Cuomo is responding to a potential crisis

source:Rochester Democrat and Chronicle
languages: English
from the web page: "(September 17, 2007) — With aging New Yorkers fueling rapid growth of the home health care industry in the state, it's a positive development that Attorney General Andrew Cuomo is moving quickly to address concerns about illegal activity..."

topics:Medicaid news   format: web page:
Vital Medicaid Bill Signed Into Law

source:Correctional Association of New York
languages: English
from the web page: "Governor Spitzer has signed into law a new bill that requires New York State to suspend rather than terminate Medicaid for all people entering prison with prior Medicaid coverage..."

Medicaid Fraud

topics:Medicaid fraud   format: brochure or publication:
MEDICAID FRAUD LAWS AND PROPOSALS - SETTING THE RECORD STRAIGHT

source:Healthcare Association of New York State (HANYS)
file size: 28 pg.   languages: English
from the brochure or publication: "...Included in Governor Spitzer’s budget are sweeping proposals to address Medicaid fraud and abuse... This document describes existing laws and the Governor’s proposals...."

topics:Medicaid fraud   format: web page:
Medicaid Fraud

source:New York State Department of Health
languages: English
from the web page: "Under the Medicaid program, taxpayer dollars are used to provide health care to low-income individuals. It is vital that these dollars be effectively spent to help those in need. Unfortunately, a small percentage of Medicaid providers and recipients engage in various forms of fraud and abuse..."

topics:Medicaid fraud, medicaid news   format: web page:
New York Medicaid Fraud May Reach Into Billions

source:New York Times
languages: English
from the web page: "It was created 40 years ago to provide health care for the poorest New Yorkers, offering a lifeline to those who could not afford to have a baby or a heart attack. But in the decades since, New York State's Medicaid program has also become a $44.5 billion target for the unscrupulous and the opportunistic..."

topics:Medicaid fraud, medicaid news   format: web page:
STATE INVESTIGATION REVEALS WIDESPREAD MEDICAID FRAUD

source:Office of New York State Attorney General Andrew M Cuomo
languages: English
from the web page: "Attorney General Spitzer and State Medicaid Inspector General Kimberly O’Connor today announced that, after a 4-month undercover investigation, prosecutors and investigators have dismantled a Medicaid fraud ring involving a doctor, pharmacists, several city pharmacies, millions in fraudulent Medicaid billings and large monetary transfers to individuals in Pakistan..."
 
more from Office of New York State Attorney General Andrew M Cuomo
topics:Medicaid fraud    format: web page:
FIGHTING MEDICAID & AUTO INSURANCE FRAUD
languages: English
from the web page: "...To Help Fight Insurance Fraud: Click Here to submit an on-line Complaint Form..."



 

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