Posts Tagged ‘New York Elder Law Lawyer’
How Medicare Recipients Can Prepare for the Termination of Certain Supplemental Medicare Policies (Medigap)
August 2nd, 2019 by David Goldfarb
As part of the Medicare Access and CHIP Reauthorization Act of 2015, Congress eliminated certain Medigap plans that cover Medicare Part B deductibles and other expenses owed by Part B policyholders. The federal law will no longer allow insurance companies to offer certain Medigap programspolicies—such as Plan C or Plan F—starting in 2020. As part […]
Changes in Fair Hearing Rights for Medicaid Managed Long Term Care and Managed Care Members Effective May 2018
February 16th, 2019 by David Goldfarb
Starting on May 1, 2018, Medicaid subscribers in New York state will see drastic changes to their appeals process. These changes place more procedural requirements on those seeking to appeal Medicaid determinations. An experienced New York elder law attorney can help Medicaid subscribers who need assistance with their Medicaid appeals. For decades, the elder law […]
CMS Reverses Obama Policy on Nursing Home Quality Enforcement
August 31st, 2018 by David Goldfarb
The Center for Medicare Advocacy reports that on June 15, 2018, the Center for Medicare & Medicaid Services (CMS) finalized proposed changes to Obama-era policy on nursing home quality enforcement. According to the Center and other resident advocacy groups, these changes will likely lead to a greater risk of resident harm. The changes to the […]
The Advantages and Pitfalls of “Professional Guardians”
July 27th, 2018 by David Goldfarb
When you think of a guardian of an incapacitated adult, you likely first think of an adult child or another close family member who will care for the adult. However, in some cases, a guardian may be a non-relative appointed by the courts. In many states, these are referred to as “professional guardians.” While New […]
New Limits on Home Care Agencies for NY Managed Long-Term Care Plans
July 20th, 2018 by David Goldfarb
As of early 2018, about 229,000 New Yorkers received health services through the state managed long-term care (MLTC) plans. These plans allow patients to use Medicaid or Medicare to receive home health care. The goal in many cases is to keep patients in their homes as long as possible, so home health care is an […]
Hindsight Is 20/20: Medicaid Coverage and the Five Year Look-Back Period
June 29th, 2018 by David Goldfarb
Nursing homes, assisted-living centers, and similar facilities can cost their residents a lot of money. As a result, many people rely upon Medicaid coverage to pay for long-term care, either for themselves or for loved ones. Medicaid, however, is a form of social welfare designed to help low-income individuals meet their healthcare needs. As a […]
Legislative Update: “The Lock-In” for Long Term Care
June 22nd, 2018 by David Goldfarb
As in previous years, much of New York State’s 2018-2019 enacted budget focuses on healthcare spending. This year enacts several important updates, but you should understand in particular the new “lock-in” provision for people enrolled in managed long-term care (MLTC) plans. No “lock-in” previously existed—New Yorkers who enrolled in managed long-term care plans could change […]
Important Update: Nursing Home Carve-Out in Managed Long-Term Care
June 18th, 2018 by David Goldfarb
The recently adopted 2018-2019 New York State budget contains a number of significant amendments regarding healthcare in New York. As in prior years, the bulk of the budget focused on Medicaid funding, but many of the recent changes came in response to anticipated cuts to Medicaid at the federal level. One change is of particular […]
Long-Term Care Costs Are Surging, and New Yorkers Must Prepare for Them
March 23rd, 2018 by David Goldfarb
Financial planning for retirement is a complicated task. It requires anticipating living expenses for an indefinite amount of time. This daunting task is often met by a combination of resources. For adequate financial preparation, a retiree must often have health insurance coverage through Medicare, private insurer and possibly Medicaid. Retirement accounts such as 401(k) plans […]
New Federal Advisement May Affect the Safety of New York Assisted Living Residents
February 23rd, 2018 by David Goldfarb
During his first year in office, President Donald Trump has worked to reduce as many federal regulations as he can. There are pros and cons to any federal regulation. Opponents and supporters will continue to debate the prudence of these measures, but in the meantime, real lives are affected by the removal of safety protections. […]
