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Classes

Thursday February 29
2024
 Medicaid Managed Care & the New York Independent Assessor (NYIA) with 2024 Updates

The NYS Department of Health has contracted with Maximus to conduct an independent assessment process for individuals seeking Medicaid Community Based Long Term Services and Supports (CBLTSS), including Personal Care Services (PCS) and Consumer Directed Personal Care Services (CDPAS or CDPC Program – CDPAP). Subsequently, New York´s PCS and CDPAS regulations at 18 NYCRR 505.14 and 18 NYCRR 505.28, respectively, were amended to require that individuals seeking these services under the Medicaid State Plan must obtain an independent assessment, be evaluated, and have a Medical Review and Practitioner´s Order form completed by an independent clinician that does not have a prior relationship with the individual seeking services. This new evaluation process is what we now refer to as the New York Independent Assessor (NYIA).

 

In this training, you will:

- Learn about the Medicaid managed care landscape to better understand how that intersects with the NYIA;

- Understand the new regulations and rules for NYIA, the pertinent roll-out dates, and obtain updates about NYIA since it launched in 2022;

- Understand appeal rights under NYIA and review fair hearing decisions involving NYIA denials and approvals; and

- Identify common barriers and due process issues and learn advocacy tips to help your clients navigate this new system.

 

Instructors:

- Paula Arboleda (she/her) - Director of Health Advocacy - Public Benefits Unit & LGBTQ Unit - Bronx Legal Services

- Mul Kim (she/her)- Staff Attorney - Public Benefits Unit - Bronx Legal Services

 

CLE Credits:

- Areas of Professional Practice: 2.5

 

CLE Suitability:

- Content appropriate for both experienced and new attorneys.

Add to Cart
  • When
    Thursday, February 29, 2024
    10:00 am - 12:30 pm
  • CLE Credits
    Areas of Professional Practice: 2.50
  • Format
    Fully Interactive Videoconference
  • Practice Area(s)
    Health
    Public Benefits
  • Price: $0
  • Materials
    Contains 1 training item(s)

About the Faculty

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    Paula Arboleda (Speaker)

    Paula Arboleda (she, her, ella) is the Director of Public Benefits and LGBTQ Advocacy at Bronx Legal Services. She co-manages a team focused on providing legal services to vulnerable low-income Bronx residents who need assistance obtaining, retaining, or increasing vital public assistance benefits such as cash welfare, rental subsidies, WIC, and SNAP as well as public health insurance and home care services. She works with the LGBTQ Advocacy Project to provide comprehensive legal services to low-income LGBTQ people on a multitude of legal issues, such as immigration, public benefits, and name changes. Prior to joining Bronx Legal Services, Paula worked exclusively on health care and elder law issues as a senior advocate with the New York Legal Assistance Group (NYLAG). While at NYLAG, she gained expertise working with Medicaid health insurance, Medicaid funded home care services, the Medicare Part D prescription drug program, and related health insurance programs for low-income seniors. She provided trainings for professionals and consumers, one-on-one counseling and direct advocacy to thousands of seniors and people with disabilities. Paula is a part-time instructor with the Brookdale Center for Healthy Aging at Hunter College in their Aging and Geriatric Care Management certificate program. She earned dual graduate degrees (a Masters of Social Services and a Masters in Law and Social Policy) in 2008 from Bryn Mawr College?s Graduate School of Social Work, and her B.A., Magna cum laude, in 2005 from Bryn Mawr College.
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    Mul Kim (Speaker)

    Mul (she, her) is the staff attorney at Bronx Legal Services? Public Benefits Unit and LGBTQ Advocacy Project. Her work focuses on providing advice and representation to clients aged 50 and older on issues related to health advocacy such as Medicaid/Medicare Savings Program, and home care services and appeals. She will also provide advice and representation on public benefits like Cash Assistance and SNAP. Mul previously worked as a health care advocate at the Center for the Independence of the Disabled New York (CIDNY) representing Medicaid recipients in home care appeals as part of New York State?s Ombudsprogram, the Independent Consumer Advocacy Network (ICAN). She was also an associate attorney at the Law Office of Patricia A. Powis focused on Article 81 guardianships. She received her J.D. from the CUNY School of Law in 2008 and B.A. at Stony Brook University in 2005.