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2014-2015 Health/Medicaid Budget
A Consumer Checklist

It is time once again for MMNY’s Annual Budget Checklist!
We urge advocates and the Legislature to use this tool as a guide to support and protect the interests of people covered by Medicaid, as a final budget agreement is negotiated.

 

Assembly

Senate

Enact the Community First Choice Option.  Take advantage of this historic opportunity to end the institutional bias in Medicaid to guarantee long term services in the community.  Amend the Nurse Practice Act to realize fully-viable implementation.

 

Create a Basic Health Program.  Provide affordable health insurance coverage, with hundreds of millions of dollars in Federal support, for low-income adults just above Medicaid income eligibility.

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Protect Managed Care Due Process Rights.  Eliminate the requirement to exhaust a plan’s internal appeals process before requesting a fair hearing when services have been reduced or denied, and provide aid-continuing until a final determination is made.

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Fund the Medicaid Managed Care Ombudsperson Program.  Provide funding to implement this program that will provide individual, independent assistance and advocacy for people trying to navigate managed care.

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Expand the Medicaid Managed Care Advisory Review Panel.  Include consumers, people with expertise in access for children and people with disabilities; expand the scope to recognize access issues in every area of coverage.

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Preserve spousal/parental refusal.  Reject the proposal to eliminate spousal and parental refusal provisions in Medicaid.

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Preserve “prescriber prevails.”  Guarantee that the prescriber of a prescription drug has the final say in whether a person gets what was prescribed.

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Create Regional Health Improvement Collaboratives.  Recognize the importance of regional planning, and include consumer and community engagement and input, including non-medical providers and community-based organizations.

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*Based on one-house budget positions.  These may change as budget negotiations continue.

Remember the everyday New Yorkers who rely on our public health insurance programs and the health care safety net as you deliberate over the final Health/Medicaid budget!

Medicaid Matters New York (MMNY) is a statewide coalition of over 140 organizations representing the interests of Medicaid beneficiaries, over five million New Yorkers who benefit directly from the Medicaid program.  MMNY is unique in that it is the only statewide entity that focuses its advocacy efforts solely on the interests of Medicaid beneficiaries. For more information, visit www.medicaidmattersny.org or contact Maria Dibble, MMNY Chair, at mdibble@stic-cil.org or (607) 724-2111.

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Partially funded by the New York Community Trust                                               contact: Lara Kassel, Coordinator, 518-320-7100