Legal Alert: The Continuous Coverage Requirement for NYS Medicaid Program Has Ended

In December 2022, the Consolidated Appropriations Act (CAA) unlinked the Medicaid continuous coverage requirement from the public health emergency for the first time since March 2020. As a result of this change in the law, each state will be permitted to begin redetermining Medicaid eligibility as of February 1, 2023.

According to the NYC Human Resources Administration Medical Assistance Program (MAP), New York will implement the changes as follows:

• Renewals with authorization end dates through May 31, 2023 will be extended.
• Beginning in late March or early April 2023, renewals will be mailed to Medicaid recipients with authorization end dates of June 30, 2023 or later.
• If a renewal is not completed and returned with all supporting documentation or if the recipient is no longer eligible, Medicaid may be reduced or terminated, or the recipient may have a re-budgeted NAMI.
• As of July 1, 2023, new Medicaid applications will require full eligibility documentation.

The implementation of the new law will almost certainly result in changes to Medicaid eligibility for many nursing home residents. Cona Elder Law’s experienced attorneys continue to monitor the most recent legislative developments and other important legal matters concerning the nursing home industry.  

Contact us at 631.390.5000 or click here to learn more about how our firm can help your facility preserve its bottom line and ensure its ability to continue to provide quality services to nursing home residents.