Medicaid for Home Care in New York

Medicaid Certified Home Care Agency in New York

An agency needs to be certified as an HHA (Home Health Agency) to claim Medicaid in New York. All agencies must have a license and should offer only non-medical care services. Details about the eligibility are provided by the Bureau of Licensing and Certification or state’s Department of Human Services.

Governing Body: New York Medicaid

Overview:

In New York, Medicaid is also known as Medicaid Managed Care, and it offers a number of jointly-funded state and federal health care programs for seniors, pregnant women, parents, newborns, children, seniors, and disabled people.

Medicaid Programs:

  • New York Managed Long Term Care (MLTC) Program Waiver
  • New York Consumer-Directed Personal Assistance Program (CDPAP)
  • New York Assisted Living Program (ALP)
  • New York Community First Choice Option (CFCO)
  • Family Planning Benefit Program
  • Child Health Plus

Income Requirements:

  • For those with an income within 138% of the FPL
  • For an individual, income of $16,643 per year
  • For a family of four, income of $33,948 per year
  • For a family of ten, income of $68,559 per year

Application Process:

The application process for accessing Medicaid in New York is simple. One can apply online for the available Medicaid programs by visiting the NY State of Health.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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