Medicare+and+Medicaid+Research

 =**__[|MEDICARE] __**=   =__Introduction __=

· Federal health insurance for elderly and long-term disabled. · Social Security Act, Title XVIII, enacted by the Social Security Amendments of 1965, Pub.L. 89-97, 79 Stat. 286, codified as amended at 42 USC 1395-1395ccc. · //Part A //: Hospital insurance, covering inpatient hospital, skilled nursing, home health, and hospice services; funded by payroll taxes. Statute: 42 USC 1395c et seq. · //Part B //: Supplemental medical insurance, covering various outpatient, rehabilitation, and therapy services, funded by voluntary insurance premiums. Statute: 42 USC 1395j et seq. · //<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Part C //<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: Managed care programs for Medicare enrollees. Statute: 42 USC 1395w-21 et seq. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· //<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Part D //<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: Drug benefit. Statute: 42 USC 13952-101 et seq. [added by Pub.L. 108-173]

<span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman; msobidifontfamily: TimesNewRoman;">[|CENTERS FOR MEDICARE AND MEDICAID] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> CMS (formerly the Health Care Financing Administration (HCFA), a component of the federal Department of Health and Human Services, was created in 1977 to administer the Medicare and Medicaid Programs.

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Regulations __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: Available on <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|CMS website] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> and <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|GPO Access] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Medicare: 42 CFR parts 400-424, 482-493, 498 <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Medicaid: 42 CFR parts 402, 430-436, 440-442, 447, 455-456, 482-483, 485, 491, 493 <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Peer review organizations: 42 CFR parts 462, 473, 466, 476 <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|CMS Manual] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Written by CMS <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Provides persuasive authority <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Provides explanation of Medicare regulations. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Updated as needed <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Not searchable but TOC friendly

<span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Intermediary Letters and Program Memoranda] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Interim instructions eventually codified in Manuals. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Secondary resource that provides a “heads up” on new information that will appear in manuals.

__Provider Based Resources:__ information for hospitals, doctors and firms representing those entities.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Medicare Geographic Classification Review Board decisions] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: hears appeals of hospitals arguing that they should be put in another area for purposes of wage determinations.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Provider Reimbursement Review Board (PRRB) decisions] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: independent panel hearing appeals by Medicare providers from CMS final determinations; subject to review by CMS Administrator.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">CMS advisory opinions **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: on whether physician’s referrals related to certain health services are prohibited (binding only on parties requesting them).

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· [|**CMS rulings**]<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: <span style="font-family: 'Palatino Linotype','serif';">are binding on all CMS components, Medicare contractors, the Provider Reimbursement Review Board, the Medicare Geographic Classification Review Board, and Administrative Law Judges (ALJs) of the Social Security Administration (SSA) who hear Medicare appeals. These Rulings promote consistency in interpretation of policy and adjudication of disputes. <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">CMS Office of Inspector General (OIG) advisory opinions **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: on matters that might result in imposition of penalties. Considered the “fraud watchdog.”

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Administrative hearing proceedings __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Administrative law judge decisions: reviewing CMS and OIG initial determinations

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Departmental Appeals Board] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: review of ALJ decisions

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">CMS Center for Health Plans and Providers Operations Policy Letters (OPL): opinion letters on coverage issues

<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> =__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">SECONDARY SOURCES __=

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">CCH Medicare and Medicaid Guide __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: The best and most comprehensive printed source, in 6 volumes. Vol. 1 contains Medicare and Medicaid indexes, finding lists, and case tables; vols. 1-3 covers Medicare; vols. 3-4 covers Medicaid; vols. 4-5 prints statutes and regulations; and vol. 6 contains current developments. Supplemented weekly.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Federal Procedure, L.Ed __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">., vol. 30, chp. 71: covers both internal CMS procedures and judicial review.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Health Law __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (1995), vol. 2, chps. 13-15: provides excellent discussion of the substantive legal and regulatory system.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Medicare and Medicaid Claims and Procedures __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">, 2 vols. (1986-): detailed practice manual.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Treatise on Health Care Law __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (1974-), vol. 2, chp. 8. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Elder Law Portfolio Series __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (1993-): Portfolios 2 and 3 cover Medicaid, 6 covers Medicare

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Health Care Fraud and Abuse: Enforcement and Compliance __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> ( <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|BNA Health Law& Business Series Portfolio] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> no. 2600) (1997-): good discussion of Medicare/Medicaid enforcement and anti-fraud programs __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Forms __ <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|CMS Website] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: standard claim, management, and quality control forms <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">AmJur Legal Forms 2d, vol. 16B, Chp.235: Basic claim and procedural forms (KF170/A542) <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">West’s Legal Forms, vol 18A, chps. 20 (Medicare) and 21 (Medicaid): checklists and standard forms (KF170/W47/1981)

<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> =**__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">MEDICAID __**<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> =

<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> =__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Introduction __=

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Federal program to finance health care for the poor, in cooperation with the states. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Social Security Act, Title XIX. enacted by the Social Security Amendments of 1965, Pub.L. 89-97, 79 Stat. 343, codified as amended at 42 USC 1396-1396v. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">State plans summaries __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: see 4 CCH Medicare and Medicaid Guide paras. 15,501 et seq. __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">NYS Medicaid Program __ <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">As required by the federal Medicaid statutes, 42 USC 1396 et seq., NYS has designated the state <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Department of Health] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (Social Services Law 363-a) to submit the plan to the federal Department of Health and Human Services needed to qualify for federal Medicaid grant funds. These, with state funds, are used to reimburse medical providers for care provided qualified needy persons. The state <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Department of Family Assistance] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">, (formerly Social Services)–the former state designated agency–continues to hold Medicaid eligibility hearings (Soc.Serv.L.364). Counties and New York City are the “social services districts” that administer the Medicaid program (Soc.Serv.L. 368-a).

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">NYS Statutes __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Social Services Law secs. 363 et seq.; Public Health Law secs. 2807 et seq.

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">NYS Regulations __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">10 NYCRR parts 85-86; 18 NYCRR parts 360, 383, 463, 500-540

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Administrative Issuances: __ <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Fair Hearing Decisions **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: issued by CMS and DOH.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Administrative directives (ADM): **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> Informal policy statements, numbered by year and number of issue (e.g., 92 ADM-40). <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Informational Letters (INF): **<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> Informal notifications of department policies __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Other issuances __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Local commissioner memoranda (LCM), General information system (GIS)

<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> =__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">SECONDARY SOURCES __=

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">New York Medicaid Eligibility: __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> good resource for understanding Medicaid.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Medicaid Reference Guide] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: NYS Dept. of Health reference manual on Medicaid Eligibility. Not binding or cited often. Can sometimes be incorrect. User primarily by the “social services districts.”

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">General Practice in New York __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (1998), chp.23 (Elder Law) surveys Medicare and Medicaid

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">New York Elder Law Practice __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (1999), chp.6 (Medicare), chps. 7-10 (Medicaid)

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Public Benefits in New York __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;"> (1998): covers both Medicare and Medicaid.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">New York Guide to Tax, Estate and Financial Planning for the Elderly __<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: great resource for Medicaid practitioners.

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">INTERNET SOURCES __ <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Cornell Legal Information Institute] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: convenient collection of primary sources materials; some links.

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|Western New York Law Centers] : <span style="font-family: 'Palatino Linotype','serif';">good resource to find many administrative issuances referred to above. <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">

<span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">[|NYSBA Elder Law Section] <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">: good resource to find recent decisions, forms, Medicaid application etc… Access to information might require NYSBA membership.

__<span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">WESTLAW AND LEXIS __ <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">You can find Medicare and Medicaid information in both databases. <span style="color: black; font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; msobidifontfamily: Symbol; msofareastfontfamily: Symbol; msolist: Ignore;">· <span style="color: black; font-family: 'Palatino Linotype','serif'; mso-bidi-font-family: TimesNewRoman;">Oftentimes the information is included under the Elder Law resources.