Beginning in late June 2023, Essential Plan enrollees will have 12 months of continuous coverage, even if they experience a change in income or household size. While all who have health insurance through the NY State of Health/Marketplace are required to update their income during their coverage period, those with Essential Plan will now maintain coverage [...]

Starting from March 1, 2023, pregnant individuals in NYS will receive 12 months of continuous Medicaid coverage after giving birth, regardless of any increase in their household income during that period. Previously, pregnant individuals were only eligible for Medicaid for 60 days postpartum. This 12-month coverage will be applicable to anyone who was eligible for and [...]

NYC Medicaid recipients with coverage administered by HRA, who do not also have a Cash Assistance case, are now able to submit their Medicaid renewal information using the ACCESS HRA client portal. These recipients still have the option of mailing in the renewal forms to NYC HRA; ACCESS HRA provides another option for renewal submission. This [...]

NYRx is the new name for New York State’s Medicaid Pharmacy Program. Beginning April 1, 2023, pharmacy benefits will be “carved out” of the benefits package for Mainstream Medicaid Managed Care plans (MMC), Health and Recovery Plans (HARPs) and HIV-Special Needs Plans (HIV-SNPs).This means that plan members will no longer have their prescriptions covered by their [...]