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 [...]

Significant changes for how retirees of NYC government and eligible dependents age 65 and older receive their health insurance benefits were approved and will take effect September 1, 2023. NYC retirees age 65+ and their eligible dependents have had choices in how they receive their retiree health insurance benefits, with the vast majority of retirees in [...]