Your Loved One's Home Care Hours Were Cut. Here's Exactly How to Get Them Back.
A free 45-minute session for New York families who just received a denial or reduction notice from their Managed Long-Term Care plan. We'll show you the little-known appeals process that can overturn these decisions in as little as 72 hours — the same strategy our firm has used to win cases for years since 1997.
Reserve My Spot Now ➔In 45 minutes, you'll discover:
Why Your Plan Denied You on Purpose — And Why They're Counting on You Giving Up
The exposed numbers game behind MLTC denials: plans profit when you accept "no" — and most families never challenge it. We'll show you why their denial letter is a strategy, not a final answer.
The 72-Hour "Back Door" Appeal That Bypasses Your Plan Entirely
Most families don't know this exists: an expedited external appeal through the Dept. of Financial Services where an independent doctor — not your plan — reviews your case and issues a binding decision in 3 days.
How to Set Up Two Chances to Win (Instead of One) on Every Appeal
The specific order in which you must file an External Appeal and Fair Hearing to guarantee yourself a second shot — and the common mistake that permanently eliminates it.
This session is perfect for you if:
This Is For You:
- ✓ You just got a letter saying your loved one's home care hours are being reduced — and you have days to act before the cut takes effect
- ✓ You asked for more hours (or split-shift/24-hour care) and the plan said no — even though your parent clearly can't be left alone
- ✓ You went through the Plan Appeal and they denied it again — and you assumed that was the end of the road
- ✓ You're spending thousands out of pocket every month to fill the gap between what Medicaid covers and what your loved one actually needs
- ✓ You're terrified about falls, wandering, or medication mistakes — but you've been told a nursing home is the only alternative
This Is Not For:
- ✕ Families who can comfortably afford $250,000+ per year in private home care and don't need Medicaid assistance
- ✕ People looking for DIY Medicaid advice they can piece together from the internet — this session is about professional legal strategy
- ✕ Anyone who already has adequate home care hours in place and has no pending denials or reductions
Meet Your Host
Somekh & Associates, PLLC
Since establishing NY Elder Law Group in 1997, Lori Somekh has helped hundreds of New York families overturn Medicaid home care denials and fight for the hours their loved ones were legally entitled to — even when the plans said no.
With over 25 years winning appeals against Managed Long-Term Care plans, she knows exactly how they operate, why they deny, and how to force them to reverse course. Her clients are middle-class families who refuse to accept inadequate care — or drain their savings paying privately for what Medicaid should be covering.
Served as Judicial Hearing Officer for the State of New York
Author of "A Guide to Medicaid Home Care in New York"
Executive Committee, Elder Law Section of the NYS Bar Association.