Your Client Ran Out of Money. The Case Doesn't Have to End.
Learn how home care agencies can help private-pay clients transition to Medicaid and keep the care relationship going.
Presented by Lori Somekh, Founding Attorney. Helping New York families keep care at home since 1997.
Save Your Free Seat
Live on Zoom · Thursday, August 27 at 12:00 PM (ET)
Two Problems That End Good Home Care Cases
Every agency gets these calls. Most agencies think they are the end of the road.
Problem 1: The Money Runs Out
A client needs ongoing care. The family pays out of pocket, month after month. Then one day they call and say the savings are gone. Hours get cut back. The aide is let go. The case ends, and the client loses care they still need.
Problem 2: The Hours Are Too Low
A client is on Medicaid, but the MLTC plan approves far fewer hours than they need. Or it cuts or denies the hours they already had. Your team can see the client is not safe at home. But the plan will not budge.
Here is the truth: neither one has to end the case.
There Is Often a Path Forward. We Fight for It.
NY Elder Law Group is built around high-needs home care cases. Most of our clients need round-the-clock care. This is what we do all day.
Move the Client to Medicaid
When private funds run out, we help the family pursue Medicaid the right way. Done right, there may be a path to keep care at home and keep your services in place.
Fight for the Real Hours
We combine care-management advocacy with a structured legal appeals strategy. We regularly secure 24-hour live-in or split-shift care when it is medically appropriate.
Push Back When Plans Say No
New York gives families more than one shot: a Plan Appeal, an External Appeal, and a Fair Hearing. We know how to use each one, and in what order.
"We do not let MLTCs lowball our clients' care needs or leave them unsafe at home." Lori Somekh, Founding Attorney
One Hour. A Clear Playbook.
The warning signs a family is about to run out of money, and when to act
How a client can move from private pay to Medicaid while keeping care at home
What to do in the first days after an MLTC cuts or denies hours
How New York's three appeal paths work: Plan Appeal, External Appeal, Fair Hearing
When 24-hour live-in or split-shift care can be won, and what "medically appropriate" means
How to bring us in early, so the case never falls apart
Live Q&A included. Bring a real case (no names needed) and Lori will walk through how she would approach it.
Saved Cases. Stable Clients.
Keep clients longer
A family that moves to Medicaid can keep services in place. That is continuity of care, not a lost case.
Keep clients safe
The right hours mean fewer falls, fewer gaps in coverage, and fewer late-night emergencies.
Keep revenue you would have written off
When hours are restored or increased, those are hours your agency staffs.
Be the agency families remember
You showed them a way through when they thought it was over. That is what earns referrals.
Lori Somekh
Founding Attorney, NY Elder Law Group
Lori founded NY Elder Law Group in 1997. Since then she has helped hundreds of New York families get on Medicaid and win the home care hours their loved ones were entitled to. Her practice is built around high-needs cases. Most of her clients need round-the-clock care.
Who Should Be on This Call
Agency Owners
Administrators
Intake & Case Managers
Directors of Patient Services
If your role touches families, money, or hours, this session is for you. Invite your whole team. One registration per person, please.
Frequently Asked Questions
One Live Session. Real Answers.
Q&A time on the live call is limited. Save your seat now and bring a case you want answered.
Save Your Free Seat
Live on Zoom · Thursday, August 27 at 12:00 PM (ET)