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Partner Brief · Fall 2026 |
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| Partner Brief · New York and New Jersey |
A partner's guide to this fall's Medicaid changes
A one-page guide for referral partners and community organizations.
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Hi there,
Many of the families you serve rely on Medicaid for home care and disability services. Over the next few months they will get letters about new federal rules. A clear word from someone they trust can keep coverage from lapsing. Here is what is happening and what to tell them.
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Key dates |
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Sep 30 NY State of Health notices to affected members |
| Oct 1 Some immigrant groups move to the Essential Plan |
| Jan 1, 2027 Work rules begin in NY and NJ |
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What is changing, and when |
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| In New York, NY State of Health says it will notify affected members by September 30. From October 1 some immigrant groups move from Medicaid to the Essential Plan, with no change in benefits. From January 1, 2027, some adults aged 19 to 64 face new work rules and some will renew every six months. New Jersey starts a similar 80-hour monthly rule for certain NJ FamilyCare adults on the same date. |
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What to do |
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 | Nothing changes for most people on the day a notice arrives. The risk is a letter that goes unread. | | Children, pregnant people and people who recently gave birth keep their coverage in New York, according to NY State of Health. | | Home care clients who are 65 or older, or enrolled with a disability, are among those exempt from the work rules. |
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Three things to tell every client |
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| Most coverage problems start with a missed letter, not an ineligible person. |
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What to do |
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| Update your contact details now: address, phone and email. In New York, that's the NY State of Health account or the NY State of Health customer service line, 1-855-329-8850. | | Open every notice and keep them in one place. | | Know the common exemptions: age 65 or older, pregnancy, disability, and family caregivers of a person with a disability or of a child under 14. People may need to show proof at renewal. |
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Quick tip
Make it part of every check-in
Add one line to your intake or check-in script: have you had any mail about Medicaid? One question can keep a letter from going unread.
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Where to send someone who needs care or staff |
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| Our family of companies can take a referral off your plate. |
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What to do |
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| New York home care, NHTD and TBI waiver services: Priority Cares Home Services. | | New Jersey home care and DDD waiver services: Priority Group Services NJ. | | Facilities that need nurses or aides: Quality Healthcare Staffing. | | Agencies that need IT or professional staffing: ESO Consultants. |
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Thank you for the work you do for the families we share. When someone you serve needs care or a clear answer, we are a phone call away.
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Warm regards,
Segun Olaniyi
Chief Executive Officer
Priority Groups
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About us
Priority Groups is a family of companies providing home care, healthcare staffing, disability services, consulting and cleaning across New York and New Jersey.
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Share one page with your team
Our partner brochure shows every Priority Groups company and who to call for what.
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| We're a call or an email away |
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Sources
NY State of Health, "Changes to Medicaid Coverage" (2026-09-16)
Jersey Vindicator, "Workfare could offer path to meeting Medicaid work rules" (2026-09-20)
NJ Division of Developmental Disabilities, Division Update (2026-09-15)
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Priority Groups LLC34-18 Northern Blvd, Suite 2-17, Long Island City, NY 11101
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