Get More Hours

Our Services

We provide expert advocacy at every stage of the home care hours increase process. Each stage builds on the last, and you only pay for what you need.

Stage 1
$99
Request for Increase in Plan of Care

The first step is submitting a formal written request to your MLTC company, directed to your case manager.

What We Provide

  • Personal intake to gather your medical conditions and ADLs
  • AI-generated Request for Increase letter from the client
  • Template request to your doctor for a Letter of Medical Necessity (LOMN)
  • Secure document upload and management
  • Guidance on what information to include

What Happens Next

The MLTC reviews your request, may initiate an assessment, and issues their determination. If they don't fully grant your request, you'll receive an Initial Adverse Determination (IAD).

2-4 weeks for MLTC response
Stage 2
$149
Internal Appeal

If your MLTC issues an IAD, you have the right to file an Internal Appeal challenging their decision.

What We Provide

  • Review and analysis of the IAD
  • AI-generated Internal Appeal letter
  • References to your LOMN and medical documentation
  • Argument construction based on your specific situation
  • Document organization and submission guidance

What Happens Next

The MLTC reviews your appeal and either grants additional hours or issues a Final Adverse Determination (FAD). If they deny the appeal, you can escalate to a Fair Hearing.

30-60 days for MLTC response
Stage 3
$299
Fair Hearing

A Fair Hearing with NYS OTDA is your final and strongest tool. This is an administrative hearing where you present evidence before a judge.

What We Provide

  • Fair Hearing request filing with NYS OTDA
  • Analysis of the MLTC's evidence package, including the UAS report
  • AI-generated Memo of Law arguing why the FAD is incorrect
  • Identification of favorable data points in the UAS
  • Complete evidence package preparation

What Happens Next

Both you and the MLTC present evidence. The judge reviews the case and issues a decision. The UAS report the MLTC uses to determine hours is often open to interpretation, and we identify the data that supports your request.

Hearing typically scheduled within 2-3 months

White Glove Service Available

Want us to handle everything? Our White Glove option ($199/stage) includes document submission, case manager communication, and a dedicated advocate managing your case end-to-end.