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NYC MEDICAID PROGRAM CONTACTS
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| MICSA Unit |
Liason Name/ Purpose |
New Contact Info |
| Medicaid Departments -- NOT Home Care (for home care see below) |
| NYC HRA Medicaid Helpline |
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1-888-692-6116
Medicaid info https://www.nyc.gov/site/hra/help/health-assistance.page
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| Undercare Processing Division |
Case action update requests
Case or Budgeting Changes
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undercareproviderrelations@hra.nyc.gov - use encrypted mail or password-protected attachment.
or Fax 1-917-639-0837. See this May 2020 Medicaid Alert
WHAT TO SUBMIT: Attach signed MAP 751k form required (encrypted)(correct,, add or change date of birth, SSN, gender, change of address & phone number, ,transfer from county-to-county requests - write "LUBERTO")
MAP 751W (close case, add or remove someone from case, report death, request budgeting changes including pooled trust, evaluate for MSP eligibility, report change in immigration status, add or remove Third Party Health Insurance)
See NYC Medicaid Alert: MAP Undercare Division - 9/8/21 Alert
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| Applications |
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E-FAX applications to 917-639-0732 (For general public who are not authorized submitters - NOT Immediate Need applications
- MAKE CLEAR ON APPLICATION IF SEEKING TO ENROLL IN MLTC, or SEEKING MEDICAID ONLY.
Authorized Submitters (C-REPs) ONLY can fax appications to 917-639-0731
Immediate Need - see below.
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| Managed Care Client Services |
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212-273-0062 (phone)
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| Recipient Restriction Unit |
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929-221-0859/60 (phone)
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| Eligibility Information Services |
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929-221-0865 (phone)
e-Fax (718) 636-7847 If down use instead
(718)-636-7852 or (718) 636-7846.
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| Medicaid Fair Hearings |
Rivera Unit (Request Evidence Packets) |
MAIL: HRA Fair Hearings - Rivera Unit
111 Livingston Street, Brooklyn, New York 11201
FAX: 718-722-7565
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| Medicaid Transportation |
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929-221-0840/41 (phone) |
| Medicaid Third Party Health Insurance Program |
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212-630-1160(phone) 929-221-0842/43 (phone)
917-639-0675 (e-fax)
e-mail micsatphi@hra.nyc.gov
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| Medicaid Reimbursement |
Evadne Duff (Homecare) |
929-221-0845 (phone non-home care)
929-221-1193 (phone home care)
917-639-0674 E-FAX (both home care and medical)
E-mail::micsa.fiscal@hra.nyc.gov (both home care and medical)
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| Renewals - Office of Mail Renewal |
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e-Fax 1-888-692-6116 |
| Surplus Unit |
Maria Rivera
Graciela Mathews
Angel Phifer-Brown (Fax Unit)
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929-221-0833 (phone)
929-221-0838 (phone)
929-221-0835 (phone)
917-639-0645 (fax - submit bills to meet spend-down )
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| Pooled Trusts (not with home care) |
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(929) 221-0868 /69
Fax (718) 636-7847 TEMPORARILY INOPERABLE as of 4/25/23 - use instead
(718)-636-7852 or (718) 636-7846.
For info on status of trust for client not receiving MLTC or immediate need -
email undercareproviderrelations@hra.nyc.gov
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MIPP program
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E-MAIL: mipp@hra.nyc.gov (see article - not for people in MSP program) |
| Replace Medicaid Card |
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Replace a lost, stolen, or damaged Medicaid card. (this link can be found here
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| NURSING HOME ELIGIBILITY DEPT. NHED |
| Nursing Home Eligibility Dept. (NHED) |
Provider Relations
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TEL 718-557-1368
E-FAX (917) 639-0687
For inquiries: nhedproviderrelations@hra.nyc.gov
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| NHED Applications |
E-Fax (917) 639-0735 |
| NHED Renewals |
E-Fax 917-639-0643 |
| NHED Deferrals |
E-Fax 917-639-0679 |
| Conversions & Undercare changes |
E-Fax 917-639-0736
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| Discharge |
E-FAX 917-639-0687 |
| Home Care Services Program (HCSP) - 785 Atlantic Ave., 7th floor |
| Deputy Comm'r. Home Care |
Randa Henry-Jenkins |
(929) 221-0848
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| HCSP Central Intake |
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(929) 221-8851 or (929) 221-8889
FAX (212) 666-1459 email HCRequests@hra.nyc.gov
132 W. 125th Street, 5th Floor New York, NY 10027
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Applications for Medicaid and Personal Care/CDPAP for people exempt or excluded from MLTC or managed care (i.e enrolled in home hospice, OPWDD waiver, or TBI or NHTDW waivers)
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If denied MLTC enrollment by NYIA and NYIA refers back to "local district," NYC residents contact THIS UNIT, not the CASAs. - Fax or Email the OUTCOME NOTICE ot this address and request HOUSEKEEPING services (limited to 8 hours/week(
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| HCSP Centralized Medicaid Eligibility Unit |
General Number |
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| Charrise Andrews, Director |
(929) 221-3257 andrewsc@dss.nyc.gov
(929) 221-3224 (Deputy Director Cynthia Robinson)
Inquire about case status - hcspinquiries@hra.nyc.gov (encrypted email)
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| Immediate Need Unit |
Philomena Offurum
or Alla Alex
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TEL (929) 221-2501 or (212) 274-5035
e-FAX (917) 639-0665 offurump@hra.nyc.gov or alexa@hra.nyc.gov
e-mail applications HCRequests@hra.nyc.gov
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| Pooled Trusts for Home Care Cases |
Yvette Poole-Brooks |
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| HCSP MLTC Provider Relations Unit |
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TEL (929) 221-2427
FAX (718) 636-7848
MLTC plans - mltcproviderrelations@hra.nyc.gov
Assisted Living Programs alpproviderrelations@hra.nyc.gov
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| CASA offices |
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See list at https://www.nyc.gov/site/hra/locations/casa-locations.page |
| Contact HCSP about pending Medicaid case transactions (demographic changes, address updates, pooled trust reviews, county-to-county transfer requests, Medicare Savings Program (MSP) and coverage updates - not for submitting applications |
hcspinquiries@hra.nyc.gov - use encrypted mail or password-protected attachment.
Attach signed MAP 751k form required (encrypted)(correct,, add or change date of birth, SSN, gender, change of address & phone number, transfer from county-to-county requests - write "LUBERTO")
MAP 751W (close case, add or remove someone from case, report death, request budgeting changes including pooled trust, evaluate for MSP eligibility, report change in immigration status, add or remove Third Party Health Insurance)
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