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Medicaid Contacts in New York City (NYC Human Resources Administration - MICSA)

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Posted: 21 Jul, 2017
by Valerie Bogart (New York Legal Assistance Group)
Updated: 06 Feb, 2024
by Rachel Holtzman (New York Legal Assistance Group)

Since  May 2013 the NYC Medicaid Office  has been located at 785 Atlantic Ave., Brooklyn, NY 11238.   The Reception Unit is on the main floor of 785 Atlantic Ave.Brooklyn NY 11238.

The table of contacts below is compiled from these Alerts issued by HRA:  

OLDER LISTS

Visit our article on Medicaid Alerts.


                                          NYC MEDICAID PROGRAM CONTACTS 

MICSA Unit   Liaison Name/ Purpose   New Contact Info
Medicaid Departments -- NOT Home Care (for home care see below)
NYC HRA Medicaid Helpline

1-888-692-6116

Medicaid info https://www.nyc.gov/site/hra/help/health-assistance.page

Undercare Processing Division

Case action update requests

Case or Budgeting Changes

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 

Applications

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

Managed Care Client Services                                          

212-273-0062 (phone)

Recipient Restriction Unit

929-221-0859/60 (phone)

Eligibility Information Services

929-221-0865 (phone)

e-Fax (718) 636-7847  If down use instead 
 (718)-636-7852 or (718) 636-7846.

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

Medicaid Transportation 929-221-0840/41 (phone)
Medicaid Assistance Program (MAP) Third Party Health Insurance (TPI) Unit

917-639-0675 (e-fax)
e-mail: maptphi@hra.nyc.gov

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)

Renewals - Office of Mail Renewal e-Fax 1-888-692-6116 
Surplus Unit

Maria Rivera

Graciela Mathews

Angel Phifer-Brown (Fax Unit)

929-221-0833 (phone)

929-221-0838 (phone)

929-221-0835 (phone)

917-639-0645 (fax - submit bills to meet spend-down )

Pooled Trusts (not with home care)

(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 

MIPP program

E-MAIL:  mipp@hra.nyc.gov  (see article - not for people in MSP program)
Replace Medicaid Card   Replace a lost, stolen, or damaged Medicaid card.  (this link can be found here 

Electronic Benefit Transfer (EBT) Card Assistance for Clients  - scroll down to 
dropdown for Replace or Correct an EBT Card for Medicaid Clients

 
 NURSING HOME ELIGIBILITY DEPT.  NHED 
Nursing Home Eligibility Dept. (NHED)

Provider Relations

TEL 718-557-1368

E-FAX  (917) 639-0687

For inquiries: nhedproviderrelations@hra.nyc.gov

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 

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

HCSP Central Intake 

(929) 221-8851  or (929) 221-8889

FAX  718-636-7784/7780   email HCRequests@hra.nyc.gov

785 Atlantic Ave., 7th fl, Brooklyn, NY 11238

  • 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)

  • 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(

HCSP Centralized Medicaid Eligibility Unit   General Number

(929) 221-0849

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)

Immediate Need Unit

Philomena Offurum

or Alla Alex

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

Pooled Trusts for Home Care Cases Yvette Poole-Brooks

TEL  (929) 221-2493

poolebrooksy@hra.nyc.gov

Fax (718) 636-7848

Inquire about status of submitted trust - hcspinquiries@hra.nyc.gov - 
use encrypted mail or password-protected attachment.

HCSP MLTC Provider Relations Unit

TEL (929) 221-2427 

FAX  (718) 636-7848

MLTC plans -  mltcproviderrelations@hra.nyc.gov

Assisted Living Programs  alpproviderrelations@hra.nyc.gov

CASA offices  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)

 

Tags
MICSA NYC HRA Medicaid NYC
Attached files
item MAP-751K (3-15-2021)(English)(fill-able).pdf (89 kb) Download
item 2018-12-31 HRA Medicaid & HCSP Contacts for Authorized Submitters and CBO's.pdf (93 kb) Download
item 2021-08-30 Fax-e-Mail submissions to MAP - Home Care Services Preogram.pdf (152 kb) Download
item MAP-751W Request to Change Information (3-25-21) (fill-able)(with 3-4-22 memo where to submit).pdf (376 kb) Download
item 2021-09-08 MAP Undercare Division email REVISED +751k -751w forms.pdf (539 kb) Download
item 2021-07-22 HCSP inquiries by email.pdf (129 kb) Download

Also read
item Where to Apply for Medicaid and Medicaid Home Care in New York City
item Medicaid Alerts & Other Protocols published by the NYC HRA Medicaid Program
item Applying for Medicaid Personal Care or CDPAP Services in New York City - 2021-2022 Changes
item Medicare Insurance Premium Payment Program (MIPP)

Also listed in
folder Medicaid -> Home Care
folder Medicaid -> Medicaid Managed Care
folder Medicaid -> NYC Medicaid Contacts, Policies & Forms

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