NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
File was not found on server.
Recent files
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (4-2025).xlsx
Use this worksheet to convert lifetime total amount received in Holocaust reparations / restitution from foreign currencies (Deutschmarks and Euros) into U.S. Dollars. This is for purposes of taking advantage of the exemption of saved reparations payments from the resource test for Federally-funded means-tested benefits, like Medicaid and Supplemental Security Income. Updated monthly.
01 May, 2025 148 kb Downloads: 9179
PPL Paper Timesheet Exception Form (Fillable) Download
Paper-Timesheet-Exception-Form (fillable).pdf
Fillable version of form for CDPAP personal assistant to request an exception from PPL allowing use of paper timesheets after May 17, 2025, when the blanket exception ends. Official form is at https://pplfirst.com/wp-content/uploads/2025/04/Paper-Timesheet-Exception-Form.pdf. Fillable version of paper timesheet can be found at http://health.wnylc.com/health/download/890/
25 Apr, 2025 150 kb Downloads: 62
PPL form for CDPAP PA who receives Medicare to Opt Out of PPL Health Insurance Download
Medicare Eligible PPL Basic Wellness Plan Benefit Waiver Form Fillable.pdf
PPL's Official form for a Personal Assistant who receives Medicare to opt out of PPL Health Insurance - the Minimum Essentail Coverage plan, which is otherwise mandatory. PPL has a second plan called "Minimum Value" plan, but PAs may simply opt not to enroll in this plan. At this time, only Medicare beneficiaries may decline coverage. See more about PPL health insurance here.
21 Apr, 2025 374 kb Downloads: 61
HRA Medicaid Alert 3/19/2025 - NYS Disability Determination Requirements Download
2025-03-19 State Disability Determination Requirements.pdf
This alert reiterates the previous Alert dated April 18, 2024 and one earlier in 2022. When requesting a Disability Determination, submit only MAP-3177 Disability Determination request. HRA will forward this to the NYS Disability REview Unit, which will then request the rest of the documents listed in this article - http://health.wnylc.com/health/entry/134/.
16 Apr, 2025 123 kb Downloads: 51
HRA Medicaid Alert 4/15/2025 - New Fax Numbers for Home Care Services Program Central Intake Download
2025-04-15 HCSP homecare Central Intake number change.pdf
NEW Fax numbers for Home Care Services Program at NYC HRA Medicaid CENTRAL INTAKE, Use for
submission of NYIA decision "OUTCOME" otfices for adult applicants if NYIA denied MLTC enrollment and refers back to local district to request HOUSEKEEPING services (limited to 8 hours/week), and to submit M11Qs for applicants under 18,  and to submit change requests on active cases, and reauthorizations of CASA cases. 
16 Apr, 2025 84 kb Downloads: 120
Most downloaded
Medicaid income and resource levels - 2025 (2-14-2025) Download
MAPDR-01 Feb 26 2025.pdf
NYC HRA MAPDR-01 (updated 02-14-2025) -- Although this was issued in Feb. 2025, almost all the figures are in yellow which means that they are still the 2024 figures. The 2025 figures can only be calculated after NYS Dept. of Health issues the 2025 Federal Poverty Levels (FPL) later in February or March (even though the FPLs were announced by the federal govt).
26 Feb, 2025 2.13 mb Downloads: 451793
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2024 Download
2001_to_2024_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2024. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
07 Mar, 2025 3.77 mb Downloads: 302411
Medicaid Eligibility in 2014 Download
Understanding MAGI & the Marketplace.pdf
Training provides framework for understanding the changes to Medicaid effective 2014, including: new categories, new income levels, new budgeting and new benefits.
15 Nov, 2013 1.56 mb Downloads: 272009
Supplemental Needs Trusts Outline for Advocates - Including Impact on Various Benefits of Transfers of Lump Sums into SNT's UPdated 6/2023 Download
SNT Outline 2023-06.pdf
Training Outline for Advocates on Supplemental Needs Trusts (SNTs) (individual and pooled), and the effect of SNTs on various public benefit programs (updated 6/30/2023). Updated sections include Temporary/Public cash assistance, SNAP, ABLE accounts, Public Housing and Section 8, changes in procedures for submitting pooled trusts in NYC. Also heads up about 2023 increases in Medicaid income and asset limits and update about the 30-month community based lookback).
01 Jul, 2023 1.3 mb Downloads: 218243
Directory of MICSA (NYC Medicaid) Contacts - August 2013 Download
MICSA Directory (08-06-13).pdf
NYC Medicaid office moved from 330 West 34th Street to 785 Atlantic Avenue, Brooklyn NY 11238 in May 2013. Contact numbers at that office listed in this document.
15 Aug, 2013 3.07 mb Downloads: 206620

This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.