NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Consumer Advocacy Position Paper on Promoting Community-Based Incentives for Managed Long Term Care in NYS Download
Incentives for Com-Based Services in NYS MLTC 032312.pdf
Paper dated March 23, 2012 filed with US Center for Medicare & Medicaid Services and NYS Dept. of Health to incentivize community-based services in the roll-out to mandatory managed long term are.
20 Dec, 2013 126 kb Downloads: 6136
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: 271500
NYC HRA: MLTC Frequently Asked Questions (HCSP Quick-Reference-03 revised 11/13/2013) Download
MLTC Frequently Asked Questions HCSP Quick Reference- REVISED 11-13-2013.pdf
FAQ clarifying issues that pose barriers to enrollment into MLTC plans. Many of these problems stem from "coding" problems - eligibility codes in the Medicaid "eMedNy" system. This FAQ explains that some codes may appear to say the individual is not eligible for Medicaid or for MLTC -- but THEY DO NOT MEAN THAT! And plan should submit "conversion package" to HRA to activate Medicaid and allow enrollment.
15 Nov, 2013 178 kb Downloads: 6627
Medicaid Resource Disregards Download
This table lists all of the types of resources (aka, assets) that are excluded for purposes of Medicaid eligibility, including which Medicaid categories they apply to, and citations to authority.
Do not use for MAGI Medicaid effective 1/1/2014.
Updated 10/7/2013.
07 Oct, 2013 66 kb Downloads: 49881
MLTC Submissions of Nursing Home Enrollments Download
MLTC Submissions of Nursing Home Enrollments 2-14-13.pdf
Medicaid alert, dated Feb. 14, 2013, describing the process of enrolling a Nursing Home resident in an MLTC plan.
16 Sep, 2013 287 kb Downloads: 6081
NYC HRA MICSA Alert - MLTC Submissions of Nursing Home Enrollments - Feb.14, 2013 Download
Medicaid Alert 2-2013 NH to MLTC.pdf
Special procedure for MLTC plans to submit "conversion" package to NYC HRA Medicaid program, to enroll residents of nursing homes who want to enroll in an MLTC plan in order to return to the community.

In all MLTC enrollments, the conversion package is a set of forms that HRA needs in order to make the necessary entries into the Medicaid eligibility and billing system, so that the enrollment takes effect on the 1st of the following month, and so the MLTC Plan is paid its capitation rate. Once in MLTC, the member will not be able to access Medicaid services in the MLTC service package outside the MLTC Plan's network.

For nursing home residents, the "conversion" is more complicated. HRA not only has to enter the codes described above but also has to remove the codes that applied because of the residence in the nursing home. For many years, nursing home residents have encountered delays in lifting the nursing home "code" from their eligibility, so that they could now access community-based home care and other medical services. The conversion package must include:

(1) The HCSP-3022 (Medicaid Cover Sheet) - This is the conversion form.. A copy is or will be posted on this website.
(2) Completed Nursing Home discharge Alert (MAP-259D)(posted at http://www.wnylc.com/health/download/132) and see article at http://www.wnylc.com/health/entry/117/ )
(3) A copy of the signed enrollment form
(4) A copy of the MAP-3057 (Special Income Standard) form, if applicable (posted at http://www.wnylc.com/health/download/398/) and described in http://www.wnylc.com/health/entry/114/ - last link in Table of Contents
05 Sep, 2013 284 kb Downloads: 3417
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: 205974
Automated Renewal-Recertification for Disabled , Aged and Blind (DAB) Consumers with Fixed Income Download
2013-06-03 Automated Renewal DAB Consumers Fixed Income.pdf
03 Jun, 2013 134 kb Downloads: 3436
Relocation of MICSA 34th Offices to Brooklyn-Phase V (final) 5-6-2013 Download
Medicaid Alert Relocation of MICSA units to Brooklyn V 5-6-13.pdf
Information regarding relocation of MICSA 34th Street Offices to 785 Atlantic Avenue in Brooklyn.
07 May, 2013 135 kb Downloads: 8127
Relocation of MICSA 34th Offices to Brooklyn-Specialized Area TBI & NHTD 5-1-13 Download
Medicaid Alert Relocation of MICSA units to Brooklyn Special 5-1-13.pdf
Information regarding relocation of the Traumatic Brain Injury and Nursing Home Transition and Diversion waiver programs from 330 W. 34th Street to 785 Atlantic Ave.
07 May, 2013 47 kb Downloads: 5015
Prev Next

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.