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AmeriGroup Appeals of Adverse Determinations - Policy MLTC
Amerigroup Appeals of Adverse Determinations - MLTC - NY.pdf
Policy Obtained January 2013 through FOIL Request to DOH, last Revised March 24, 2011
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01 Feb, 2013
103 kb
Downloads: 5083
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NYS Dept. of Health Policy Directive to Managed Long Term Care Plans Jan. 17, 2013 re Transition, Appeal & Aid Continuing Rights
MLTC Policy 2013 01 17 Aid Continuing.pdf
Directive issued by the State to MLTC Plans re Transition Requirement required by Sec. 28(d) of the CMS Special Terms & Conditions of the waiver approving mandatory MLTC at http://www.health.ny.gov/health_care/medicaid/redesign/docs/partnership_amendment_stc.pdf
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25 Jan, 2013
66 kb
Downloads: 5172
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Relocation of HRA Home Care Services Program Relocation
2013-01-03 HCSP Relocation.pdf
HRA Home Care Services Program had been located at 109 East 16th Street, NY, NY 10003.
Effective January 14, 2013, HRA Home Care Services program will be relocated to:
785 Atlantic Avenue, 7th Floor
Brooklyn, NY 11238
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09 Jan, 2013
317 kb
Downloads: 7474
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HRA MICSA ALert 11-13-2012 - UPDATE: Temporary Location of DARB (Pay-In Program for Spend-down)
2012-11-13 - Sandy Relocate DARB Pay-In AMENDED.pdf
HRA MICSA ALert 11-13-2012 - UPDATE: Temporary Location of DARB (Pay-In Program for Spend-down) -- after Hurricane Sandy, couldn't send pay-in payments to 180 Water Street. This reinstates mailing to that address even though office not yet open.
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14 Nov, 2012
261 kb
Downloads: 655
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NYC Medicaid Alert Nov. 7, 2012 Office of Mail Renewal relocate - Hurricane Sandy
2012-11-07 - Sandy Relocate Office Mail Renewal.pdf
Alert applicable only to authorized bulk submitters - client representatives and facilitated enrollers
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08 Nov, 2012
63 kb
Downloads: 92
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HRA NYC Medicaid - Temporary Change in Where to "Pay-In" Excess Income - Hurricane Sandy
2012-11-07 - Sandy Relocate DARB Pay-In.pdf
MICSA Alert Dated 11/8/12 giving instructions on where to personally bring, not mail Pay-In Payments... per Hurricane Sandy
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08 Nov, 2012
316 kb
Downloads: 618
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Mayor Bloomberg Release 11-04-2012 - Hurricane Sandy Resources
Mayor Release 2012-11-04 - 390-12 (Recovery and Assistance).doc
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05 Nov, 2012
108 kb
Downloads: 122
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NYC HRA MICSA Medicaid Alert Dated Nov. 2 - Medicaid Coverage Hurricane Sandy
MICSA Hurricane.pdf
The State Department of Health has approved the following list of easements for New York City clients:
All Medicaid closings in process will be stopped and re-implemented once the crisis is over.
MedicaidcasesduetoexpireinNovemberorDecember,2012willreceiveanautomatic two month extension.
No case will be closed for failure to respond to a renewal or other request for information until further notice.
New applicants will be given an additional 7 days to respond to any request for additional information. This will extend the time to respond to 21 days.
As of Friday, November 2, 2012 all Medicaid Community Offices with the exception of Bellevue, Chinatown and Coney Island are open. Please be reminded, however, that almost all Medicaid actions can be completed by phone or mail. Additionally, most Medicaid consumers can renew their Medicaid coverage on-line at ACCESS NYC.
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03 Nov, 2012
130 kb
Downloads: 322
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OLD Form DSS-486T - Medical Report for Determination of Disability (see note)
DSS-486T (OLD) - Medical Report for Determination of Disability - best version.pdf
This is the OLD form used to prove disability for an applicant who has not already been found disabled by SSA. This includes people who are applying for Medicaid in the DAB (aka "SSI-related") category, for MBI-WPD, or to use an SNT to shield excess income or resources. It was revised in June 2012 - see new form posted at http://wnylc.com/health/entry/134/. The form revised in June 2012 shortens this form from the former 25-page form two a 2-page form, which will be less intimidating to doctors.
The old form consisted of numerous attachments that elicited information about the different body systems, such as a musculoskeletal or cardiac impairments. Those former attachments, while burdensome, were helpful to show the criteria for "meeting the listings"-- Step Three in the sequential evaluation process. While no longer required, you might find some of these attachments helpful as a guide for the physician to provide information about particular conditions.
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19 Oct, 2012
205 kb
Downloads: 11448
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Notice to Class Members in Strouchler v. Shah with 21 Days to Request Reinstatement of Split-Shift Personal Care Services
homecarenotice.pdf
Notice to Class Members in Strouchler v. Shah with 21 Days to Request Reinstatement of Split-Shift Personal Care Services
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05 Oct, 2012
45 kb
Downloads: 183
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