This documents lists which categories of beneficiaries are exempt or excluded from the requirement of joining a mainstream medicaid managed care plan. Rev'd 9/28/15

Statewide Contact list of MLTC-MAP-PACE plans by County is at http://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm. This list by county is updated with April. 2019 enrollment data
NYC list is last pages.

This is a list of court decisions, key laws, regulations and directives concerning the various Medicaid home care programs in New York State. Revised Dec. 2018

Applicants for Medicaid in New York City can use this "APPLICANT/RECIPIENT DECLARATION CONCERNING THE LEGALLY
RESPONSIBLE RELATIVE’S INCOME/RESOURCES" forms to indicate the refusal of their legally responsible relative to make available their income or resources for the cost of necessary medical care and services, i.e. "spousal/parental refusal." Rev. 5/11/2018 to include language to request accommodation of disability in reading notice. NOTE: Use MAP2161 if applicant is indicating spouse's or parent's refusal and 2161a for refusing spouse or parent to indicate refusal. Can submit either form - don't need both. Both attached in same PDF.

This PowerPoint presentation explains the rules, also see the Training Outline on Medicaid Spend-down posted on this site (revised 2017).