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Financial Eligibility
Excel Template for Medicaid Non-MAGI Budgeting -2024 FPL: Download
Medicaid Budgeting worksheet 2024 -PROTECTED.xls
Excel template to calculate Medicaid non-MAGI eligibility under the increased 2024 levels - see http://health.wnylc.com/health/news/90/. Can be used as a tool to estimate spend-down and pooled trust contributions. Template has different tabs for different types of budgeting schemes. -- See list of these at http://health.wnylc.com/health/entry/222/.
15 Apr, 2024 118 kb Downloads: 3300
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (03-2024).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 through Feb. 2022
01 Apr, 2024 147 kb Downloads: 8217
NYLAG Statement Supporting Repeal of the 30-Month Lookback for Medicaid Home Care (S6414 -A9278) Download
S6414 -A9278 Lookback repeal NYLAG 2024.pdf
NYLAG's statement in support of a bill S6414 -A9278 - and in the Senate's One HOuse Bill - to repeal the MRT-II cut enacted in 2020 that would impose a 30-month lookback and transfer penalty for eligibility for Medicaid home care and other community-based services.
31 Mar, 2024 424 kb Downloads: 51
Fact Sheet on Keeping Income During and After a Temporary Nursing Home Stay Download
Fact Sheet on Keeping Income In & After Nursing Home Stays 3-21-2024 FINAL.pdf
NYLAG Fact Sheet on consumer Right to keep more income during a temporary nursing home stay, as well as after a nursing home stay if a consumer is enrolled in a Managed Long Term Care plan or for some consumers who are married.
21 Mar, 2024 816 kb Downloads: 7082
MAP-2161 and MAP 2161a Spousal / Parental Refusal Form (2023) (ENGLISH) Download
MAP-2161 (2023-03) + MAP-2161a (2023-11) Combined ENGLISH.pdf
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." Since 2018, includes language to request accommodation of disability in reading notice. Instructions explain whi h form to use - MAP-2161 or 2161a - don't need both. Both attached in same PDF. Other languages availaable of MAP-2161 at https://www.nyc.gov/site/hra/help/health-assistance.page
20 Mar, 2024 329 kb Downloads: 65768
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2023 Download
2001_to_2023_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2023. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
11 Mar, 2024 3.52 mb Downloads: 299974
Fact Sheet & Form for Keeping SSI for 90 Days in Temporary Hospital or Nursing Home Placement Download
SSI Temporary Institutional Stay Fact Sheet and Form 2024-03 (3-11-14 VB).pdf
This fact sheet explains requirements for maintaining SSI (Supplemental Security Income) for up to 90 days during a temporary hospital or nursing home stay. The PDF also includes a new official form (2023) for requesting continuation of SSI benefits, which must be filed with the Social Security Administration within strict timelines. Note that if SSI benefits are terminated, Medicaid will also be terminated, after "Stenson" notices are mailed giving the recipient an opportunity to recertify for Medicaid without SSI. See http://www.wnylc.com/health/entry/85/
11 Mar, 2024 312 kb Downloads: 12991
Medicaid income and resource levels - 2023 (06-06-23) Download
HRA chart March 1 2024.pdf
NYC HRA MAPDR-01 (updated4-5-2023) -- 2023 NYS Income and Resource Standards revised. Note these now use 2023 Federal Poverty Levels so should be the FINAL figures for 2023.
01 Mar, 2024 304 kb Downloads: 441665
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2024 FINAL (2-20-2024).pdf
This is basic information about Medicaid eligibility for the Disabled, Aged 65+, and Blind (DAB) category and about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. (updated Feb. 20, 2024 with final 2024 Income and Asset limits released by DOH)
20 Feb, 2024 344 kb Downloads: 188496
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: 215187
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