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Financial Eligibility
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (1-2025).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 through Feb. 2022
01 Feb, 2025 148 kb Downloads: 9044
HRA-MAP 931Y E-Fax Medical Bills Cover Sheet (2018) Download
MAP-931Y_E-Fax_Medical_Bills 2018-4-27.pdf
HRA Medicaid Fax Cover Sheet to Fax medical bills to meet spend-down (2018)
29 Jan, 2025 80 kb Downloads: 25547
Medicaid income and resource levels - 2025 (1-9-2025) Download
MAPDR-01 Jan 14, 1025.pdf
NYC HRA MAPDR-01 (updated 01-14-2025) -- Although this was issued in January 2025, almost all the figures are in yellow which means that they are the 2024 figures. The 2025 figures can only be calculated after the issuance of the 2025 Federal Poverty Levels (FPL) later in January or February.
15 Jan, 2025 314 kb Downloads: 449918
NYLAG Comments on Proposal to Expand the Medicaid Buy-In Program for Working People with Disabilities (MBI-WPD) Download
MBI-WPD Public Comments by NYLAG - 12.5.24 - FINAL.pdf
Comments submitted by NYLAG with recommendations and support for New York's request to the federal Medicaid agency CMS to approve a waiver that would expand the MBI-WPD program to include people age 65 and over with higher income and resource limits.
19 Dec, 2024 333 kb Downloads: 127
Using an SNT to Eliminate the Medicaid spend-down - Fact Sheet (May 2024) Download
SNT Short 2024-05-02 FINAL.pdf
How to get Medicaid despite having "excess income" - Using a Supplemental Needs Trust to Eliminate the Spend-down for Persons who are Elderly (65+), Blind or Disabled. Written by New York Legal Assistance Group Evelyn Frank Legal Resources Program, updated May 2024 with new procedures in NYC for submitting disability forms, and with 2024 figures.
02 May, 2024 450 kb Downloads: 166711
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: 7012
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: 649
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: 8488
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: 67781
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: 301696
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