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        Currency Conversion Worksheet for Holocaust Reparations
		
			 
		
        
            Reparation worksheet.xls (10-2025).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 monthly. 
         
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        01 Nov, 2025
        148 kb
        
        Downloads: 9456
        
        
        
        
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        MAP-751k (Spanish)(11-27-2024)(fill-able))
		
			 
		
        
            MAP-751K Spanish (11-27-2024)(fill-able).pdf 
            NYC HRA Form to use to notify HRA of change in name, address, mailing address, date of birth, SSN, and to request mail in different languages or formats for disability) .  Other languages are available at https://www.nyc.gov/site/hra/help/health-assistance.page.  NOTE: The 751k is no longer used to request a change in budgeting.  Instead use new form MAP-751W available at https://www1.nyc.gov/site/hra/help/health-assistance.page in various languages 
         
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        30 Sep, 2025
        206 kb
        
        Downloads: 2098
        
        
        
        
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        Supplemental Needs Trusts Outline for Advocates - Including Impact on Various Benefits of Transfers of Lump Sums into SNT's Updated 7/2025
		
			 
		
        
            SNT Outline NYLAG 2025-07 FINAL.pdf 
            Training Outline for Advocates on Supplemental Needs Trusts (SNTs) (individual and pooled), and the effect of SNTs and lump sums on various public benefit programs (updated 7/31/2025). Updated sections include Temporary/Public cash assistance, SNAP, ABLE account changes coming in 2026, Public Housing and Section 8, changes in procedures for submitting pooled trusts in NYC. 
         
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        31 Jul, 2025
        1.18 mb
        
        Downloads: 219788
        
        
        
        
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        MAP-909E HRA DAB Renewal Form Redacted (2023-12-06)
		
			 
		
        
            MAP-909e DAB Renewal (2023-12-06) Sample with 2023 ACT NOW insert_Redacted.pdf 
            HRA Medicaid Renewal Form for  Disabled, Aged, & Blind  (DAB) recipients - 12/6/2023 version  
(1)  a 2-page Renewal Notification letter with the deadline to return the renewal, which is always the 10th of the 2nd month after the notification,  
(2) "STOP ACT NOW" alert intended to alert consumers that this renewal MUST be returned, unlike those sent during the Public Health Emergency (MAP-3185 - 2025-01-09),  
(3) Renewal form has a new section in  Part  6 RESOURCES requiring authorization for HRA to verify resources using data matching  - must be signeded by recipient and spouse(page 7, 12-13 of the PDF);  
(4) Renewal form must be signed by both applicant and spouse (p. 15 of PDF) 
(5)  Financial Maintenance form - not new - only required if housing costs are more than 70% gross monthly income (p. 10 of PDF); 
(6)  Renewal instructions (pp. 15-17 of PDF) 
(7)  Bar coded return envelope - LAST PAGE of PDF.  If you don't have this, mail it to the address on this copy  CERTIFIED. 
         
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        13 May, 2025
        2.89 mb
        
        Downloads: 21068
        
        
        
        
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        HRA Medicaid Alert 3/19/2025 - NYS Disability Determination Requirements
		
			 
		
        
            2025-03-19 State Disability Determination Requirements.pdf 
            This alert reiterates the previous Alert dated April 18, 2024 and one earlier in 2022.  When requesting a Disability Determination, submit only MAP-3177 Disability Determination request.  HRA will forward this to the NYS Disability REview Unit, which will then request the rest of the documents listed in this article - http://health.wnylc.com/health/entry/134/. 
         
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        16 Apr, 2025
        123 kb
        
        Downloads: 398
        
        
        
        
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        NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2024
		
			 
		
        
            2001_to_2024_NYS_income__resource_level_charts.pdf 
            Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2024.  Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc. 
         
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        07 Mar, 2025
        3.77 mb
        
        Downloads: 303224
        
        
        
        
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        Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind
		
			 
		
        
            Medicaid Basic - 2025  final.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  March 5, 2025 with final  2025 Income and Asset limits released by DOH) 
         
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        07 Mar, 2025
        279 kb
        
        Downloads: 198997
        
        
        
        
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        Excel Template for Medicaid Non-MAGI Budgeting -2025 FPL:
		
			 
		
        
            Medicaid Budgeting worksheet 2025.xls 
            Excel template to calculate Medicaid non-MAGI eligibility under the increased 2025 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/. 
         
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        07 Mar, 2025
        131 kb
        
        Downloads: 8718
        
        
        
        
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        Medicaid income and resource levels - 2025 (2-14-2025)
		
			 
		
        
            MAPDR-01 Feb 26 2025.pdf 
            NYC HRA MAPDR-01 (updated 02-14-2025) -- Although this was issued in Feb. 2025, almost all the figures are in yellow which means that they are still  the 2024 figures.  The 2025 figures can only be calculated after NYS Dept. of Health issues the 2025 Federal Poverty Levels (FPL) later in February or March (even though the FPLs were announced by the federal govt). 
         
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        26 Feb, 2025
        2.13 mb
        
        Downloads: 454700
        
        
        
        
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        NYLAG Memo in  Support of Repeal of the 30-Month Lookback for Medicaid Home Care (S4786-A1907)
		
			 
		
        
            A1907 -  S04786 Lookback repeal Memo in Support NYLAG 2025.pdf 
            NYLAG's statement in support of a bill S4786-A1907 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. 
         
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        25 Feb, 2025
        207 kb
        
        Downloads: 1250
        
        
        
        
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