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NYS Medicaid Form LDSS-4346 Institutionalized Spouse Budgeting Worksheet (1995)
LDSS-4346 Institutionalized Spouse Budget Worksheet 1995.pdf
1995 version of State form used to budget the spousal impoverishment income allowance in institutional budgeting and waiver budgeting. THis 1995 version is the only one we could find. IF you have a more recent version please email it to vbogart@nylag.org
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18 Aug, 2014
67 kb
Downloads: 7317
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NYLAG PowerPoint on MAGI Budgeting
NYLAG ACA Part 2 - MAGI.ppt
Training outline on Affordable Care Act - the new Medicaid budgeting for MAGI.
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24 Jun, 2014
2.72 mb
Downloads: 15327
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PowerPoint explaining Spousal Impoverishment Protections in Managed Long Term Care
Spousal Impoverishment Protections in MLTC.pptx
Prepared by NYLAG Evelyn Frank Legal Resources Program
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12 Jun, 2014
1.1 mb
Downloads: 5940
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NYS OHIP-0026 (11/10) - Explanation of the Excess Income Program
OHIO-0026 Explanation of Excess Income Program 11-2010.pdf
Revised Explanation of the Excess Income or Spend-down Program by NYS DOH
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15 Apr, 2014
20 kb
Downloads: 13770
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HRA Alert: Spousal Impoverishment Budgeting for MLTC Applicant/Recipients
Medicaid Alert Re Spousal Impv Budgeting 3-2014.pdf
Published in March 2014
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05 Mar, 2014
153 kb
Downloads: 6919
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NYS Bar Association Elder Law Section Letter to NYC HRA Dec. 17 2013 - Spousal Impoverishment Allowances Illegally Denied
NYCHRA_NYSBA_Letter spousal budgeting 2013-12-17 REDACTED.pdf
Letter to HRA to cease the unlawful practice of denying this impoverishment income allowance to community spouses who did a spousal refusal. HRA responded and corrected its policy, provided spouse provides complete information regarding income and resources. For links to these documents and to the letters from the NYSBA and HRA, see http://www.wnylc.com/health/entry/96/
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04 Mar, 2014
178 kb
Downloads: 7358
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NYC HRA 2013 MAP INF-04 Spousal Refusal Instructions - Supplement to MAP Procedure 90-10
2013 MAP INF-04 Spousal Impoverishment Correction.pdf
A community spouse is entitled to the community spouse monthly income allowance (CSMIA) even if she does a spousal refusal to contribute resources. See NYS ADM 91-ADM-33 and NYS DOH Medicaid Reference Guide at page 396. However, since mid-2012, the NYC HRA Medicaid program has violated this longstanding state rule and has denied the community spouse this income allowance if she executed a spousal refusal. Many fair hearing decisions reversed these determinations, see, e.g. FH 6208131N (3/1/2013), FH 6318971R (9/5/2013). In December 2013, the Elder Law Section of the NYS Bar Association asked HRA to cease this unlawful practice of denying this impoverishment allowance. Through a Freedom of Information request, the Bar identified some internal HRA procedures that were wrong and asked that HRA correct them. On Dec. 24, 2013, HRA issued 2013 MAP-INF 04 which correctly states that the community spouse is entitled to the CSMIA even if she does a spousal refusal, if she provides complete information regarding income and resources.
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04 Mar, 2014
36 kb
Downloads: 7876
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Medicaid Reimbursement for Home Care Expenses
Medicaid Homecare Reimbursement.pdf
Practical Guide on getting Medicaid to reimburse for home care expenses incurred during the 3-month retroactive period, and during the pendency of the application, in New York City. Includes citations to pertinent case law and regulations.
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03 Mar, 2014
319 kb
Downloads: 22449
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Preserve "Spousal Refusal" in NYS - Statement of Coalition to Protect the RIghts of NY's Dually Eligible
CPRNYDE Spousal Refusal - 2014-2015 Budget FINAL.pdf
Opposing Governor's Budget proposal for SFY 2014-15
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05 Feb, 2014
574 kb
Downloads: 4213
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MICSA Alert 12-24-13 Important Changes in Medicaid Application Submission-MAGI and Non-MAGI
2013-12-24 Important Changes in Medicaid Application Submissions-MAGI and Non-MAGI.pdf
MICSA Alert 12-24-13 explaining application procedures for MAGI and Non-MAGI Medicaid recipients.
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03 Jan, 2014
93 kb
Downloads: 11653
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