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Financial Eligibility
Advocate Covid-19 Letter to DOH 3-13-20 + 3-16-20 follow-up - RE protections needed in Enrollment and Managed Care Download
COVID-19 Advocates Letter to DOH 3.13.20 + 3.16.20 follow up email.pdf
Letter from Legal Aid Society, NYLAG, Empire Justice Center & other advocates to NYS DOH 3-13-20- requesting protections to ensure continuity of Medicaid eligibility and services in managed care/MLTC plans in Covid-19 emergency. Protections available under federal Section 1135 waiver and other relief.
01 Apr, 2020 853 kb Downloads: 2349
NYLAG, Legal AId, EJC & Other Advocates Letter to OTDA 3-24-20 on Covid-19 Fair Hearing Procedures Download
COVID19 OTDA FH LTR FINAL 3-24-20.pdf
Letter from advocates to the NYS Office of Temporary & Disability Assistance, 3/24/20 requesting clarification of GIS isued 3/12/2020 https://otda.ny.gov/policy/gis/2020/20DC014.pdf establishing phone hearing procedures during Covid-19 and as a demonstration program.. Letter requests additional protections for appellants.
01 Apr, 2020 122 kb Downloads: 1970
2020-03-27 New York State Medicaid Program Modifications COVID-19 Emergency Download
2020-03-27 COVID-19 Program Modifications.pdf
MICSA alert
30 Mar, 2020 415 kb Downloads: 2651
NYS DOH Covid19 Guidance: Medicaid Eligibility & Enrollment Download
DOH COVID-19 Medicaid Eligibility Guidance.pdf
Guidance to local Departments of Social Services regarding streamlining Medicaid applications and enrollment, and suspending discontinuance actions during the pandemic emergency
29 Mar, 2020 1.93 mb Downloads: 3756
NYLAG Statement Opposing Proposed Medicaid Redesign Team II Cuts in Home Care, Eligibility & Prescription Drugs Download
NYLAG - MRT Statement - 3-18-20.pdf
For the NYS Budget 2020-21, Gov. Cuomo appointed the Medicaid Redesign Team II to recommend Medicaid cuts to balance the budget. A set of proposals were developed by the MRT and are supposed to be voted on by the MRT on 3/18 or 3/19. Between then and April 1, 2020 the legislature and Governor are supposed to agree on a budget. NYLAG opposes many of the recommended cuts in Medicaid eligibility and access to home care and prescription drugs.
18 Mar, 2020 310 kb Downloads: 2717
NYS DOH-OTDA WMS Workers' Guide to Codes (2-9-2017)(Excerpt on MEDICAID only) Download
Workers Guide to Codes - MEDICAID ONLY 2-2017.pdf
Excerpt of State publication that explains the millions of eligibility codes that show restrictions on or categories of individual's Medicaid eligibility. The entire guide is much bigger. This SEARCHABLE excerpt contains the chapter on MEDICAID CODES.
25 Feb, 2020 3 mb Downloads: 4744
NYC HRA Explanation of Medicaid Pay-In Program for Spend-down updated 2019-03-22 (Bengali) Download
MAP-931a (Bengali) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
NYC HRA Explanation of Medicaid Pay-In Program for Spend-down updated 2019-03-22 (Bengali) to include State fact sheet on pooled trusts also available at http//health.ny.gov/health_care/Medicaid/index.htm#trusts. Note that the NYS Bar Association Elder Law Section has asked DOH to revise the pooled trust fact sheet to make it more clear. Other languages now posted on this site
24 Aug, 2019 145 kb Downloads: 2509
MAP-931A Explanation of Medicaid Pay-In Program (English) (updated 2013-03-22) Download
MAP-931a (English) 2019-03-22.pdf
NYC HRA Explanation of Medicaid Pay-In Program for Spend-down updated 2019-03-22 (English) to include State fact sheet on pooled trusts also available at http//health.ny.gov/health_care/Medicaid/index.htm#trusts. Note that the NYS Bar Association Elder Law Section has asked DOH to revise the pooled trust fact sheet to make it more clear. Other languages now posted on this site
24 Aug, 2019 59 kb Downloads: 12017
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Urdu) 2019-03-22 Download
MAP-931a (Urdu) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down ( Urdu) 2019-03-22 updated to include State fact sheet on pooled trusts also available at http//health.ny.gov/health_care/Medicaid/index.htm#trusts. Note that the NYS Bar Association Elder Law Section has asked DOH to revise the pooled trust fact sheet to make it more clear.
24 Aug, 2019 154 kb Downloads: 2368
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (simplified Chinese) 2019-03-22 Download
MAP-931a (Simplified Chinese) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Simplified Chinese) 2019-03-22 updated to include State fact sheet on pooled trusts also available at http//health.ny.gov/health_care/Medicaid/index.htm#trusts. Note that the NYS Bar Association Elder Law Section has asked DOH to revise the pooled trust fact sheet to make it more clear
24 Aug, 2019 304 kb Downloads: 2361
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