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WNYLC Online Resources / Home / Downloads / Medicaid / Financial Eligibility
Financial Eligibility
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: 12716
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: 2864
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: 2863
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Polish) 2019-03-22 Download
MAP-931a (Polish) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Polish) 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 119 kb Downloads: 2785
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Haitian Creole) 2019-03-22 Download
MAP-931a (Haitian Creole) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Haitian Creole) 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 80 kb Downloads: 2773
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Korean) 2019-03-22 Download
MAP-931a (Korean) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Korean) 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 169 kb Downloads: 2886
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Traditional Chinese) 2019-03-22 Download
MAP-931a (Traditional 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 (Traditional 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 282 kb Downloads: 2801
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Russian) 2019-03-2 Download
MAP-931a (Russian) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Russian) 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 140 kb Downloads: 2860
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Spanish) 2019-03-22 Download
MAP-931a (Spanish) Optional Pay-in Program for Individuals with Surplus Income 2019-03-22.pdf
MAP-931A Explanation of Medicaid Pay-In Program for Spend-down (Spanish) 2019-03-22 updated 2019-03 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 66 kb Downloads: 2846
MAP-751E Authorization to Release Medical Information.pdf Download
12 Apr, 2019 479 kb Downloads: 7145
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