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Sample Application for Medicaid or MSP - Disabled/Aged 65+/Blind "Non-MAGI" -
Medicaid Application Guide with Sample Bank Statement.pdf
Sample Medicaid application completed, with sample bank statement to show how to prove resources are within Medicaid limits
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11 May, 2016
2.29 mb
Downloads: 9899
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Statement of NYLAG on 2016 NYS Budget Proposals to Eliminate Spousal Refusal and Reduce Spoual Impoverishment Protections
NYLAG Spousal Protections 2016.pdf
Statement of NYLAG on 2016 NYS Budget Proposals to Eliminate Spousal Refusal and Reduce Spoual Impoverishment Protections
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04 Feb, 2016
385 kb
Downloads: 3541
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NYLAG Testimony on NYS Budget 2016-17 - Medicaid and Health Access Issues
NYLAG Health Testimony 2016-2017.pdf
Testimony of NYLAG to the New York State Legislature Joint Hearing of the Senate Finance and Assembly Ways and Means Committees - January 2016
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04 Feb, 2016
480 kb
Downloads: 3119
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NYC MICSA Alerts 8/31/15 & 5/18/15 re Payment of Surplus Bills or Pay-in by Third Parties
2015-08-31 Mailing of Notices to Excess Income Consumers re 3rd party payment of surplus.pdf
Both Alerts in one PDF with accompanying Form MAP-3107A Attestation of Use of Recipient Funds
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22 Nov, 2015
506 kb
Downloads: 10650
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NYC HRA Medicaid MICSA Alert June 3, 2015 - Treatment of Income of Dependents for MAGI-Like Budgeting
2015-06-03 Treatment of Income of a Dependent under MAGI-Like Budgeting Rules.pdf
Implements NYS DOH GIS 15 MA-08 which clarified that child dependents' Social Security or other income should not be counted in MAGI-like budgeting, which local districts must do when a person eligible under the MAGI category needs long term car and some other instances, for which eligibility must be processed by the local district rather than the Exchange.
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22 Nov, 2015
207 kb
Downloads: 4215
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Policy Change for the Start Date of the Transfer of Assets Look Back Period
2015-06-02 Policy Change for the Start Date of the Transfer of Assets Look Back Period.pdf
Effectively immediately, the review of assets is limited to the 60-month period immediately preceding the month of institutionalization and application for Medicaid.
For Medicaid recipients who are institutionalized for long-term nursing home care or receiving more than 29 days of rehabilitation services, the look-back period consists of the 60 months preceding the month of institutionalization.
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02 Jun, 2015
308 kb
Downloads: 4274
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Newborn Processing Update
2015-05-06 Newborn Processing Update.pdf
Update advised that all newborns born in 2015 submitted via the NYS automated system have been determined processed either automatically or manually
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06 May, 2015
191 kb
Downloads: 4613
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HCSP 3026 ALP Medicaid Cover Sheet
HCSP-3026 HCSP Cover Sheet for ALP-MLTC 1-26-2015.pdf
This is the cover sheet for HRA-ALP Medicaid Cover Sheet
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13 Apr, 2015
44 kb
Downloads: 3559
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Spousal Refusal Form - Suffolk County
Spousal Refusal Form - suffolk county.doc
This is the spousal refusal form for Suffolk County residents
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13 Apr, 2015
25 kb
Downloads: 13367
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15-INF-03 Informational Letter Personal Needs Allowance in Non-Medical & Medical Facilities
15-INF-03 Informational Letter Personal Needs Allowance in Non-Medical and Medical Facilities.pdf
This informational letter provides social services districts with updated charts that represent the monthly Personal Needs Allowance, PNAs, for residents of non-medical facilities the PNAs in medical facilities.
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13 Apr, 2015
302 kb
Downloads: 3135
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