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Agreement to Participate in the Medicaid Pay-In Program
MAP-931B Agreement to Participate in Pay-In Program searchable pdf.pdf
This is the form in both English & Spanish agreeing to participate in the Medicaid Pay-In Program
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13 Apr, 2015
86 kb
Downloads: 3374
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Optional Pay-In Program for Individuals with Excess Income
MAP-931A Optional Pay-In Program searchable pdf.pdf
This explains the Excess Income Program for clients whose incomes exceeds the Medical Assistance income limits
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13 Apr, 2015
142 kb
Downloads: 3093
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MAGI Consumers Long Term Eligibility Rules
2014-10-24 MAGI Consumers Long Term Eligibility Rules.pdf
long term eligibility rules for individuals who are eligible for Medicaid under a Modified Adjusted Gross Income (MAGI) eligibility group
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09 Apr, 2015
74 kb
Downloads: 5756
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Nursing Home Eligibility Division Expedited Renewal Protocol
2015-03-31 NHED EXPEDITED RENEWAL PROTOCOL.pdf
HRA's policy regarding automated renewal for certain institutionalized Medicaid recipients. This alert identifies which nursing home residents are being selected for automated Medicaid renewals.
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03 Apr, 2015
200 kb
Downloads: 8718
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NYC HRA MICSA ALERT 02 03-2015 Medicaid Recipients Transferred at Renewal from NYS of Health to Local Dept. of Soc. Services
2015-02-03 Medicaid Recipients Transferred at Renewal from the New York State of Health to the Local Department of Social Services.pdf
Procedure for transitioning people from expanded "MAGI" Medicaid generally for people under 65 who do not have Medicare -- when they turn 65 or become enrolled in Medicare, they must transfer to Non-MAGI Medicaid, using a stricter income and resource test. The procedure provides some coverage to fill the gap during the transition. It implements State DOH 14-LCM-02 posted at https://www.health.ny.gov/health_care/medicaid/publications/lcm/14lcm-2.htm (Dec. 2014)
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23 Feb, 2015
143 kb
Downloads: 6425
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NYLAG Testimony on 2015-16 Proposed State Budget - Medicaid and Health Care
NYLAG Health statement 2015.pdf
Testimony by NYLAG on 2015-16 Proposed State Budget - Medicaid and Health Care. Opposes repeal of Spousal Refusal (and Parental Refusal) and repeal of a provision that requires expedited "immediate need Medicaid" services pending a final decision on a Medicaid application, where personal care or other services are urgently needed and the application is likely to be approved.
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12 Feb, 2015
541 kb
Downloads: 3459
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Sample of a "WEP" Windfall Offset Notice for Social Security
WEP NOTICE reduction.pdf
Sample of a Social Security notice reducing the Social Security Retirement benefit because of a Ghetto pension received from Germany.
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16 Dec, 2014
263 kb
Downloads: 6379
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Sample Restitution Worksheet - Completed
Sample worksheetCCCORRECT2.xls
Sample of Restitution Worksheet with entries for German restitution historically received.
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16 Dec, 2014
521 kb
Downloads: 4278
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Form Letter to Notify the SSA or Medicaid Office About Ghetto Pension
Notice to SSA and Medicaid of Ghetto Pension.pdf
Form Letter developed by NYLAG to notify the Social Security Administration or Medicaid office about the Ghetto Pension, with attached section of SSA POMS Procedures Manual that was amended in 2014, specifically stating that the Ghetto Pension is exempt from income and resources, and explaining how to determine if a particular award from Germany is a Ghetto Pension.
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16 Dec, 2014
394 kb
Downloads: 6120
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HRA MAP Form 3097 Request for Budgeting Recipients with Excess Income Who May Be MAGI Eligible 8-26-2014
2014-08-26 Request for Rebudgeting to MAGI from Spend-Down.pdf
HRA MAP Form 3097 Request for Budgeting Recipients with Excess Income Who May Be MAGI Eligible - Alert and Form in this PDF. FORM dated 8-20-2014
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29 Oct, 2014
116 kb
Downloads: 5744
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