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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: 3386
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Formerly Incarcerated Individuals Reactivation Transmittal
map-3103 Formerly Incarcerated Individuals Reactivation Transmittal.pdf
This form was uploaded by NYC HRA on 2/20/15 to help formerly incarcerated individuals reactivate their medicaid account once they have been released.
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13 Apr, 2015
111 kb
Downloads: 3548
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Notice of Permanent Placement Medicaid Managed Care
MAP-2159i Notice of Permanent Placement Medicaid Managed Care.pdf
NYC HRA uploaded this form on 4/3/15 to be used for clients requiring permanent placement under Medicaid's managed care plan.
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13 Apr, 2015
36 kb
Downloads: 8039
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8 Helpful hints for accurate completion of the medical request for home care (M11Q)
2014-12-09 8 Helpful HInts re Completion M11q.pdf
8 helpful hints for accurate completion of the medical request for home care (M11Q)
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09 Apr, 2015
61 kb
Downloads: 5672
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Fact Sheet on FIDA - by New York Legal Assistance Group
FIDA Fact Sheet NYC-Nassau (2015-4-1).pdf
Fact Sheet on FIDA with understanding of enrollment procedures as of Mar. 30, 2015. By NYLAG. Includes list of plans in Region 1 - NYC and Nassau. Revised to show enrollment postponed in Westchester and Suffolk
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01 Apr, 2015
690 kb
Downloads: 11455
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Consumer Coalition Comments on Draft Quality Strategy of NYS DOH Managed Care Program
CPRNYDE comments on 2014 Quality Strategy 07-13-14 - FINAL.pdf
Consumer Coalition Comments on Draft Quality Strategy of NYS DOH Managed Care Program (JUly 13, 2014)
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08 Sep, 2014
419 kb
Downloads: 4427
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Medicaid Home Care Fair Hearing Digest
Home Care Fair Hearing Digest.2.doc
Compiles synopses of favorable Fair Hearing decisions on various types of Medicaid home care, most of which are posted on the Fair Hearing database of wnylc.com. Categorized generally by topic and searchable. Many decisions posted on Online Resource Center of wnylc.net. Need log-in but free to use. 2011 decisions now posted OTDA website.
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01 Aug, 2014
886 kb
Downloads: 17741
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Coalition of Dual Eligibles Comments on Draft 3-Way Contract for FIDA
CPRNYDE Comments re FIDA draft three-way contract 05-05-14.pdf
Coalition to Protect the Rights of NY Dual Eligibles Comments, May 5, 2014
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25 Jul, 2014
264 kb
Downloads: 4940
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NYLAG Comments on Draft Three-Way FIDA Contract
NYLAG Comments on 3-way contract.pdf
Comments by New York Legal Assistance Group, May 13, 2014
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25 Jul, 2014
272 kb
Downloads: 4616
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NYS DOH Final Three-Way Contract for FIDA between State, CMS and FIDA Managed care Plans
Final Three-Way Contract Generic 7_03_14.pdf
NYS DOH Final Three-Way Contract for FIDA between State, CMS and FIDA Managed care Plans - final model contract July 3, 2014
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25 Jul, 2014
1.63 mb
Downloads: 5737
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