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Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind
Medicaid Basic - 2025 final.pdf
This is basic information about Medicaid eligibility for the Disabled, Aged 65+, and Blind (DAB) category and about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. (updated March 5, 2025 with final 2025 Income and Asset limits released by DOH)
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07 Mar, 2025
279 kb
Downloads: 194085
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Medicaid income and resource levels - 2025 (2-14-2025)
MAPDR-01 Feb 26 2025.pdf
NYC HRA MAPDR-01 (updated 02-14-2025) -- Although this was issued in Feb. 2025, almost all the figures are in yellow which means that they are still the 2024 figures. The 2025 figures can only be calculated after NYS Dept. of Health issues the 2025 Federal Poverty Levels (FPL) later in February or March (even though the FPLs were announced by the federal govt).
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26 Feb, 2025
2.13 mb
Downloads: 450654
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MAP-909E DAB Renewal Form Redacted (2022-01-04)
MAP-909e DAB Renewal (2022-01-04) Redacted Sample with 2023 ACT NOW insert.pdf
HRA Medicaid Renewal Form being sent in 2023 to Disabled, Aged, & Blind (DAB) recipients in the "unwinding" of the Public Health Emergency. Note that the packet contains
(1) a 2-page Renewal Notification letter with the deadline to return the renewal, which is always the 10th of the 2nd month after the notification,
(2) "ACT NOW" alert intended to alert consumers that this renewal MUST be returned, unlike those sent during the Public Health Emergency (MAP-3185 - 2023-01-19),
(3) Renewal form has a new section in Part 6 RESOURCES requiring authorization for HRA to verify resources using data matching (page 6 of the PDF);
(4) Renewal form must be signed by both applicant and spouse (p. 9 of PDF)
(5) Financial Maintenance form - not new - only required if housing costs are more than 70% gross monthly income (p. 10 of PDF);
(6) NEW: Authorization for Verification of Resources - Recipient and Spouse each must sign this and send back with renewal!
(MAP-3179 and 3179a) (pp. 11-13 of PDF)
(7) Renewal instructions (pp. 14-16 of PDF)
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31 May, 2023
2.17 mb
Downloads: 15760
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Medicaid Household Size Chart for Aged, Blind and Disabled Individuals ("SSI-Related")
HOUSEHOLD SIZE FOR SSI RELATED CHART 2023 (using 2022 FPL).pdf
Updated 2023 using the 2022 FPLs. We hope to update it again when DOH adopts the 2023 FPLS.
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22 Jan, 2023
140 kb
Downloads: 52021
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CASA Directory Updated 9-09-2020 (Home Care Services Program (HCSP)
2020-09 NYC Home Care Services Program -CASA directory.pdf
CASA field offices have been consolidated. There is one CASA office per borough. Includes announcement of new email address for HCSP inquiries
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04 Aug, 2021
309 kb
Downloads: 7147
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MAP-751k (Spanish)(3-15-2021)
MAP-751K (3-15-2021)(Spanish).pdf
NYC HRA Form to use to notify HRA of change in name, address, mailing address, date of birth, SSN, and to request mail in different languages or formats for disability (Updated 3-15-2021) NOTE: The 751k is no longer used to request a change in budgeting. Instead use new form MAP-751W available at https://www1.nyc.gov/site/hra/help/health-assistance.page in various languages.
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31 Mar, 2021
75 kb
Downloads: 1799
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NYC Medicaid Alert: 12/31/18 - HRA Contacts in Medicaid and Home Care Services Programs
2018-12-31 HRA Medicaid & HCSP Contacts for Authorized Submitters and CBO's.pdf
Listing of contacts in Medicaid and Home Care Services Programs, intended for use by Hospitals, Authorized Client
Representatives, Providers, Certified Home Health Agencies (CHHA’s), Community Based Organizations
(CBO’s) and other entities
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02 Jan, 2019
93 kb
Downloads: 9133
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NYLAG 2016 Presentation - Overview of Medicaid Managed Care Landscape
Accessing Services FINAL.pptx
Part 3 of 5-part Medicaid webinar series. This presentation focuses on types of managed care plans and which Medicaid recipients may -- or must - enroll in each type.
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28 Apr, 2016
1.94 mb
Downloads: 4519
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Presentación de Powerpoint Sobre FIDA y MLTC
Caregiver Presentation Spanish Final 4-13-15.pdf
Esta presentación fue realizada el 13 de Abril 2015 en una organización local en Brooklyn para los residentes de ese edificio. La presentación es en español. Esta presentación se enfoca en los temas de Medicare, Medicaid, planes de cuidado a largo plazo (MLTC), y planes de doble ventaja totalmente integrado (FIDA).
Debe de usar estos materiales con la grabación sobre FIDA.
This presentation took place on April 13th, 2015 for local Brooklyn residents residing in senior housing. The presentation was conducted in Spanish. The presentation discussed Medicare, Medicaid, Managed Long Term Care plans (MLTC), and Fully Integrated Dual Advantage plans (FIDA).
Please view the powerpoint in conjunction with the Spanish recording of the presentation.
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27 Apr, 2015
355 kb
Downloads: 4222
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HSCP-3047b MLTC Nursing Home Eligibility Determination Cover Sheet
HCSP-3047b 1-26-2015.pdf
This is the cover sheet to used for MLTC NHED
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13 Apr, 2015
55 kb
Downloads: 5527
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