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Medicaid Renewal Reprint and E-Notices ACCESS HRA Download
2026-03-12 Medicaid Renewal Reprint and E-Notices ACCESS HRA.pdf
This alert explains how to use the "reprint Medicaid Renewal Form" feature on Access HRA, and when consumers can or cannot use that feature. It also explains that the current "Print Medicaid Renewal" function on Access HRA sometimes generates an outdated version of the form with an obsolete 2018 barcode. Lastly, it explains the E-Notices feature on Access HRA, and explains online trainings available that allow participants to complete a mock renewal on Access HRA and via paper form.
12 Mar, 2026 379 kb Downloads: 247
Pregnancy Presumptive Eligibility Applications through NYSOH Download
2026-02-09 Presumptive Eligibility Determination.pdf
This alert advises the public that as of January 2026, HRA is only acceptive retroactive presumptive eligibility applications for PCAP (prenatal care assistance program) services received in 2025. Moving forward, applications must go through the New York State of Health (NYSOH).
11 Mar, 2026 248 kb Downloads: 90
Medicaid Renewal Delay Notification - Vanguard Transmission Issue Download
2026-03-05 Medicaid Renewal Delay Notification - Vanguard Transmission Issue.pdf
This HRA alert advises the public of an identified transmission issue by the vendor Vanguard. As explained in the alert: "During Fall 2025, a technical configuration error at HRA’s mail processing vendor, Vanguard, delayed the timely receipt of renewals by HRA consumers. This resulted in some Medicaid cases being closed for failure to respond to a renewal even though the renewal was submitted timely."
11 Mar, 2026 810 kb Downloads: 164
Medicaid income and resource levels - 2026 (02-23-2026) Download
MAPDR-01 HRA NYS Medicaid Income + Resource Chart 2-23-26.pdf
NYC HRA MAPDR-01 (updated 02/23/2026) -- Final 2026 chart with 2026 Federal Poverty LImits
24 Feb, 2026 2.15 mb Downloads: 456736
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2016 Download
2001_to_2016_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001-2016.  Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.

Past income levels since 2001  were until now posted in one document  at http://health.wnylc.com/health/download/396/.  That file  got too big and now includes Medicaid charts from 2017 - 2025.   This document includes earlier years back to 2001. 

See current Medicaid income levels in this article   http://health.wnylc.com/health/entry/15/
19 Jan, 2026 1.83 mb Downloads: 113
NYS Medicaid Income and Resource Levels for Past Years - 2017 - 2024 Download
2017_to_2025_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2017- 2024. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.

File got too big to include all charts since 2001. Years 2001 -2016 now posted at http://www.wnylc.com/health/download/920/
19 Jan, 2026 3.57 mb Downloads: 303634
MAP-2161 and MAP 2161a Spousal / Parental Refusal Form (2025) (ENGLISH) Download
MAP-2161 (2025-04) + MAP-2161a (2025-3) Combined (Spousal Refusal Form with INSTRUCTIONS.pdf
Applicants for Medicaid in New York City can use this "APPLICANT/RECIPIENT DECLARATION CONCERNING THE LEGALLY
RESPONSIBLE RELATIVE’S INCOME/RESOURCES" forms to indicate the refusal of their legally responsible relative to make available their income or resources for the cost of necessary medical care and services, i.e. "spousal/parental refusal." Since 2018, includes language to request accommodation of disability in reading notice. Instructions explain whi h form to use - MAP-2161 or 2161a - don't need both. Both attached in same PDF. Other languages availaable of MAP-2161 at https://www.nyc.gov/site/hra/help/health-assistance.page
13 Jan, 2026 371 kb Downloads: 70148
2024-10-1 Medicaid Alert - Nursing Home Eligibilty Dept. Provider Relations (NHED PR) - Email Inquiries Transitioning to MCS (Managed Care System) Download
2024-10-1 NH transition from provider relations email inbox to mcs october 1 with fillable form.pdf
Alert announces a new portal for which providers and organizations assisting consumers must be approved to access information from the Nursing Home Eligiblity Dept. Includes a form to complete and submit by email to nhedproviderrelations@hra.nyc.gov. See instructions in the Alert. "Provider name" would be the name of the law firm or org.
12 Nov, 2025 201 kb Downloads: 306
MAP-751k (Spanish)(11-27-2024)(fill-able)) Download
MAP-751K Spanish (11-27-2024)(fill-able).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) . Other languages are available at https://www.nyc.gov/site/hra/help/health-assistance.page. 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
30 Sep, 2025 206 kb Downloads: 2289
MAP-751K Consumer Request to Change Information on File (11-27-2024)(fill-able) Download
MAP-751K (11-27-2024)(fill-able).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 11-27-2024. The MAP-751K is also posted at https://www1.nyc.gov/site/hra/help/health-assistance.page in other languages. Fax to HRA MAP Undercare 1-917-646-0837 per Medicaid Alert 8/2024 http://www.wnylc.com/health/download/738/. NOTE: The 751k is no longer used to request a change in budgeting. For that, use new form MAP-751W posted at the same webpage as above for the 751K
30 Sep, 2025 199 kb Downloads: 11045
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