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NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2024
2001_to_2024_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2024. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
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07 Mar, 2025
3.77 mb
Downloads: 303171
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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: 454462
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HRA-MAP 931Y E-Fax Medical Bills Cover Sheet (2018)
MAP-931Y_E-Fax_Medical_Bills 2018-4-27.pdf
HRA Medicaid Fax Cover Sheet to Fax medical bills to meet spend-down (2018)
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29 Jan, 2025
80 kb
Downloads: 26019
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HRA Medicaid Alert 6-10-2024 - Undocumented Immigrants age 65+ Eligible for Medicaid through Managed Care
2024-06-10 Undocumented Immigrants Age 65 and Older - Mainstream Medicaid Managed care Plan available.pdf
NYC procedures to implement change in state law giving full Medicaid coverage to Undocumented Immigrants Age 65+ - but only through Medicaid managed care plans. See article on this change at http://health.wnylc.com/health/entry/251/ with state directives.
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17 Sep, 2024
151 kb
Downloads: 704
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MICSA Alert 8-2-2024 Relocation of Brooklyn South (MAIN) Medicaid Office and Authorized Rep Window
2024-08-02 Change address for C-Rep and brooklyn_south.pdf
MICSA Alert 8-2-2024 Relocation of Brooklyn South (MAIN) Medicaid Office and Authorized Rep Window - adds new email address for AUthorized Representatives (approved by HRA) to email applications.
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17 Sep, 2024
134 kb
Downloads: 996
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MAP-2161 and MAP 2161a Spousal / Parental Refusal Form (2023) (ENGLISH)
MAP-2161 (2023-03) + MAP-2161a (2023-11) Combined ENGLISH.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
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20 Mar, 2024
329 kb
Downloads: 69380
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CASA Contact List
CASA List (HCSP-3037 English) 12-4-2023.pdf
HRA contacts for the New York City Home Care Services Program CASA offices (updated 12/2023)
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18 Mar, 2024
74 kb
Downloads: 72214
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HRA MICSA Alert 2015-03-10
2015-03-10 CORRECTED UPDATE Transition coverage from NYSOH to WMS with copy of 2014-06 Original Alert + Transmittal form.pdf
Consumers who have their Medicaid coverage through the New York State of Health (the Marketplace) and who require certain services, must have their case transitioned to WMS (and administered by HRA) in order to receive those services. Amends and references an earlier Alert of June 2014, which is attached to this copy along with the Transmittal form annexted to the June 2014 Alert.
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31 Oct, 2023
505 kb
Downloads: 6379
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NYC HRA Medicaid Alert NY Independent Assessor & Changes to Personal Care (PCS) Assessment Process (5/31/23)
2023-05-31 NYIA and Changes to Personal Care Assessment Process.pdf
Explains what consumers seeking Medicaid CDPAP or personal care (PCS) should do in 2 situations: (1) Those who contacted NYIA directly, rather than applying for Immediate Need services and who are not in a Mainstream Medicaid managed care plan (known as "Fee for service (FFS) consumers") - If the NYIA notice says they are not eligible to enroll in MLTC and refers them to the LDSS - they should fax a copy of their NYIA decision notice to the CASA Central Intake unit (718) 636-7784. Case will be assigned to a CASA to use the notice to retrieve the NYIA assessments and then proceed to assess whether eligible for PCS or CDPAPt. But.. if they are a dual eligible and not in a hospice program, or in OPWDD, TBI or NHTD waiver - they are probably only eligible for 8 hours/WEEK of Housekeeping services from CASA. T
(2) If you applied to HRA for Immediate Need services - PCS or CDPAP via eFax (917) 639-0665 - you should not have to contact the HRA Home Care Services Program/CASA after the NYIA assessessments -- because NYIA should notify CASA of the outcome of the assessments directly and they should contact you about next steps to decide if you are eligible for services and if so - what is your plan of care.
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03 Jun, 2023
132 kb
Downloads: 1893
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MAPDR-05 (08/04/2022) List of Managed Care & Managed Long Term Care Plans in NYC
2022-08-04 MAPDR-05 Medicaid Managed Care Plans NYC.pdf
This includes a list of all managed care organizations participating in the following types of Medicaid managed care, including ID and code numbers, contact information, and service areas:
* Medicaid Managed Care
* Health and Recovery Plan Managed Care Plans (HARP)
* Managed Long Term Care (MLTC)
* Medicaid Advantage Plus (for dual eligibles, includes MLTC)
* HIV Special Needs Plans (SNP)
* Programs of All-inclusive Care for the Elderly (PACE)
* Fully Integrated Dual Advantage (FIDA) IDD
Updated August 4, 2022 (current on HRA site as of 5/31/23)
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31 May, 2023
129 kb
Downloads: 63032
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