Announces TWO new forms to request a determination of disability for a pooled trust/ Supplemental Needs Trust, MBI-WPD and other reasons. The Disability Determination Form LDSS-1151is being replaced with DOH-5139 (download at https://www.health.ny.gov/forms/doh-5139.pdf). A new HIIPPA form must also be submitted https://www.health.ny.gov/forms/doh-5173.pdf - along with the OCA form used by the local districts. - https://www.nycourts.gov/forms/Hipaa_fillable.pdf

CASA field offices have been consolidated. There is one CASA office per borough. Includes announcement of new email address for HCSP inquiries

Includes announcement of new e-mail address for inquiries about HCSP cases (7-2021)

This Alert is to advise Medicaid Providers, Hospitals, Client Representatives, Community Based Organizations, Certified Home Health Agencies(CHHA), and Advocates, that the Home Care Services Program (HCSP) has created an email inbox to allow for the submission of inquiries related to HCSP Medicaid case transactions using hcspinquiries@hra.nyc.gov. Allowed inquiries/transaction include demographic changes, address updates, pooled trust review, county-to-county transfer requests, Medicare Savings Program and coverage updates. This email is NOT FOR SUBMITTING APPLICATIONS or documents related to an application. Please read Alert for required information.

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 3-15-21). The MAP-751K is also posted at https://www1.nyc.gov/site/hra/help/health-assistance.page in other languages. Upon completion, it can be faxed to HRA using 917-639-0837. (Updated 2-18-2021) 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.

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.

Says MAP-2097K Health Insurance Eligibility Screening Worksheet is obsolete. Alert includes sample of MAP 909E (4/19/18) which is still the renewal form used in NYC as of 3/30/21. Says renewals will be deferred if all pages not submitted. Note that Alert has no date but the HRA MARC website indicates date is 8/22/19.

HRA MICSA Alert: Asset Verification System (AVS) Expanded to Hospital Eligibility and Client Representative Case Submissions (11/29/2019)(revised)

HRA Alert about notices sent in error to 30,000+ Medicaid recipients in NYC discontinuing Medicaid. The alert has the language of the correction notices that the consumers will receive.

HRA Alert with fax numbers for authorized submitters and providers to fax applications and other requests to various HRA Medicaid units - during the COVID-19 epidemic. The fax number posted at https://www1.nyc.gov/site/hra/locations/medicaid-locations.page for the PUBLIC to fax applications is not on this list - it is 917-639-0732