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NYC HRA Medicaid Form MAP-3062a Request for a Time Extension (12/5/17)(fillable)
MAP-3062a Request for a Time Extension (12-5-17) Fillable.pdf
Used for applications, renewals, and the new requirement to apply for Medicare for those age 65+. "I am unable to provide the documentation that HRA requested at this time. I am requesting additional time past the deferral due date that HRA provided. I understand that this extra time may delay the final processing of my case which could result in an eligibility determination taking longer than the normal case processing timeframe of 30 days for a case containing a child, 45 days for a case containing adults only, or 90 days for a case based on a disability." Asks to specify if this is initial extension request or later. This is a fill-in-able form.
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11 Jan, 2018
66 kb
Downloads: 4790
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NYC HRA Insert to Medicaid Applications and Renewals - Must Apply for Medicare (MAP 3134e)
MAP3134e - DAB insert renewal and apply for Medicare (1-20-17).pdf
Insert in all Medicaid renewals and applications informing people age 65+ or approaching age 65 that they must apply for Medicare. Notice does NOT say they need only apply if they meet Medicare immigration status requirements and have incomes under 120% FPL.
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22 Dec, 2017
393 kb
Downloads: 3562
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NYC HRA Medicaid Alert 2017-12-04 - Application Dates and Deferral Timeframes
2017-12-04 Medicaid Application Dates & Deferral Timeframes.pdf
NYC HRA Medicaid program Alert giving new timeframes for applicants to respond to "deferrals" by the Medicaid agency, which allow additional time to submit missing timeframes. Also introduces a new Form MAP-3062b Decision on your REquest for a Time Extension. MAP-3062a Request for Time Extension is revised 12/5/17 (also posted on this site)
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21 Dec, 2017
174 kb
Downloads: 3529
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NYC HRA Medicaid Alert 2017-12-13 Most Medicaid Recipients & Applicants Must appy for Medicare
2017-12-13 - Must Apply for Medicare.pdf
Alert issued to implement State policy -- 17 OHIP ADM-01: "Medicare Enrollment at Age 65" -- that requires those with incomes under 120% of the Federal Poverty Line, who are age 65+ or within 3 months of turning 65 - to apply for Medicare, if they would meet the immigration status requirements (citizens or have been a lawful permanent resident for 5 years).
SEe http://www.wnylc.com/health/entry/185/
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21 Dec, 2017
139 kb
Downloads: 4111
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NYC HRA Medicaid Alert 2017-07-26 Power of Attorney and Statutory Gift Rider
2017-07-26 Power of Attorney and Statutory Gifts Rider.pdf
"...[T]he New York Statutory Short Form Power of Attorney (NYSPOA), if executed after Sept. 1, 2009, may only be used to establish a trust, if section (h) of the NYSPOA is initialed and if a Statutory Gifts Rider (SGR) is also signed and witnessed by two persons, who are not named in the SGR as permissible recipients of gifts, at the same time as the referencing NYSPOA."
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16 Aug, 2017
74 kb
Downloads: 6372
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NYC HRA Medicaid Alert 2017-05-11 New Renewal Form for Disabled/Aged/Blind (DAB) Medicaid
2017-05-11 Revised DAB Renewal Form and Online Reprints of DAB Renewal.pdf
Announces new mail renewal form and that DAB renewals will be made available for reprint on ACCESS NYC. Users can go to www.nyc.gov/accessnyc. Reminder that renewals must be signed, and updates should be indicated or check "no change."
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16 Aug, 2017
755 kb
Downloads: 6883
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NYC HRA Medicaid Alert 2017-04-26 Change in Medicaid Transportation Contractor in NYC for Medicaid Managed Care and Fee for Service Medicaid
2017-04 Medicaid Alert re Transportation for FFS and MMC New Company.pdf
Announces change effective April 23, 2017 from LogistiCare to MAS - Medical Answering Services LLC, the same contractor handling much of upstate NYS.
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08 Jun, 2017
192 kb
Downloads: 3499
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HRA Medicaid Alert Temporary Non-Immigrants 12-15-16
2016-12-15 MA Alert re Temporary Non-Immigrants dated 12-15-16.pdf
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17 Jan, 2017
188 kb
Downloads: 4134
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HRA Medicaid Alert -Immediate Need for Personal Care or Consumer Directed Personal Assistance Services
2016-10-19 Immediate Need for PCS and CDPAP.pdf
Alert dated 10/19/2016 implementing procedures for requesting fast-track approval of Medicaid and personal care or CDPAP for people in Immediate Need of these services. See http://www.wnylc.com/health/entry/203/
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19 Oct, 2016
220 kb
Downloads: 12434
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NYC HRA Form HCSP-3052 Immediate Need Transmittal to Home Care Services Program
2016-09-23 Immediate Need transmittal Form.pdf
NYC HRA Form for submitting Medicaid application and request for Immediate Need Personal Care Services
See http://www.wnylc.com/health/entry/203/
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25 Sep, 2016
225 kb
Downloads: 9534
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