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NYS Medicaid Income and Resource Levels for Past Years - 2017 - 2024
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/
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19 Jan, 2026
3.57 mb
Downloads: 303414
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Medicaid income and resource levels - 2026 (01-07-2026)
MAPDR-01 Jan 2 2026.pdf
NYC HRA MAPDR-01 (updated 01-2026 ) -- Although this was issued in Jan 2026, almost all the figures are in yellow which means that they are still the 2025 figures. The 2026 figures can only be calculated after NYS Dept. of Health issues the 2026 Federal Poverty Levels (FPL) later in February or March (even though the FPLs were announced by the federal govt).
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16 Jan, 2026
298 kb
Downloads: 455418
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Currency Conversion Worksheet for Holocaust Reparations
Reparation worksheet.xls (12-2025).xlsx
Use this worksheet to convert lifetime total amount received in Holocaust reparations / restitution from foreign currencies (Deutschmarks and Euros) into U.S. Dollars. This is for purposes of taking advantage of the exemption of saved reparations payments from the resource test for Federally-funded means-tested benefits, like Medicaid and Supplemental Security Income. Updated monthly.
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01 Jan, 2026
148 kb
Downloads: 9581
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2024-10-1 Medicaid Alert - Nursing Home Eligibilty Dept. Provider Relations (NHED PR) - Email Inquiries Transitioning to MCS (Managed Care System)
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.
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12 Nov, 2025
201 kb
Downloads: 174
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NYLAG Presentation on Medicaid Renewals in New York City - October 2025
2025-10-15 Best Practices for Non-MAGI Medicaid Renewals 2.pdf
PowerPoint highlighting best practices for non-MAGI Medicaid renewals to prevent a discontinuance of Medicaid services. For several years during the Public Health Emergency (2020-spring 2025) Medicaid was automatically extended without requiring a renewal.
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16 Oct, 2025
2.51 mb
Downloads: 2181
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MAP-751k (Spanish)(11-27-2024)(fill-able))
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
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30 Sep, 2025
206 kb
Downloads: 2204
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MAP-751K Consumer Request to Change Information on File (11-27-2024)(fill-able)
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
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30 Sep, 2025
199 kb
Downloads: 10867
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MAP-751W Consumer/Provider Request to Change Information on File (7-14-2025)(fill-able)
MAP-751W Request to Change Information (Doc required) (7-14-2025)(fill-able).pdf
NYC HRA Form to notify HRA of corrections or changes, e.g. close case, combine case, add/remove individual, notify of death, change in immigration status, upgrade eligibility, request MSP evaluation, budgeting changes, pooled trust budgeting and add/remove third party health insurance. may be faxed to Fax 1-917-646-0837 per August 2024 Medicaid Alert http://www.wnylc.com/health/download/738/. Note that a change in demographic information (such as name, address, phone number) should be reported in a different form: MAP-751K.
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30 Sep, 2025
225 kb
Downloads: 11496
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Medicaid Alert: Excess Income (Surplus) Applicants in Need of Managed Long Term Care
2012-07-12 Excess Income (Surplus) Applicants in need of MLTC.pdf
July 12, 2012
The purpose of this ALERT is to inform Community Based Organizations, Client Representatives, Certified Home Health Agencies and other providers that the Medical Assistance Program is changing the way it processes Medicaid applications for excess income eligible consumers seeking enrollment into a Managed Long Term Care (MLTC) plan. Consumers seeking MLTC enrollment who are found to only be eligible for the Medicaid Excess Income (Surplus) Program will now have their cases accepted and authorized with “06” (provisional) coverage. This will occur even if their applications are received without bills that cover their excess or surplus.
This new process will allow MLTCplans to see the provisional coverage on ePaces/eMedNY and will facilitate receipt of services for these consumers. Submitters are requested, when appropriate, to prominently indicate on the cover sheet of submitted applications that the consumer intends to enroll into an MLTC plan
Current policy will remain unchanged for all other consumers found eligible for the Excess Income Program.
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10 Jul, 2025
42 kb
Downloads: 13211
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HRA Medicaid Alert -Office of Medicaid Renewal - fax/email contacts to submit Renewals, applications, and other requests (6/3/2025)
2025-06-03 MAP Office of Mail Renewal -submission information.pdf
Fax numbers, e-mail addresses and mail addresses to submit Medicaid renewals, applications, and other requests. June 3, 2025. Contacts are/will be added to this HRA contact list posted at http://health.wnylc.com/health/entry/216/
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19 Jun, 2025
441 kb
Downloads: 1267
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