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Applying For and Keeping Medicaid
NYLAG Presentation on Medicaid Renewals in New York City - October 2025 Download
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.
16 Oct, 2025 2.51 mb Downloads: 1593
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (9-2025).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.
01 Oct, 2025 148 kb Downloads: 9434
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: 2079
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: 10511
MAP-751W Consumer/Provider Request to Change Information on File (7-14-2025)(fill-able) Download
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.
30 Sep, 2025 225 kb Downloads: 11066
Medicaid Alert: Excess Income (Surplus) Applicants in Need of Managed Long Term Care Download
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.
10 Jul, 2025 42 kb Downloads: 13039
HRA Medicaid Alert -Office of Medicaid Renewal - fax/email contacts to submit Renewals, applications, and other requests (6/3/2025) Download
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/
19 Jun, 2025 441 kb Downloads: 799
NYLAG PowerPoint 5/12/25 with Updates on CDPAP Transition to PPL, Medicaid Renewals in NYC and other updates Download
2025-05 Pierro ELF Medicaid Update NYLAG - final.pdf
NYLAG update presented in the 30th Elder Law Forum on May 15, 2025 sponsored by Pierro, Connor & Strauss LLP. Recording of this presentation will be posted soon. View PDF that includes all presentations at https://www.pierrolaw.com/wp-content/uploads/2025/05/Elder-Law-Forum-Presentation-2025.pdf.
TOPICS in this presentation:
1 -NYC Medicaid Cases Closing if Renewals Not Returned – 20,000 in first batch!
2- CDPAP Transition to PPL as Single “FI”
---Status, advocacy, health insurance, what is driving this?
3 -Recent & Upcoming MLTC Plan Mergers – Alert re Transition Rights
4 NYS Fair Hearing Backlog- “PHD” process 2025
5 Federal Medicaid Defense
6 On the horizon
---MECM – Medicaid applications moving online!
---Pending Home Care Restrictions passed in 2020 (Lookback, ADL Thresholds)
19 May, 2025 1.94 mb Downloads: 362
MAP-909E HRA DAB Renewal Form Redacted (2023-12-06) Download
MAP-909e DAB Renewal (2023-12-06) Sample with 2023 ACT NOW insert_Redacted.pdf
HRA Medicaid Renewal Form for Disabled, Aged, & Blind (DAB) recipients - 12/6/2023 version
(1) a 2-page Renewal Notification letter with the deadline to return the renewal, which is always the 10th of the 2nd month after the notification,
(2) "STOP ACT NOW" alert intended to alert consumers that this renewal MUST be returned, unlike those sent during the Public Health Emergency (MAP-3185 - 2025-01-09),
(3) Renewal form has a new section in Part 6 RESOURCES requiring authorization for HRA to verify resources using data matching - must be signeded by recipient and spouse(page 7, 12-13 of the PDF);
(4) Renewal form must be signed by both applicant and spouse (p. 15 of PDF)
(5) Financial Maintenance form - not new - only required if housing costs are more than 70% gross monthly income (p. 10 of PDF);
(6) Renewal instructions (pp. 15-17 of PDF)
(7) Bar coded return envelope - LAST PAGE of PDF. If you don't have this, mail it to the address on this copy CERTIFIED.
13 May, 2025 2.89 mb Downloads: 20850
HRA Medicaid Alert 3/19/2025 - NYS Disability Determination Requirements Download
2025-03-19 State Disability Determination Requirements.pdf
This alert reiterates the previous Alert dated April 18, 2024 and one earlier in 2022. When requesting a Disability Determination, submit only MAP-3177 Disability Determination request. HRA will forward this to the NYS Disability REview Unit, which will then request the rest of the documents listed in this article - http://health.wnylc.com/health/entry/134/.
16 Apr, 2025 123 kb Downloads: 365
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