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HCSP Central Intake Medicaid Unit HRA
HCSP Central Medcaid Unit HRA.pdf
This letter is from HRA and it provides information about the process for filing new Medicaid applications for individuals who will be seeking personal care services.
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27 Sep, 2012
611 kb
Downloads: 711
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HRA Medicaid Alert: Mandatory MLTC Update Sept 2012
Medicaid Alert Mandatory MLTC Update 9-6-2012.pdf
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07 Sep, 2012
118 kb
Downloads: 1193
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Form Letter to Apply for Medicaid using EPIC Bills to Meet the Spend-down
Spenddown EPIC letter to Medicaid.doc
This document is in WORD so that it can be adapted easily to an individual case. Use this to submit the EPIC Claims History along with the Medicaid application. Bills paid by EPIC can be used to meet the spend-down. http://nyhealth.gov/health_care/medicaid/excess_income.htm#past_bills which states:
"Bills paid by EPIC or ADAP in the three months before the month in which you applied for Medicaid may be used to meet your excess income."
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15 Aug, 2011
34 kb
Downloads: 314
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Request for Documents for Medicaid Fair Hearing - "Rivera" Request
PFAIR PRO SE RIVERA REQUEST Rev May 2011.pdf
Request for Documents for Medicaid Fair Hearing - "Rivera" Request - Pro Se version
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16 Jun, 2011
31 kb
Downloads: 340
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REQUEST FOR DOCUMENTS TO PREPARE FOR A MEDICAID FAIR HEARING
Request for HRA CASE RECORD - General.doc
REQUEST FOR DOCUMENTS TO PREPARE FOR A MEDICAID FAIR HEARING with NYC contact information - for all Medicaid and home care cases
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23 Mar, 2011
28 kb
Downloads: 6734
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Summary of Proposals to Cut NYS Medicaid Approved by Medicaid Redesign Team Feb. 24, 2011
Summary of Medicaid Changes Approved by Medicaid Redesign Team on Feb.doc
Summary by Valerie Bogart, Selfhelp Community Services, Inc. based on information posted at http://www.health.state.ny.us/health_care/medicaid/redesign/
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25 Feb, 2011
163 kb
Downloads: 5090
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HRA MICSA alert
HRA MICSA Alert on Financial Maintenance Requirements for Medicaid and Family Health Plus July 2 2010.pdf
The purpose of this Medicaid Alert is to inform community based organizations and other providers of the standards used to evaluate how a Medicaid or Family Health Plus recipient meets his financial maintenance requirements. Financial maintenance questions occur when a person has higher monthly living expenses than monthly income. A form is included in the alert that should be filled out and sent to Medicaid to evaluate a person's monthly expense ratio to their income.
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25 Oct, 2010
173 kb
Downloads: 11342
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Continuing the Progress: Enrolling and Retaining Low-Income Families and Children in Health Care Coverage
Continuing_the_Progress.pdf
Report from CMS from August 2001, sharing innovative state Medicaid eligibility practices with State Health Officials. CMS Publication # 11000.
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14 Jun, 2010
714 kb
Downloads: 5031
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Sample HRA QMB Recertification Form
DAB Renewal.pdf
Sample of new recertification form that specifically refers to QMB. Actual recertification form will be prepopulated with the QMB recipients information. In use as of January 2010.
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11 Jun, 2010
166 kb
Downloads: 57784
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