NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Applying For and Keeping Medicaid
HRA Medicaid Alert - Requesting Report Changes in Address during Pandemic Download
2021-12-20 MAP Request for Information form 751v + 751k.pdf
Announces mass mailing to all NYC Medicaid recipients asking them to report any address changes and certain other changes that occurred during the pandemic with Form 751K. Updating addresses is important because once the pandemic is declared over, all recipients will receive Renewal notices by mail. Without an updated address, they will not receive these renewals, and Medicaid could be discontinued. Form 751-k can be downloaded at http://www.wnylc.com/health/download/638/ (fillable) or in varioius languages at https://www1.nyc.gov/site/hra/help/health-assistance.page.
22 Dec, 2021 1.46 mb Downloads: 1514
Form DOH-5143 - Medical Disability Form - replaces LDSS-486T (08-2018) Download
DOH-5143 Replaces 486T Medical Report for Determination of Disability (08-2018) - FILLABLE.pdf
Form to be signed by treating physician to certify disability as required for approval of Supplemental Needs Trusts, or for Medicaid based on disability where the Social Security Administration has not determined disability. Replaces Form 486T. See HRA MICSA Alert Dec. 20, 2021, available at http://www.wnylc.com/health/fdownload/799/
22 Dec, 2021 50 kb Downloads: 4968
HRA Medicaid Alert 12/20/21 - New Form DOH-5143 Replaces Form 486T for Medical Determination of Disability Download
2021-12-20 Medical Disability Form LDSS-486T Replaced with DOH-5143.pdf
Announces a change in the form for treating physician to certify disability as needed to approve supplemental needs trusts including pooled trusts, and Medicaid based on disability, if not certified by the SSA. Replaces Form 486T, though 486T will be accepted until Feb. 1, 2022. New form posted at http://www.wnylc.com/health/download/798/
22 Dec, 2021 718 kb Downloads: 2375
NYLAG Fact Sheet on Applying for Medicaid and Home Care if "Immediate Need" for Personal Care or Consumer-Directed Services Download
Fact Sheet Immediate Need (2021-12-3) Complete.pdf
Fact Sheet includes key forms (updated 12-2021)
03 Dec, 2021 925 kb Downloads: 15447
NYLAG PowerPoint on 2021-22 Medicaid Home Care Changes & Lookback Download
NYLAG Budget PowerPoint Home care changes 10-2021.pdf
Powerpoint with latest info - as of Oct. 20, 2021 -- on implementation of changes enacted in the NYS FY 2020-2021 budget, including the restrictions on eligibility for Personal Care services (PCS) and CDPAP services (reqiring 2-3 ADLs), the Independent Assessor procedures, and the loosened standards allowing plans to more easily reduce hours of home care after a "transition period" for certain members.
20 Oct, 2021 1.31 mb Downloads: 1733
Transitioning of MAGI-like Medicaid Cases from DSS/HRA Medicaid to NYSOH Download
2021-09-27 Transitioning of MAGI - Like Medicaid Cases.pdf
Since the New York State of Health was introduced in 2014, it has been responsible for all MAGI Medicaid cases. However, there were many Medicaid consumers with MAGI-like budgeting who were found eligible before January 1st, 2014. Their cases have remained with HRA until they could be transitioned. Those consumers were to be transitioned in phases and the first transition began in June 2018. NYS has resumed the transition and approx. 158,600 individuals transitioned between April 2021 through July 2021. The alert details which groups of MAGI recipients were transitioned and those who will not be transitioned. Clients will not be required to renew their coverage in NYSOH until after the COVID-19 Health Emergency ends.
06 Oct, 2021 213 kb Downloads: 3337
Reopening of Chinatown Medicaid Office Download
2021-09-22 Reopening of Chinatown Medicaid Office.pdf
Chinatown Medicaid Office reopened at the same location (115 Chrystie St., 5th Fl., New York, NY 10002; tel. (212) 334-6114). Open 9:00am to 5:00pm, Monday thru Friday.
06 Oct, 2021 78 kb Downloads: 1230
2021-9-08 MAP Undercare Division - Case Action Update Requests via Email Download
2021-09-08 MAP Undercare Division email REVISED +751k -751w forms.pdf
This Alert is to advise Medicaid Providers, Hospitals, Client Representatives, Community Based Organizations and Advocates that the Medical Assistance Program's Undercare Division can now receive case action update requests via email at undercareproviderrelations@hra.nyc.gov. This email is NOT FOR NEW APPLICATIONS. MAP 751k or 751w form attached to this alert is required. This alert revises the July 2021 alert
12 Sep, 2021 539 kb Downloads: 3016
HRA Medicaid alert 2020-05-27 Authorized Client Representatives - COVID-19 Application Submissions by E-fax Download
2020-05-27 Fax Submissions to MICSA & HCSP.pdf
Updates alert from April 2020 with additional e-fax numbers.. Establishes new e-Fax number for "C-Rep" Authorized client Representatives for Medicaid applications not submitted electronically by EDITS. e-Fax 917-639-0731.

Requests ONE application be submitted per fax, with cover page listing all documents attached. Says not for MLTC application submissions (unclear what this means)
04 Sep, 2021 46 kb Downloads: 2223
2021-08-30 Updated Fax & E-maikl Submissions to HRA Medicaid and HCSP Download
2021-08-30 Fax-e-Mail submissions to MAP - Home Care Services Preogram.pdf
updates earlier fax lists - allowing submission of applications and other documents by fax during COVID-19 emergency, and adds some email addresses for inquiries
04 Sep, 2021 152 kb Downloads: 6167
Prev Next
1 2 3 4 5 6 7 8 9 10


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.