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NYS DOH-OTDA WMS Workers' Guide to Codes (2-9-2017)(Excerpt on MEDICAID only)
Workers Guide to Codes - MEDICAID ONLY 2-2017.pdf
Excerpt of State publication that explains the millions of eligibility codes that show restrictions on or categories of individual's Medicaid eligibility. The entire guide is much bigger. This SEARCHABLE excerpt contains the chapter on MEDICAID CODES.
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25 Feb, 2020
3 mb
Downloads: 4714
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Sample NYC Stenson Notice (revised 2015) with Renewal form (revised 2013)
MAP-909 (English) Stenson Notice (1-15-2015) with 3074 form (10-16-2013).pdf
Notice used in NYC to advise a former SSI recipient of the procedure to have continuing Medicaid eligibility determined, with Renewal form to be completed and returned (MAP 909 and MAP 3074)
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15 Jan, 2020
2.02 mb
Downloads: 9437
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Settlement and Order in Garcia v. Roberts, NYC Class action, Mar. 12, 2019
Settlement Agreement - Garcia.pdf
Settlement and Order in Garcia v. Roberts, NYC Class action, Mar. 12, 2019 (16-CV-08370)(SDNY) - requiring HRA to render Medicaid eligibility determinations for people applying based on disability within 90 days. This includes applications submitted with a pooled or individual SNT for an individual age 65+, since the approval of the trust requires a determination that the applicant is "disabled" as defined by law.
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25 Aug, 2019
762 kb
Downloads: 3465
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2019-07-31 Reapplication and Renewal Grace Periods
2019-07-31 Reapplication and Renewal Grace Period.pdf
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21 Aug, 2019
122 kb
Downloads: 2905
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2019-06-04 MICSA Alert Regarding May 2019 Eligibility Renewal Packets
2019-06-04 renewal packets.pdf
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18 Jun, 2019
77 kb
Downloads: 2545
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NYC Medicaid Alert: 12/31/18 - HRA Contacts in Medicaid and Home Care Services Programs
2018-12-31 HRA Medicaid & HCSP Contacts for Authorized Submitters and CBO's.pdf
Listing of contacts in Medicaid and Home Care Services Programs, intended for use by Hospitals, Authorized Client
Representatives, Providers, Certified Home Health Agencies (CHHA’s), Community Based Organizations
(CBO’s) and other entities
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02 Jan, 2019
93 kb
Downloads: 8191
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NYC HRA MICSA Alert July 3, 2018 Transition of Rosenberg Cases to NYSofHealth from HRA for SIngles-Childless Couples
2018-07-03 Transition of Rosenberg Determ's for MAGI S-CC to NYSofHealth.pdf
The "Rosenberg" procedure is used when public assistance cash benefits are terminated, to allow the individual to recertify and maintain Medicaid without disruption if they are still eligible. See http://www.wnylc.com/health/entry/85/. Initially this change applies to Singles and Childless Couples, and not to anyone in an MLTC plan or HARP plan. They will receive a letter from HRA telling them they must renew their Medicaid online on NYS of Health. The Alert includes the form letter.
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08 Jul, 2018
94 kb
Downloads: 3739
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NYC HRA MICSA Alert April 9, 2018 New Asset Verification System in Nursing Home Applications
2018-04-09 Asset Verification System.pdf
NYC Medicaid alert announcing new Asset Verification System (AVS) that has been rolled out statewide, and started in NYC in January 2018 in Nursing Home applications only, not in Community Medicaid applications. This system applies only in "non-MAGI" cases, meaning for people age 65+, disabled, or blind. This is because MAGI cases (< 65 and not on Medicare) do not have any asset limit.
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08 Jul, 2018
928 kb
Downloads: 4646
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Form DOH-5247 - Medicaid Authorized Representative Designation/Change Request
DOH-5247 - Medicaid Authorized Rep Designation - Change Request (10-2017).pdf
Form for Medicaid applicant or recipient to designate or change representative authorized to sign applications, renewals, or conduct other communications with local district
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25 May, 2018
247 kb
Downloads: 2960
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NYC HRA Medicaid Alert 2018-01-10 Corrected Mailing - Medicare Enrollment
2018-01-10- HRA MICSA ALERT REVISED Must Apply for Medicare.pdf
See http://www.wnylc.com/health/entry/185/
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24 Jan, 2018
113 kb
Downloads: 3629
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