Automated Renewal Introduced for SSI-related Medicaid Recipients

· Beginning in December and January of 2012, NYS will begin automated renewal for Medicaid recipients receiving Social Security as their only source of income and with resources below 85% of the Medicaid resource level at the last renewal or at application, whichever was later (the Medicaid resource level is $13,800 for a single person and $20,100 for a couple). The State will will select only recipients age 18 or over, and will not initially include recipients in Medicare Savings Programs who are not also enrolled in Medicaid, or those using spend down.

T SSI-related recipients selected for automated renewal should receive a notice informing them that their Medicaid coverage will continue unchanged and explaining that they do not need to respond to the mailing unless they have change to report in income, resources, health insurance or residence.

This change is described as a proposal submitted to the Medicaid Redesign Team and chosen for implementation to reduce costs and improve quality in New York’s Medicaid program. It takes effect in December, 2011 in New York City and in January , 2012 upstate. See, NYSDOH ADM 11 OHIP/ADM-9.