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Medicaid Alerts & Other Protocols published by the NYC HRA Medical Insurance and Community Services Administration (MICSA)

Views: 11260
Posted: 16 Oct, 2010
by Liz Price (Selfhelp Community Services, Inc.)
Updated: 29 Oct, 2014
by Valerie Bogart (New York Legal Assistance Group)

HRA MICSA Alerts are periodic announcements of policy, staff and office changes published by the Medical Insurance and Community Services Administration (MICSA).  MICSA is the part of New York City’s Human Resource Administration (HRA) that administers HRA’s medically- related programs such as the Medical Assistance Program (MAP). MAP determines which New Yorkers are eligible for Medicaid and Family Health Plus. MICSA also administers the Home Care Services Program (HCSP).  HCSP CASA's administer NYC'S home care programs for Medicaid eligible elderly and disabled New Yorkers.

 When policy changes occur within MICSA’s programs considered important enough to be of concern to Home Care Providers, Home Health agencies, hospitals, and other community based organizations, MICSA sends out an announcement of the changes  known as a Medicaid Alert.  These announcements are sent out to community based organizations periodically throughout the year. 
Medicaid Alerts may be useful by advocates in verifying policy changes to frontline Medicaid workers.    We have compiled ones that are pertinent as of November 2010.   They are organized in 3 general categories:  
  • Medicaid Eligibility & Procedures - include applications, renewals, verification of citizenship/immigration status, etc.
  • Medicaid Home Care
  • Medicaid/CASA Office Relocations & Staff
Within each category, they are listed chronologically with a KEY TOPIC for ease in finding pertinent directives.
Please email us to provide any other HRA Medicaid directives that might be helpful to others..   

MEDICAID ELIGIBILITY AND PROCEDURES

DATE             TOPIC                                   TITLE

2014

2014-09-26  MA Procedures       Incorrect Stenson Notices to Some (2500) SSI Consumers
                                                       Be MAGI Eligible (PDF includes FORM 3097)
2014-06-24  MA Eligibility            MAPDR-01  2014 NYS Medicaid Income & Resource Standards with Federal Poverty 
                                                       Levels (new version includes MAGI as well as NON-MAGI income levels)

2014-06-11  MA Eligibility            Consumers with Medicaid Coverage on the NYSOH (Marketplace) whose Coverage Must be Transitioned to WMS

2013

2013-12-24  Nursing Home Budgeting    2013 MAP-INF 04Spousal Refusal Instructions - Supplement to MAP
                    Spousal Impoverishment                                   Procedure 90-10 (community spouse entitled to spousal impoverishment monthly  income allowance (CSMIA) even if does spousal refusal as to assets) (revised per Esnard letter)

2013-12-24  MA Eligibility            Important Changes in Medicaid Application Submissions-MAGI & Non-MAGI

2013-12-20  MA Eligibility            Substantial Home Equity (Nursing Home and Community-Based LTC)

2013-12-16  MLTC                        Spousal Impoverishment & Transfer of Assets for Certain Individuals Enrolled in MLTC

2013-12-13  Transportation         Public Transportation Reimbursement Change

2013-11-13  MLTC                         FAQ - procedures for MLTC plans to enroll members who have a spend-down

2013-10-1    Health Exchange     NYS Health Benefit Exchange Opens October 1, 2013

2013-8-13    MLTC                       Disenrolled Housekeeping Case Consumers (MLTC)

2013-5-6     Office Relocation     PHASE V-Relocation of MICSA 34th Street Offices to Brooklyn

2013-5-1     Office Relocation     SPECIAL TBI & NHTD-Relocation fo MICSA 34th Street Office to Brooklyn

2013-4-30   Office Relocation     PHASE IV-Relocation of MICSA 34th Street Offices to Brookyn

2013-4-24   Office Relocation     PHASE II-III-Relocation of MICSA 34th Street Offices to Brooklyn

2013-4-18   LTHHCP\Lombardi   Mandatory Enrollment of LTHHCP Consumers in Managed Care

2013-4-16   Office Relocation     PHASE I-Relocation of MICSA 34th Street Offices to Brooklyn

2013-4-3    Office Relocation      Relocation of MICSA 34th Street Offices to Brooklyn

2013-3-05   MA Eligibility  Social Security Verification--No Proof of SSA Income Required at Applications or Renewals

2013-2-19   MLTC              Special Income Standard for Housing Expenses for Individuals Discharged from NH to MLTC

2013-2-14   MLTC               MLTC Submissions of Nursing Home Enrollments 

                    MLTC FORM       ** References Form HCSP-3022 known as MLTC Conversion Form (9/26/2013)


2013-1-24   Pooled Trusts Medical Evidence Gathering for Adult Disability Determinations

2012          

2012-12-28  Transportation                
2012-11-02 Hurricane Relief                 Medicaid Coverage - Hurricane Sandy 
  • CDPAP must be accessed through Medicaid managed care plans effective 11/1/12 for those enrolled in these plans (people with Medicaid but not Medicare statewide), or through Managed Long Term Care plans, for people who have Medicaid and Medicare in NYC
2012-09-21 Renewals                             RENEWAL STATUS INFORMATION FOR MEDICAID CONSUMERS (status of renewal available
for calling HRA Helpline 1-888-692-6116
2012-09-19  Managed Care                    Ending Managed Care Exemption for "Waiver Look-Alikes" - but allowing 6-month exemption for 
 people not in but applying for a  waiver

2012-09-06  Managed Long Term Care Mandatory Enrollment into Managed Long Term Care

2012-07-03  Managed Long Term Care Mandatory Enrollment into Managed Long Term Care

2012-03-27  Managed Care            MAPDR-21  Medicaid Managed Care Exemptions and Exclusions            

2011       

2011-12-30 MANUAL MAILING -      Discontinued Manual Mailing of Medicaid Alerts

2011-05-03  RENEWALS -               Expansion of Attestation of Income, Resources, and Residence for  SSI-related (DAB) Renewals

Announces expansion of ability to "attest," rather than verify with documentation, certain eligibility criteria during the annual renewals for Medicaid for "DAB" population - Disabled, Aged 65+, Blind.  May attest to income, resources, and change of residency.  This includes those receiving Community-Based Long-Term Care Services, which is new.  

2011-03-16 MEDICAID FAIR HEARINGS Relocation of Fair Hearing and Conference Unit to 111 Livingston St.,Brooklyn

2010

2010-07-02  APPLICATIONS                  Financial Maintenance Requirements for Medicaid and Family Health Plus       

2010-07-01  APPLICATIONS                  Revisions to Health Insurance Application 4220 and Access NY Supplement A

2010-06-30  CITIZENSHIP PROOF         Puerto Rican Birth Certificates

2010-06-08- UNDOCUMENTED IMMIGRANTS - EMERGENCY MEDICAID
                                                       DOH 4471 Certification of Treatment of an Emergency Medical Condition Replaces MAP 2151

2010-04-26  APPLICATIONS                  Elimination of the Face to Face Interview for Medicaid Family Health Plus applicants

2010-02-26   UNDOCUMENTED IMMIGRANTS   Temporary Protected Status for Undocumented Haitian Immigrants

2010-01        2010 INCOME LEVELS     Medicaid Income and Resource Levels 2010

2010-01       MEDICARE SAVINGS PROGRAM  Disregard of Income Placed in Pooled Trust when Applying for MSP Program

2010-01        RESOURCE LEVELS         Elimination of Resource Limit for Non-SSI Related Medicaid

2008

2008-11-03 APPLICATIONS                Change of Submission Location for Client Reps

2008-06-10  ELIGIBILITY                       NYC Eliminates Drug and Alcohol Screening

2008-06-10  RESOURCE LEVELS        Resource Level Raised to $13,050

2008-04-08 RECERTIFICATIONS         Mail Renewal 30 Day Grace Period

2008-04-08  APPLICATIONS                MSP Applications Done Now by Mail 

2008-04-08  APPLICATIONS               Elimination of the Resource Test for MSP Program

2006

2006-10-06   RECERTIFICATIONS        Introduction of MAP-909E DAB Mail Renewal Form

2006-04-26   POOLED TRUSTS            Instructions for Submitting Supplemental Needs Trusts 

2005

2005-07-07   POOLED TRUSTS            Disability Determinations for Individuals with a Pooled Trust

2004

2004-06-21   BURIAL ACCOUNTS      Irrevocable Pre-Need Funeral Agreements and Burial Funds

2004-05         POOLED TRUSTS           Supplemental Needs Trusts Excluded from Medicaid Eligibility Budgeting

2001

2001-05-30   NURSING HOMES            Nursing Home Expedited Discharge Program 

MEDICAID HOME CARE - NOTE - not updated since 2012 - see above section

DATE            TOPIC                                     TITLE

2012     

2012-10-26  Home Care, Managed Care Consumer-Directed Personal Assistance Program (CDPAP) and Managed Care               
  • CDPAP must be accessed through Medicaid managed care plans effective 11/1/12 for those enrolled in these plans (people with Medicaid but not Medicare statewide), or through Managed Long Term Care plans, for people who have Medicaid and Medicare in NYC)
2012-09-19  Managed Care                  Ending Managed Care Exemption for "Waiver Look-Alikes" - but allowing 6-month exemption for 
 people not in but applying for a  waiver  (this affects some Medicaid personal care recipients receiving CASA home care who in summer/fall 2012 are receiving notices that their exemption from managed care has ended and they must join a mainstream managed care plan

2012-09-06  Managed Long Term Care Mandatory Enrollment into Managed Long Term Care

2012-07-03  Managed Long Term Care Mandatory Enrollment into Managed Long Term Care

2011

2011-05-02  CASA III Relocated            Merger of CASA III with CASA V

2011-03-16  Home Care Fair Hearings Relocation of Fair Hearing and Conference Unit to 111 Livingston St.,Brooklyn

2010

2010-08-25  Applications                      Relocation and New Address of Central Intake Office to Submit M11Q

2009

2009-11-05 APPLICATIONS                    Revised MIIQ for Home Care

2008

2008-04      RECERTIFICATIONS            Mail Renewal 30 Day Grace Period

MEDICAID/CASA OFFICE RELOCATIONS and STAFF

DATE            TOPIC                                     TITLE

2014

2013

2013-9-18       CASA Field Offices                    CASA Directory

2012

2012-11-02 Hurricane Relief                 Medicaid Coverage - Hurricane Sandy 

2011

2011-03-16   OFFICE MOVED             Relocation of Fair Hearing and Conference Unit to 111 Livingston St.,Brooklyn

2010

2010-10-14 OFFICE MOVED              Relocation of the CASA VII Office.

2010-10-12 OFFICE MOVED              Relocation of the Long Term Health Care Program Brooklyn Units 

2010-08-25 OFFICE MOVED              Relocation of HCSP, Central Intake and BMPR

2010-04-22 CONTACT LIST              Updated Nursing Home Eligibility Division Telephone and Address Directory

2010-03-16 CONTACT LIST              New Contact Numbers for MAP Dialysis Unit 

2009

2009-09-11 OFFICE MOVED             NYC Health and Human Services has new office at 622 W 168th St Manhattan 

2011-05-02  CASA III Relocated            Merger of CASA III with CASA V

Attached files
file 2014-08-26 Request for Rebudgeting to MAGI from Spend-Down.pdf (116 kb)
file Esnard Letter 2013-12-23 CSMIA.pdf (79 kb)
file 2013 MAP INF-04 Spousal Impoverishment Correction.pdf (36 kb)
file 2013_12_17 MLTC Spousal Impoverishment.pdf (374 kb)
file MLTC Submissions of Nursing Home Enrollments 2-14-13.pdf (287 kb)
file 2013-04-18 lombardi mltc.pdf (102 kb)
file Medicaid Alert No Proof of SSA income required 3-2013.pdf (337 kb)
file Medicaid Alert Special Income Standard for housing expenses NH-MLTC 2-9-2013.pdf (85 kb)
file MAP-3057E Special income housing Expenses NH-MLTC.pdf (490 kb)
file 2012-10-26 CDPAP and Managed Care.pdf (117 kb)
file MICSA Renewal status.pdf (56 kb)
file MICSA Hurricane.pdf (130 kb)
file MAPDR-21 Medicaid Managed Care Exemptions and Exclusions.pdf (55 kb)
file Medicaid phone list.pdf (224 kb)
file HCSP CASA List 10-9-2014.pdf (113 kb)
file HRA MICSA Alert Relocation of Fair Hearing and Conference Unit 03-2011.pdf (44 kb)
file HRA MICSA Alert Medicaid Income and Resource Levels 2010 Jan 2010.pdf (146 kb)
file HRA MICSA Alert Mail Renewal 30 Day Grace Period 4-1-08_110201134237.pdf (392 kb)
file HRA Medicaid Alert SNT 4-26-06.pdf (47 kb)
file Alert 5-2-11 CASA III Move.pdf (36 kb)
file HRA MICSA Alert Relocation of HCSP, Central Intake and BMPR August 25, 2010_101018125105.pdf (52 kb)
file Medicaid Alert Mandatory MLTC Update 9-6-2012.pdf (118 kb)
file Alert 2012-9-19 Managed Care Waiver Lookalikes Exemption.pdf (51 kb)
file 2012-11-13 - Sandy Relocate DARB Pay-In AMENDED.pdf (261 kb)
file 2012-11-07 - Sandy Relocate DARB Pay-In.pdf (316 kb)
file Medicaid Alert--Medical Evidence Disability 1-2013.pdf (428 kb)
file MICSA Transportation NYC.pdf (324 kb)
file Medicaid Alert Relocation of MICSA Units to Brooklyn Phase I 4-16-2013.pdf (52 kb)
file Medicaid Alert Relocation of MICSA units to Brooklyn II 4-24-13.pdf (360 kb)
file Medicaid Alert Relocation of MICSA units to brooklyn IV 4-30-13.pdf (43 kb)
file Medicaid Alert Relocation of MICSA units to Brooklyn Special 5-1-13.pdf (47 kb)
file Medicaid Alert Relocation of MICSA units to Brooklyn V 5-6-13.pdf (135 kb)
file Disenrolled Housekeeping Case Consumers (MLTC) 8-13-13.pdf (65 kb)
file Medicaid Alert CASA List 9-18-13.pdf (70 kb)
file 2013-10-1 NYS Health Benefit Exchange Opens 10-1-13.pdf (284 kb)
file 2013-12-13 Public Transportation Reimbursment Change.pdf (117 kb)
file 2013-12-20 Substantial Home Equity (NH and CBLTC).pdf (109 kb)
file 2013-12-24 Important Changes in Medicaid Application Submissions-MAGI and Non-MAGI.pdf (93 kb)
file 2014-06-11 Transition coverage from NYSOH to WMS.pdf (286 kb)
file 2014-09-26 Incorrect Stenson Notices SSI State Takeover.pdf (54 kb)

Also read
document Applying for Medicaid Personal Care Services Outside NYC
document Medicaid Consumer Directed Personal Assistance Program (CDPAP) in New York State
document Managed Long Term Care
document Medicaid Managed Care
document "FIDA (Fully-Integrated Dual Advantage)" - Managed Care Expansion for Dual Eligibles in NYC Metro Area - Delayed Until Jan. 2015
document Applying for Medicaid Personal Care Services in New York City - BIG CHANGES SEPTEMBER 2012

Also listed in
folder Medicaid -> Getting Started
folder Medicaid -> Financial Eligibility
folder Medicaid -> Supplemental Needs Trusts
folder Medicaid -> Home Care
folder Medicaid -> Immigrant Access
folder Research and Advocacy Tips
folder Medicaid -> Applying For and Keeping Medicaid

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