NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC

Medicaid Contacts in New York City (NYC Human Resources Administration - MICSA)

print  Print
share  Share
Views: 68876
Posted: 21 Jul, 2017
by Valerie Bogart (New York Legal Assistance Group)
Updated: 05 May, 2022
by Valerie Bogart (New York Legal Assistance Group)

Since  May 2013 the NYC Medicaid Office  has been located at 785 Atlantic Ave., Brooklyn, NY 11238.   The Reception Unit is on the main floor of 785 Atlantic Ave.Brooklyn NY 11238.

The table of contacts below is compiled from these Alerts issued by HRA:  

OLDER LISTS - click here


                                          NYC MEDICAID PROGRAM CONTACTS 

MICSA Unit   Liason Name     New Contact Info
Medicaid  Departments  -- NOT Home Care  (for home care see below)
Case action update requests 

undercareproviderrelations@hra.nyc.gov - use encrypted mail or password-protected attachment.
Attach signed  MAP 751k form required (encrypted)(correct,, add or change date of birth, SSN, gender,  change of address & phone number, ,
transfer from county-to-county requests - write "LUBERTO")

MAP 751W (close case, add or remove someone from case, report death, request  budgeting changes including pooled trust, evaluate for MSP eligibility, report change in immigration status, add or remove Third Party Health Insurance)

See NYC Medicaid Alert: MAP Undercare Division -  9/8/21 Alert 

Managed Care Client Services                                          

212-273-0062 (phone)

Recipient Restriction Unit

929-221-0859/60 (phone)

Eligibility Information Services 929-221-0865 (phone)
Medicaid Fair Hearings Rivera Unit (Request Evidence Packets) MAIL:  HRA Fair Hearings - Rivera Unit

111 Livingston Street, Brooklyn, New York 11201

FAX: 718-722-7565

Medicaid Transportation 929-221-0840/41 (phone)
Medicaid Third Party Health Insurance Program

212-630-1160(phone)     929-221-0842/43 (phone)
917-639-0675 (e-fax)
e-mail micsatphi@hra.nyc.gov

Medicaid Reimbursement          Evadne Duff (Homecare)  

929-221-0845 (phone non-home care)
929-221-1193 (phone home care)

917-639-0674 E-FAX (both home care and medical)

E-mail::micsa.fiscal@hra.nyc.gov (both home care and medical)

Renewals - Office of Mail Renewal e-Fax 1-888-692-6116 
Surplus Unit

Maria Rivera

Graciela Mathews

Angel Phifer-Brown (Fax Unit)

929-221-0833 (phone)

929-221-0838 (phone)

929-221-0835 (phone)

917-639-0645 (fax - submit bills to meet spend-down )

Pooled Trusts (not with home care) Coordinator retired 12/21 (Eileen Fraser-Smith)

(929) 221-0868 /69

Fax (718) 636-7847

For info on status of trust for client not receiving MLTC or immediate need -
email undercareproviderrelations@hra.nyc.gov 

MIPP program E-MAIL:  mipp@hra.nyc.gov  (see article - not for people in MSP program)
 NURSING HOME ELIGIBILITY DEPT.  NHED 
Nursing Home Eligibility Dept. (NHED)

Provider Relations

TEL 718-557-1368

E-FAX  (917) 639-0687

For inquiries: nhedproviderrelations@hra.nyc.gov

NHED Applications E-Fax    (917) 639-0735 
NHED Renewals E-Fax 917-639-0643 
NHED Deferrals E-Fax 917-639-0679 
Conversions & Undercare changes 

E-Fax 917-639-0736 

Discharge  E-FAX  917-639-0687 
 Home Care Services Program (HCSP) - 785 Atlantic Ave., 7th floor
Deputy Comm'r. Home Care Acting - - Randa Henry-Jenkins

(929) 221-0848

HCSP Centralized Medicaid Eligibility Unit   General Number

(929) 221-0849

Charrise Andrews, Director (929) 221-3257  andrewsc@dss.nyc.gov

(929) 221-3224 (Deputy Director Cynthia Robinson)

Inquire about case status - hcspinquiries@hra.nyc.gov  (encrypted email)

Immediate Need Unit

Mayra Batista-Negron

TEL (929) 221-2501 or (212) 274-5035 

e-FAX (917) 639-0665    batistama@hra.nyc.gov  

Pooled Trusts for Home Care Cases Yvette Poole-Brooks

TEL  (929) 221-2493

poolebrooksy@hra.nyc.gov

Fax (718) 636-7848

Inquire about status of submitted trust - hcspinquiries@hra.nyc.gov - 
use encrypted mail or password-protected attachment.

HCSP MLTC Provider Relations Unit

TEL (929) 221-2427 

FAX  (718) 636-7848

MLTC plans -  mltcproviderrelations@hra.nyc.gov

Assisted Living Programs  alpproviderrelations@hra.nyc.gov

Contact HCSP about pending Medicaid case transactions (demographic changes, address updates, pooled trust reviews, county-to-county transfer requests, Medicare Savings Program (MSP) and coverage updates - not for submitting applications

hcspinquiries@hra.nyc.gov - use encrypted mail or password-protected attachment.
Attach signed  MAP 751k form required (encrypted)(correct,, add or change date of birth, SSN, gender,  change of address & phone number, transfer from county-to-county requests - write "LUBERTO")

MAP 751W (close case, add or remove someone from case, report death, request  budgeting changes including pooled trust, evaluate for MSP eligibility, report change in immigration status, add or remove Third Party Health Insurance)

Visit our article on Medicaid Alerts.

Older Lists - 

See detailed Lists - December 2018

Attached files
item MAP-751W Request to Change Information (3-25-21) (fill-able).pdf (327 kb) Download
item 2021-07-22 HCSP inquiries by email.pdf (129 kb) Download
item 2021-09-08 MAP Undercare Division email REVISED +751k -751w forms.pdf (539 kb) Download
item 2018-12-31 HRA Medicaid & HCSP Contacts for Authorized Submitters and CBO's.pdf (93 kb) Download
item MAP-751K (3-15-2021)(English)(fill-able).pdf (89 kb) Download
item 2021-08-30 Fax-e-Mail submissions to MAP - Home Care Services Preogram.pdf (152 kb) Download

Also read
item Where to Apply for Medicaid and Medicaid Home Care in New York City
item Medicaid Alerts & Other Protocols published by the NYC HRA Medical Insurance and Community Services Administration (MICSA)
item Applying for Medicaid Personal Care or CDPAP Services in New York City - 2021 Changes
item Medicare Insurance Premium Payment Program (MIPP)

Also listed in
folder Medicaid -> Home Care
folder Medicaid -> Medicaid Managed Care
folder Medicaid -> NYC Medicaid Contacts, Policies & Forms

Prev     Next
New York Medicaid Expansion under the ACA ... and other 2013...       Medical Records Must be Provided FREE if Needed to Support...


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.