Medicaid program COVID-19 easements

2021-10-29 Medicaid Surplus Coverage Update – During the Covid Health Emergency, surplus consumers must continue to meet their surplus requirement and, upon payment, should contact the Surplus Hotline to report that a payment was made. If consumers cannot make a surplus payment or their income have gone down, they should have their case re-budgeted. If they are unable to submit payment because of health issues related to Covid-19, such as quarantine or hospitalization, they can attest by calling the Surplus Hotline.

2021-10-28 DARB Online Payment Option for Medicaid Excess Income Consumers - provides instructions for Online Credit Card payment to the Division of Accounts Receivable and Billing (DARB) to participate in the Medicaid Pay-In Program. Link to NYC CityPay website (https://a836-citypay.nyc.gov/) is provided. Medical bills cannot be submitted through this website.

Medicaid Advantage Plus (MAP) plans are a hybrid of an MLTC plan, a Medicaid managed care plan and a Dual Special Needs Plan (Dual SNP), a type of Medicare Advantage plan. THis is a list of all MAP plans in NYS that also identifies the Dual-SNP Medicare Advantage plan affiliated with the MAP plan. Plans and county coverage areas from https://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm. Dual-SNP plan names from CMS. See links in document. MAP plans have a unique integrated appeal hearing process that is described here http://www.wnylc.com/health/entry/225/. List indicates which MAP plans have "Default Enrollment" - see more at http://www.wnylc.com/health/entry/226/. .

List of Medicaid managed care (MMC) and HARP plans approved to start Default Enrollment into Medicare plans beginning April 1, 2021. Members who become enrolled in Medicare beginning April 2021 are being "default enrolled" into the aligned Medicare Dual-Special Needs Plan, and for those who receive Medicaid home care, into the same company's MAP plan. See article at http://www.wnylc.com/health/entry/230/. List updated to show aligned Dual-SNP for 2022.

NYC HRA Form MAPDR-01
2021 NYS Income and Resource Standards and Federal Poverty Levels (FPL)
Updated 8-17-2021 with updated FPL (corrects error in earlier 2021 version)

Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2020. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.

Training provides framework for understanding the changes to Medicaid effective 2014, including: new categories, new income levels, new budgeting and new benefits.

Training Outline for Advocates on Supplemental Needs Trusts (SNTs) (including individual and pooled), and the affect of SNTs on various public benefit programs. (updated 1-9-2019). Update includes new section on Veteran's Pension benefits, expanded information on Temporary/Public cash assistance and HASA, 2018 changes in the SSA POMS regarding expenses SNT's may pay; ABLE accounts as alternative to SNTs and updated section on Public Housing and Section 8 and SNTs.

NYC Medicaid office moved from 330 West 34th Street to 785 Atlantic Avenue, Brooklyn NY 11238 in May 2013. Contact numbers at that office listed in this document.