NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Medicaid
Disabled Adult Child Medicaid Extensions/Continuations Download
DAC -Pickle- 1619B Chart.pdf
This chart discusses the Medicaid Extensions/Continuations for certain special cases of SSI recipients once their SSI has been terminated. Specifically, it compares the eligibility criteria, resource/income levels, residential program requirements, spendown/NAMI contributions, reinstatement, and Medicare Buy-IN eligibility for the following groups:
A. 1619B
B. Pickle
C. DAC
09 Sep, 2019 128 kb Downloads: 4002
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms (10--2015)(with various forms updated as of 8-24-19) Download
MAP-259d-e-f-g-t Discharge Alert and Related Forms (2015-10) updated forms as of 8-24-19 (259f -648p.pdf
NYC MICSA Medicaid Alert with attached forms including "Discharge Alert" 259d that nursing home physician must sign and home must submit to Medicaid to certify that a resident has a reasonable expectation to return home, which entitles resident to community budgeting (non-chronic care) - so they keep entire community Medicaid allowance ($859+ $20 disregard in 2019) rather than only $50/month. Form replaces 1159. PDF includes - Form 259f Notice of Discharge revised 2018-07-31 (now includes check-off that resident advised of Special Income Standard for those discharged from NH to MLTC) ; Form 259e (Chang/Cancellation of Discharge Plan), and 259g (Respite Alert) -- all forms used by nursing homes to inform HRA/MICSA of discharge plan for community budgeting or respite admission. This PDF has updated forms as of 8-24-19 from NYC MARC website.
24 Aug, 2019 1.27 mb Downloads: 60819
2019-07-31 Reapplication and Renewal Grace Periods Download
2019-07-31 Reapplication and Renewal Grace Period.pdf
21 Aug, 2019 122 kb Downloads: 147
2019-06-04 MICSA Alert Regarding May 2019 Eligibility Renewal Packets Download
2019-06-04 renewal packets.pdf
18 Jun, 2019 77 kb Downloads: 383
Statewide list of MLTC-MAP-PACE plans by County with Enrollment April 2019 Download
Statewide and NYC MLTC plan list with enrollment 4-2019.pdf
Statewide Contact list of MLTC-MAP-PACE plans by County is at http://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm. This list by county is updated with April. 2019 enrollment data
NYC list is last pages.
29 May, 2019 1.08 mb Downloads: 25992
Using an SNT to eliminate the Medicaid spend-down Download
SNTShort (May 2019).pdf
How to get Medicaid despite having "excess income" - Using a Supplemental Needs Trust to Eliminate the Spend-down for Persons who are Elderly (65+), Blind or Disabled. Written by New York Legal Assistance Group (originally from Selfhelp Community Services) updated May 2019
03 May, 2019 694 kb Downloads: 131902
Medicaid income and resource levels - 2019 Download
2019 Income and Resource Levels - 2019-04-04.pdf
NYC HRA Form MAPDR-01
2019 NYS Income and Resource Standards and Federal Poverty Levels (FPL)
Dated 04-04-2019
01 May, 2019 368 kb Downloads: 398916
MAP-751E Authorization to Release Medical Information.pdf Download
12 Apr, 2019 479 kb Downloads: 863
Disability Determination Packet Update Download
2019-04-09 Disability determination update.pdf
12 Apr, 2019 1.8 mb Downloads: 1651
MAPDR-05 (02/20/2018) List of Managed Care & Managed Long Term Care Plans in NYC Download
2019-02-05 MAPDR-05 Managed Care Plan Lists with ID Numbers.pdf
This includes a list of all managed care organizations participating in the following types of Medicaid managed care, including ID and code numbers, contact information, and service areas:
* Medicaid Managed Care
* Health and Recovery Plan Managed Care Plans (HARP)
* Medicaid Advantage (for dual eligibles)
* Managed Long Term Care (MLTC)
* Medicaid Advantage Plus (for dual eligibles, includes MLTC)
* HIV Special Needs Plans (SNP)
* Programs of All-inclusive Care for the Elderly (PACE)
* Fully Integrated Dual Advantage (FIDA)

Updated February 20, 2018
20 Feb, 2019 104 kb Downloads: 45645
← Prev Next
1 2 3 4 5 6 7 8 9 10


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.