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Medicaid
Medicaic Household Size Chart for Aged, Blind and Disabled Individuals ("SSI-Related") Download
HOUSEHOLD SIZE FOR SSI RELATED CHART2018.pdf
Updated 2018
19 Jul, 2018 100 kb Downloads: 34988
Focus on DAB Part 1 Download
Focus On DAB (FINAL).pdf
28 Jun, 2018 402 kb Downloads: 46
Medicaid income and resource levels - 2018 Download
2018 Income and Resource Levels (March 2018 with 2018 FPL).pdf
NYC HRA Form MAPDR-01
2018 NYS Income and Resource Standards and Federal Poverty Levels (FPL)
Dated 3-20-2018 with 2018 Federal Poverty Levels for MAGI limits, MBI-WPD, MSP, etc.
24 Mar, 2018 91 kb Downloads: 333214
Using an SNT to eliminate the Medicaid spend-down Download
SNTShort March 2018.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 March 2018
24 Mar, 2018 704 kb Downloads: 105710
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms (10--2015)(259f revised 11-2017) Download
MAP-259d-e-f-g-t Discharge Alert and Related Forms (2015-10)(259f 11-2017).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 ($842+ $20 disregard in 2018) rather than only $50/month. Form replaces 1159. PDF includes - Form 259f Notice of Discharge revised 2017-11-28; 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
25 Jan, 2018 1.14 mb Downloads: 55063
SNT Outline for Advocates Download
SNT Outline 2018 01-22-2018.pdf
Training Outline for Advocates on Supplemental Needs Trusts (SNTs) (including individual and pooled), and the affect of SNTs on various public benefit programs. (updated 1-21-2018). Update includes new section on ABLE accounts as alternative to SNTs and updated section on Public Housing and Section 8 and SNTs.
21 Jan, 2018 1.09 mb Downloads: 168128
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2017 Download
2001_to_2017_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2017. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
03 Jan, 2018 3.14 mb Downloads: 264310
Nassau County Physician's Request for Personal Care Aide and Orders to the Service Agency (May-2016) Download
Physician's Nassau Request for Personal Care Aide Form 517 (Rev. 05-16).pdf
Form for doctor to complete to request Medicaid personal care services and CDPAP from the Nassau County DSS. Revised May 2016.
02 Jan, 2018 218 kb Downloads: 3752
MAP-751K Consumer Request to Change Information on File Download
MAP-751K - Consumer request to change info on file.pdf
NYC HRA Form to use any time notifying HRA of change or requesting a change in budgeting. Use for requesting Special Income Disregard for Housing, Spousal Impoverishment budgeting, Pooled Trust budgeting, etc.
04 Dec, 2017 495 kb Downloads: 577
Medicaid Spend-Down - PowerPoint Presentation Download
Spend-down presentation - 2017 corrected.pptx
This PowerPoint presentation explains the rules, also see the Training Outline on Medicaid Spend-down posted on this site (revised 2017).
31 Oct, 2017 1.27 mb Downloads: 31341
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