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Medicaid
MLTC Submissions of Nursing Home Enrollments Download
MLTC Submissions of Nursing Home Enrollments 2-14-13.pdf
Medicaid alert, dated Feb. 14, 2013, describing the process of enrolling a Nursing Home resident in an MLTC plan.
16 Sep, 2013 287 kb Downloads: 2728
NYC HRA MICSA Alert - MLTC Submissions of Nursing Home Enrollments - Feb.14, 2013 Download
Medicaid Alert 2-2013 NH to MLTC.pdf
Special procedure for MLTC plans to submit "conversion" package to NYC HRA Medicaid program, to enroll residents of nursing homes who want to enroll in an MLTC plan in order to return to the community.

In all MLTC enrollments, the conversion package is a set of forms that HRA needs in order to make the necessary entries into the Medicaid eligibility and billing system, so that the enrollment takes effect on the 1st of the following month, and so the MLTC Plan is paid its capitation rate. Once in MLTC, the member will not be able to access Medicaid services in the MLTC service package outside the MLTC Plan's network.

For nursing home residents, the "conversion" is more complicated. HRA not only has to enter the codes described above but also has to remove the codes that applied because of the residence in the nursing home. For many years, nursing home residents have encountered delays in lifting the nursing home "code" from their eligibility, so that they could now access community-based home care and other medical services. The conversion package must include:

(1) The HCSP-3022 (Medicaid Cover Sheet) - This is the conversion form.. A copy is or will be posted on this website.
(2) Completed Nursing Home discharge Alert (MAP-259D)(posted at http://www.wnylc.com/health/download/132) and see article at http://www.wnylc.com/health/entry/117/ )
(3) A copy of the signed enrollment form
(4) A copy of the MAP-3057 (Special Income Standard) form, if applicable (posted at http://www.wnylc.com/health/download/398/) and described in http://www.wnylc.com/health/entry/114/ - last link in Table of Contents
05 Sep, 2013 284 kb Downloads: 946
Directory of MICSA (NYC Medicaid) Contacts - August 2013 Download
MICSA Directory (08-06-13).pdf
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.
15 Aug, 2013 3.07 mb Downloads: 195922
Automated Renewal-Recertification for Disabled , Aged and Blind (DAB) Consumers with Fixed Income Download
2013-06-03 Automated Renewal DAB Consumers Fixed Income.pdf
03 Jun, 2013 134 kb Downloads: 614
Relocation of MICSA 34th Offices to Brooklyn-Phase V (final) 5-6-2013 Download
Medicaid Alert Relocation of MICSA units to Brooklyn V 5-6-13.pdf
Information regarding relocation of MICSA 34th Street Offices to 785 Atlantic Avenue in Brooklyn.
07 May, 2013 135 kb Downloads: 4633
Relocation of MICSA 34th Offices to Brooklyn-Specialized Area TBI & NHTD 5-1-13 Download
Medicaid Alert Relocation of MICSA units to Brooklyn Special 5-1-13.pdf
Information regarding relocation of the Traumatic Brain Injury and Nursing Home Transition and Diversion waiver programs from 330 W. 34th Street to 785 Atlantic Ave.
07 May, 2013 47 kb Downloads: 1998
Relocation of MISCA 34th Offices to Atlantic Ave Brooklyn-Phase IV Download
Medicaid Alert Relocation of MICSA units to brooklyn IV 4-30-13.pdf
Information regarding relocation of MICSA administrative offices from 34th Street to Atlantic Ave in Brooklyn.
07 May, 2013 43 kb Downloads: 2417
Relocation of MICSA 34th Offices to Brooklyn-Phase III Download
Medicaid Alert Relocation of MICSA units to Brooklyn II 4-24-13.pdf
Information regarding relocation of MICSA administrative offices from 34th Street to Atlantic Ave in Brooklyn.
07 May, 2013 360 kb Downloads: 3530
Relocation of MICSA 34th Offices to Brooklyn-Phase I 4-16-13 Download
Medicaid Alert Relocation of MICSA Units to Brooklyn Phase I 4-16-2013.pdf
Information concerning relocation of MICSA administrative offices from 330 W. 34th Street in Manhattan to 785 Atlantic Ave., Brooklyn NY 11238.
07 May, 2013 52 kb Downloads: 2206
NYC MICSA Alert Dec. 28, 2012 -Medicaid Transportation Management for Mainstream Medicaid Managed Care Enrollees Download
MICSA Transportation NYC.pdf
Changes in how Medicaid managed care recipients obtain transportation to doctor or other medical providers in non-emergencies
28 Apr, 2013 324 kb Downloads: 8713
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