NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Medicaid
NYLAG 2016 Presentation - Overview of Medicaid Managed Care Landscape Download
Accessing Services FINAL.pptx
Part 3 of 5-part Medicaid webinar series. This presentation focuses on types of managed care plans and which Medicaid recipients may -- or must - enroll in each type.
28 Apr, 2016 1.94 mb Downloads: 905
Medicaid Alert 4.4.16: MAP 751d is replaced by OCA 960 Download
MAP 751d is replaced by OCA 960 form.pdf
HRA alert replacing MAP 751d with OCA 960 effective immediately.
05 Apr, 2016 1.18 mb Downloads: 2327
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms (10--2015) Download
2015-10-28 NH Transition to Managed Care Forms and PDF Training Material.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 ($825+ $20 disregard in 2015) rather than only $50/month. Form replaces 1159. Related forms included - Change in Discharge plan, respite care, etc.

This PDF also includes Forms 259e (Chang/Cancellation of Discharge Plan), 259f (Notice of Discharge), and 259g (Respite Alert) -- all forms used by nursing homes to inform HRA/MICSA of discharge plan for community budgeting or respite admission
19 Jan, 2016 1.17 mb Downloads: 52835
Caregiver FIDA Fact Sheet (Korean) Download
Caregiver Fact Sheet (Korean) FINAL.pdf
19 Sep, 2015 596 kb Downloads: 2077
NYC HRA MICSA Alert - Renewal Status Information for Medicaid Recipients (9/21/2012) Download
NYC HRA Medicaid Alert - Renewal Status Information for Medicaid Consumers 9-21-12.pdf
reminder that renewal status information is available for Medicaid clients through HRA’s Medicaid Helpline (888-692-6116). This status is available through an Interactive Voice Response System (IVRS) and is updated daily. By entering a client’s social security number and date of birth into IVRS, the caller can obtain information on the status of a client’s renewal:

Whether or not HRA has received a renewal from the client,
Status of HRA’s processing of the renewal and
The eligibility decision if the renewal has been processed.

The system is being upgraded and will, in the next few months, also allow the option of using case number to receive information.
27 Jul, 2015 56 kb Downloads: 2049
MAP-648 P SUBMISSION OF REQUEST FROM RESIDENTIAL HEALTH CARE FACILITIES (RHCF) Download
MAP-648P NH MA Transmittal 6-2015.pdf
Transmittal form used by HRA Medicaid where the Nursing Home provides HRA with streamlined information about the applicant and the applicant's request for Nursing Home Medicaid coverage.
18 Jun, 2015 147 kb Downloads: 3709
Policy Change for the Start Date of the Transfer of Assets Look Back Period Download
2015-06-02 Policy Change for the Start Date of the Transfer of Assets Look Back Period.pdf
Effectively immediately, the review of assets is limited to the 60-month period immediately preceding the month of institutionalization and application for Medicaid.

For Medicaid recipients who are institutionalized for long-term nursing home care or receiving more than 29 days of rehabilitation services, the look-back period consists of the 60 months preceding the month of institutionalization.
02 Jun, 2015 308 kb Downloads: 791
MAPDR-05 (05/28/2015) List of Managed Care & Managed Long Term Care Plans in NYC Download
2015-05-28 MAP DR-05 Provider ID Numbers and Plan Codes.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
* 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 May 28, 2015
01 Jun, 2015 164 kb Downloads: 33892
Statewide Contact list of MLTC-MAP-PACE plans by County Download
STATEWIDE LIST OF Managed Long Term Care 6 and 4-2015.pdf
Statewide Contact list of MLTC-MAP-PACE plans by County from http://www.health.ny.gov/health_care/managed_care/mltc/mltcplans.htm - updated with April. 2015 enrollment data
13 May, 2015 526 kb Downloads: 20336
Presentación de Powerpoint Sobre FIDA y MLTC Download
Caregiver Presentation Spanish Final 4-13-15.pdf
Esta presentación fue realizada el 13 de Abril 2015 en una organización local en Brooklyn para los residentes de ese edificio. La presentación es en español. Esta presentación se enfoca en los temas de Medicare, Medicaid, planes de cuidado a largo plazo (MLTC), y planes de doble ventaja totalmente integrado (FIDA).

Debe de usar estos materiales con la grabación sobre FIDA.

This presentation took place on April 13th, 2015 for local Brooklyn residents residing in senior housing. The presentation was conducted in Spanish. The presentation discussed Medicare, Medicaid, Managed Long Term Care plans (MLTC), and Fully Integrated Dual Advantage plans (FIDA).

Please view the powerpoint in conjunction with the Spanish recording of the presentation.
27 Apr, 2015 355 kb Downloads: 834
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.