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Medicaid
Attestation for Immediate Need PCS and CDPAS - 16 ADM 02 Attachment Download
16adm2att.pdf
04 Aug, 2016 299 kb Downloads: 977
Immediate Need for PCS and CDPAS 16 ADM 02 Download
16adm2.pdf
04 Aug, 2016 324 kb Downloads: 1621
Medicaic Household Size Chart for Aged, Blind and Disabled Individuals ("SSI-Related") Download
HOUSEHOLD SIZE FOR SSI RELATED CHART2016_160511180307.pdf
11 May, 2016 132 kb Downloads: 34941
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: 1200
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: 2816
Caregiver FIDA Fact Sheet (Korean) Download
Caregiver Fact Sheet (Korean) FINAL.pdf
19 Sep, 2015 596 kb Downloads: 2425
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: 2440
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: 4192
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: 1150
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: 37021
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