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Medicaid
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: 881
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: 36437
HRA CDPAP FI List - 6.2017 Download
2017-06-07 HRA CDPAP FI list.pdf
10 Oct, 2017 562 kb Downloads: 1936
Attestation for Immediate Need PCS and CDPAS - 16 ADM 02 Attachment Download
16adm2att.pdf
04 Aug, 2016 299 kb Downloads: 1223
Immediate Need for PCS and CDPAS 16 ADM 02 Download
16adm2.pdf
04 Aug, 2016 324 kb Downloads: 1944
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: 1444
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: 3262
Caregiver FIDA Fact Sheet (Korean) Download
Caregiver Fact Sheet (Korean) FINAL.pdf
19 Sep, 2015 596 kb Downloads: 2712
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: 2764
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: 4637
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