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Medicaid
Notice of Renewal of your Public Health Insurance Coverage Download
MAP 2088v_redacted.pdf
This is a redacted notice of renewal of public health insurance coverage to act as a guide to help clients fill out their renewals.
13 Apr, 2015 882 kb Downloads: 860
Formerly Incarcerated Individuals Reactivation Transmittal Download
map-3103 Formerly Incarcerated Individuals Reactivation Transmittal.pdf
This form was uploaded by NYC HRA on 2/20/15 to help formerly incarcerated individuals reactivate their medicaid account once they have been released.
13 Apr, 2015 111 kb Downloads: 741
Notice of Permanent Placement Medicaid Managed Care Download
MAP-2159i Notice of Permanent Placement Medicaid Managed Care.pdf
NYC HRA uploaded this form on 4/3/15 to be used for clients requiring permanent placement under Medicaid's managed care plan.
13 Apr, 2015 36 kb Downloads: 1940
MAGI Consumers Long Term Eligibility Rules Download
2014-10-24 MAGI Consumers Long Term Eligibility Rules.pdf
long term eligibility rules for individuals who are eligible for Medicaid under a Modified Adjusted Gross Income (MAGI) eligibility group
09 Apr, 2015 74 kb Downloads: 2196
8 Helpful hints for accurate completion of the medical request for home care (M11Q) Download
2014-12-09 8 Helpful HInts re Completion M11q.pdf
8 helpful hints for accurate completion of the medical request for home care (M11Q)
09 Apr, 2015 61 kb Downloads: 1847
Consumers Whose Active Medicaid Coverage on the NYSOH (Marketplace) Must be Transitioned to WMS Download
2015-01-05 Consumers transitioned from NYSOH to WMS update (HIV SNP).pdf
Consumers who wish to enroll in an HIV SNP must also have their coverage transitioned to WMS.
09 Apr, 2015 53 kb Downloads: 1363
CASA Fact Sheet Download
CASA FAct Sheet 2015.doc
Fact sheet describing what is covered under Housekeeping Services and where CASA offices are located
09 Apr, 2015 30 kb Downloads: 1546
Transition of Long Term Nursing Home Benefit into Medicaid Managed Care Download
2015-04-03 Transition of Long Term Nursing Home Benefit into Medicaid Managed Care.pdf
Update on the transition of long term nursing home benefit into Medicaid Managed Care. : Eligible nursing home
consumers age 21 and over, unless otherwise exempt or excluded, who become permanent placed in a nursing facility are required to enroll in or remain enrolled in a managed care plan to receive this benefit, includes those who are Mainstream Managed Care, Managed Long Term Care Plans, and Fee for Service Plans.
03 Apr, 2015 690 kb Downloads: 11475
Reinstatement of Suspended Medicaid Coverage for Formerly Incarcerated Individuals Download
2015-02-20 Reinstatement of Suspended Medicaid Coverage for Formerly Incarcerated Individuals.pdf
Medicaid coverage for individuals who have been been released from 30+ days of incarceration.
03 Apr, 2015 457 kb Downloads: 3738
Automated Newborn Processing on WMS Download
2015-03-10 Automated Newborn Processing on WMS.pdf
Procedure on how to add a newborn to a mother's Medicaid case.
03 Apr, 2015 210 kb Downloads: 1683
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