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Medicaid
NYS Dept. of Health Policy - Jan. 2014 - Transition of Nursing Benefit & Population into Managed Care Download
OHIP Guidance - Transition of NH Benefit & Population into Managed Care.pdf
State policy implementing expansion of mandatory enrollment of people needing permanent nursing home coverage into managed care and Managed Long Term Care (MLTC) plans. Mandate is to start April 1, 2014, subject to CMS approval not yet given as of March 13, 2014.
13 Mar, 2014 2.58 mb Downloads: 1602
Contact list at NYC Medicaid Program (MICSA) - by Program with directors - 12/2013 Download
MICSA Contact List 12-2013.pdf
Obtained through freedom of information request by Urban Justice Center, Feb. 2014
10 Mar, 2014 50 kb Downloads: 10212
HRA Alert: Spousal Impoverishment Budgeting for MLTC Applicant/Recipients Download
Medicaid Alert Re Spousal Impv Budgeting 3-2014.pdf
Published in March 2014
05 Mar, 2014 153 kb Downloads: 3438
NYS Bar Association Elder Law Section Letter to NYC HRA Dec. 17 2013 - Spousal Impoverishment Allowances Illegally Denied Download
NYCHRA_NYSBA_Letter spousal budgeting 2013-12-17 REDACTED.pdf
Letter to HRA to cease the unlawful practice of denying this impoverishment income allowance to community spouses who did a spousal refusal. HRA responded and corrected its policy, provided spouse provides complete information regarding income and resources. For links to these documents and to the letters from the NYSBA and HRA, see http://www.wnylc.com/health/entry/96/
04 Mar, 2014 178 kb Downloads: 3760
NYC HRA 2013 MAP INF-04 Spousal Refusal Instructions - Supplement to MAP Procedure 90-10 Download
2013 MAP INF-04 Spousal Impoverishment Correction.pdf
A community spouse is entitled to the community spouse monthly income allowance (CSMIA) even if she does a spousal refusal to contribute resources. See NYS ADM 91-ADM-33 and NYS DOH Medicaid Reference Guide at page 396. However, since mid-2012, the NYC HRA Medicaid program has violated this longstanding state rule and has denied the community spouse this income allowance if she executed a spousal refusal. Many fair hearing decisions reversed these determinations, see, e.g. FH 6208131N (3/1/2013), FH 6318971R (9/5/2013). In December 2013, the Elder Law Section of the NYS Bar Association asked HRA to cease this unlawful practice of denying this impoverishment allowance. Through a Freedom of Information request, the Bar identified some internal HRA procedures that were wrong and asked that HRA correct them. On Dec. 24, 2013, HRA issued 2013 MAP-INF 04 which correctly states that the community spouse is entitled to the CSMIA even if she does a spousal refusal, if she provides complete information regarding income and resources.
04 Mar, 2014 36 kb Downloads: 3317
Medicaid Reimbursement for Home Care Expenses Download
Medicaid Homecare Reimbursement.pdf
Practical Guide on getting Medicaid to reimburse for home care expenses incurred during the 3-month retroactive period, and during the pendency of the application, in New York City. Includes citations to pertinent case law and regulations.
03 Mar, 2014 319 kb Downloads: 15082
Preserve "Spousal Refusal" in NYS - Statement of Coalition to Protect the RIghts of NY's Dually Eligible Download
CPRNYDE Spousal Refusal - 2014-2015 Budget FINAL.pdf
Opposing Governor's Budget proposal for SFY 2014-15
05 Feb, 2014 574 kb Downloads: 1725
State Dept of Health and NYC HRA Medicaid program contacts Download
Medicaid phone list.pdf
NYC Medical Insurance & Community Services Administration (MICSA) CONTACT LIST
with some NYS Dept. of Health contact information
Compiled by NYLAG Evelyn Frank Legal Resources Program
14 Jan, 2014 224 kb Downloads: 54863
NYS Fair Hearing Decision, Rockland County, 9/19/07 re Reparations Payments from Germany Download
Reparations_Decision_Rockland.pdf
hearing decision No 4433606Z revised September 19, 2007 that clarifies proof needed to exempt accumulated savings when a Nazi victim applies for Medicaid. This decision is also described in this press release.
07 Jan, 2014 992 kb Downloads: 2993
MICSA Alert 12-24-13 Important Changes in Medicaid Application Submission-MAGI and Non-MAGI Download
2013-12-24 Important Changes in Medicaid Application Submissions-MAGI and Non-MAGI.pdf
MICSA Alert 12-24-13 explaining application procedures for MAGI and Non-MAGI Medicaid recipients.
03 Jan, 2014 93 kb Downloads: 7594
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