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Medicaid
HRA MICSA Alert 10-1-13 Health Benefit Exchange Opens October 1, 2013 Download
2013-10-1 NYS Health Benefit Exchange Opens 10-1-13.pdf
MICSA Alert 10-1-13 explaining the opening of the NYS health benefit exchange and some basic eligibility criteria.
03 Jan, 2014 284 kb Downloads: 2035
MICSA Alert 12-16-13 Spousal Impoverishment & Transfer of Assets Rules for Certain Individuals Enrolled in MLTC Download
2013_12_17 MLTC Spousal Impoverishment.pdf
MICSA Alert issued 12-16-2013 explaining spousal impoverishment option for certain MLTC enrollees and the requirement that the local districts apply institutional eligibility rules, including transfer of assets provisions, when an MLTC enrollee is in receipt of long term nursing facility services.
03 Jan, 2014 374 kb Downloads: 2144
Letter Dec. 23, 2013 from Roy Esnard, General Counsel NYC HRA re Community Spouse Monthly Income Allowance in Spousal Refusal cases Download
Esnard Letter 2013-12-23 CSMIA.pdf
Letter in response to 12/18/2013 letter sent by NYS Bar Association Elder Law Section demanding that HRA cease illegal practice of denying Community Spouse Monthly Income Allowance to community spouses who did a Spousal Refusal
02 Jan, 2014 79 kb Downloads: 2757
NYC HRA PowePoint on New Medicaid application procedures for 2014 under Affordable Care Act Download
EIS Overview of Upcoming Changes - ACA implementation.pdf
PowerPoint was presented for certified Client Representatives who have completed a certification to be authorized submitters of Medicaid applications to HRA. However, information in this may be generally applicable.
20 Dec, 2013 3.28 mb Downloads: 1297
Consumer Advocacy Position Paper on Promoting Community-Based Incentives for Managed Long Term Care in NYS Download
Incentives for Com-Based Services in NYS MLTC 032312.pdf
Paper dated March 23, 2012 filed with US Center for Medicare & Medicaid Services and NYS Dept. of Health to incentivize community-based services in the roll-out to mandatory managed long term are.
20 Dec, 2013 126 kb Downloads: 3386
MAP-2161 - Spousal / Parental Refusal Form Download
MAP-2161 Spousal Refusal combined.pdf
Applicants for Medicaid in New York City can use these forms to indicate the refusal of their legally responsible relative to make available their income or resources for the cost of necessary medical care and services, i.e. "spousal/parental refusal." Rev. 12/6/2011 & 3/13/2013
17 Dec, 2013 172 kb Downloads: 43593
Medicaid Eligibility in 2014 Download
Understanding MAGI & the Marketplace.pdf
Training provides framework for understanding the changes to Medicaid effective 2014, including: new categories, new income levels, new budgeting and new benefits.
15 Nov, 2013 1.56 mb Downloads: 203226
NYC HRA: MLTC Frequently Asked Questions (HCSP Quick-Reference-03 revised 11/13/2013) Download
MLTC Frequently Asked Questions HCSP Quick Reference- REVISED 11-13-2013.pdf
FAQ clarifying issues that pose barriers to enrollment into MLTC plans. Many of these problems stem from "coding" problems - eligibility codes in the Medicaid "eMedNy" system. This FAQ explains that some codes may appear to say the individual is not eligible for Medicaid or for MLTC -- but THEY DO NOT MEAN THAT! And plan should submit "conversion package" to HRA to activate Medicaid and allow enrollment.
15 Nov, 2013 178 kb Downloads: 3400
Medicaid Resource Disregards Download
ResourceDisregards.pdf
This table lists all of the types of resources (aka, assets) that are excluded for purposes of Medicaid eligibility, including which Medicaid categories they apply to, and citations to authority.
Do not use for MAGI Medicaid effective 1/1/2014.
Updated 10/7/2013.
07 Oct, 2013 66 kb Downloads: 35309
MAPDR-21 - Medicaid Managed Care Exemptions and Exclusions Download
MAPDR-21 Medicaid Managed Care Exemptions and Exclusions.pdf
This documents lists which categories of beneficiaries are exempt or excluded from the requirement of joining a mainstream medicaid managed care plan. Rev'd 9/23/13
27 Sep, 2013 55 kb Downloads: 8195
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