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Financial Eligibility
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms (10--2015)(259f revised 7-31-2018) Download
MAP-259d-e-f-g-t Discharge Alert and Related Forms (2015-10)(259f 2018-07-31).pdf
NYC MICSA Medicaid Alert with attached forms including "Discharge Alert" 259d that nursing home physician must sign and home must submit to Medicaid to certify that a resident has a reasonable expectation to return home, which entitles resident to community budgeting (non-chronic care) - so they keep entire community Medicaid allowance ($842+ $20 disregard in 2018) rather than only $50/month. Form replaces 1159. PDF includes - Form 259f Notice of Discharge revised 2018-07-31 (now includes check-off that resident advised of Special Income Standard for those discharged from NH to MLTC) ; Form 259e (Chang/Cancellation of Discharge Plan), and 259g (Respite Alert) -- all forms used by nursing homes to inform HRA/MICSA of discharge plan for community budgeting or respite admission
14 Sep, 2018 1.11 mb Downloads: 56516
HRA Medicaid Alert 7/26/18 Special Income Standard for Housing Expenses when Discharged from Nursing Home to MLTC Download
2018-07-26 Medicaid Alert - Special Income Standard for Discharge from NH to MLTC.pdf
Update about the Special Income Standard for Housing Expenses for Individuals
Discharged from a Nursing Facility and who Enroll into the Managed Long Term Care Program - see article at http://www.wnylc.com/health/entry/212/
28 Aug, 2018 303 kb Downloads: 146
MAP-2161 and MAP 2161a Spousal / Parental Refusal Form (2018-05-11) (ENGLISH) Download
MAP-2161 + 2161a Spousal Refusal English 2018-05-11.pdf
Applicants for Medicaid in New York City can use this "APPLICANT/RECIPIENT DECLARATION CONCERNING THE LEGALLY
RESPONSIBLE RELATIVE’S INCOME/RESOURCES" 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. 5/11/2018 to include language to request accommodation of disability in reading notice. NOTE: Use MAP2161 if applicant is indicating spouse's or parent's refusal and 2161a for refusing spouse or parent to indicate refusal. Can submit either form - don't need both. Both attached in same PDF.
24 Aug, 2018 182 kb Downloads: 44913
Medicaid Household Size Chart for Aged, Blind and Disabled Individuals ("SSI-Related") Download
HOUSEHOLD SIZE FOR SSI RELATED CHART2018.pdf
Updated 2018
17 Aug, 2018 100 kb Downloads: 35479
NYC HRA MICSA Alert April 9, 2018 New Asset Verification System in Nursing Home Applications Download
2018-04-09 Asset Verification System.pdf
NYC Medicaid alert announcing new Asset Verification System (AVS) that has been rolled out statewide, and started in NYC in January 2018 in Nursing Home applications only, not in Community Medicaid applications. This system applies only in "non-MAGI" cases, meaning for people age 65+, disabled, or blind. This is because MAGI cases (< 65 and not on Medicare) do not have any asset limit.
08 Jul, 2018 928 kb Downloads: 161
NYC HRA MICSA Alert June 25, 2018 Deferring Approvals of Trusts due to Power of Attorney without authority to Create Trust Download
2018-06-25 POA Deferring Medicaid Apps - POA not auth for SNT.pdf
Directive elaborates on HRA policy first announced in a MICSA Alert July 26, 2017 (posted on this site) - which requires a Power of Attorney to include a Statutory Gift Rider, if used to establish a Supplemental Needs Trust. This new alert says HRA will defer Medicaid applications where SNT signed by a POA without authority to create and fund the trust. If applicant has capacity to execute a new POA with an SGR, Alert suggests this can be submitted. Full meaning of Alert is not clear.
08 Jul, 2018 63 kb Downloads: 144
Focus on DAB Part 1 Download
Focus On DAB (FINAL).pdf
28 Jun, 2018 402 kb Downloads: 160
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (2-2018).xlsx
Use this worksheet to convert lifetime total amount received in Holocaust reparations / restitution from foreign currencies (Deutschmarks and Euros) into U.S. Dollars. This is for purposes of taking advantage of the exemption of saved reparations payments from the resource test for Federally-funded means-tested benefits, like Medicaid and Supplemental Security Income.
26 Mar, 2018 148 kb Downloads: 4111
Medicaid income and resource levels - 2018 Download
2018 Income and Resource Levels (March 2018 with 2018 FPL).pdf
NYC HRA Form MAPDR-01
2018 NYS Income and Resource Standards and Federal Poverty Levels (FPL)
Dated 3-20-2018 with 2018 Federal Poverty Levels for MAGI limits, MBI-WPD, MSP, etc.
24 Mar, 2018 91 kb Downloads: 340713
NYLAG Testimony on NYS FY 2018-19 Budget - Joint Hearing of the Senate Finance and Assembly Ways and Means Committees Download
NYLAG Health statement JOINT HEARING 2-7-18 FINAL.pdf
NYLAG Testimony on NYS FY 2018-19 Budget - Joint Hearing of the Senate Finance and Assembly Ways and Means Committees - discusses spousal refusal and spousal impoverishment proposals, Managed long term care changes, and other proposals in NYS proposed budget.
09 Feb, 2018 541 kb Downloads: 505
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