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Financial Eligibility
Pre-Paying for Burial – Tip for Qualifying for Medicaid despite “Excess Resources” Download
Funeral Agreement Fact Sheet revised 2020-10-28.pdf
This advocacy memo from NYLAG explains the rules regarding treatment of pre-paid funeral agreements for burial arrangements for Medicaid eligibility for people age 65+, blind, or disabled.
28 Oct, 2020 1000 kb Downloads: 166324
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms (10--2015)(with various forms updated as of 8-24-20) Download
MAP-259d-e-f-g-t Discharge Alert and Related Forms (2015-10) updated forms as of 8-24-20 (259f -648p -259t).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 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 (Change/Cancellation of Discharge Plan), 259g (Respite Alert), 259t (updated 5/2020) -- all forms used by nursing homes to inform HRA/MICSA of discharge plan for community budgeting or respite admission. This PDF has updated forms as of 9/23/20 from NYC MARC website.
23 Sep, 2020 1.28 mb Downloads: 64760
2020-09-09 Medicaid Program Modifications COVID-19 Emergency Download
2020-09-09 NYS Medicaid Program Modifications COVID 19.pdf
14 Sep, 2020 228 kb Downloads: 502
NYLAG Comments on Proposed Changes in 1115 Waiver Governing MLTC to Impose "LOOKBACK" for Communiity Based Long Term Care Download
NYLAG comments 1115 Waiver Lookback 9-9-20 FINAL.pdf
NYLAG Comments on Proposed Changes in 1115 Waiver Governing MLTC to Impose "LOOKBACK" for Communiity Based Long Term Care. The waiver document is posted here https://health.ny.gov/health_care/medicaid/redesign/mrt2/proposals/mltc_elig_vol_enroll_duals.htm
09 Sep, 2020 652 kb Downloads: 281
PowerPoint on NYS Medicaid Changes Coming in 2020-21 - Lookback, Restricted Home Care Eligibility & New Assessment Procedures Download
NYLAG Presentation - NYS Budget Changes - Medicaid FY 2020-21.pdf
Webinar presentation by Valerie Bogart, EFLRP, NYLAG, presented on Sept. 9, 2020 on upcoming changes in Medicaid - a new lookback for community based long term care services, new ADL requirements on eligibiliity for personal care and CDPAP, and new assessments for all home care in MLTC, managed care and local Medicaid offices
09 Sep, 2020 534 kb Downloads: 910
Medicaid income and resource levels - 2020 Download
2020-03-13 HRA Medicaid Chart.pdf
NYC HRA Form MAPDR-01
2020 NYS Income and Resource Standards and Federal Poverty Levels (FPL)
Dated 3-13-2020
18 Aug, 2020 2.16 mb Downloads: 412819
2020-06-22 NYS Medicaid Program Modifications COVID-19 Emergency Download
2020-06-22 NYS Medicaid program Modifications COVID-19 Emergency.pdf
23 Jun, 2020 253 kb Downloads: 572
2020-05-28 Defective Renewal Notices During COVID-19 Emergency Download
2020-05-28 Defective Renewal Notices.pdf
HRA Alert about notices sent in error to 30,000+ Medicaid recipients in NYC discontinuing Medicaid. The alert has the language of the correction notices that the consumers will receive.
31 May, 2020 78 kb Downloads: 648
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2019 Download
2001_to_2019_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2019. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
19 May, 2020 3.71 mb Downloads: 290210
NYS 2020-21 Medicaid Cuts - PowerPoint on changes enacted in State Budget April 2020 (updated 4/29/20) Download
2020 Budget PowerPoint WSIACA.4.pdf
Presentation by NYLAG-EFLRP for the West Side Interagency Council on Aging on April 23, 2020 describing the new Lookback requirement for home care and the changes in the Personal Care and CDPAP benefit. View the recorded webinar at https://www.youtube.com/watch?v=Ua80qZH7MG0&feature=youtu.be. Slides 10-11 updated to show no lookback for TBI, NHTDW, & OPWDD waivers.
29 Apr, 2020 240 kb Downloads: 1193
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