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Financial Eligibility
Using an SNT to Eliminate the Medicaid spend-down - Fact Sheet (May 2023) Download
SNT Short 2023-05 FINAL.pdf
How to get Medicaid despite having "excess income" - Using a Supplemental Needs Trust to Eliminate the Spend-down for Persons who are Elderly (65+), Blind or Disabled. Written by New York Legal Assistance Group Evelyn Frank Legal Resources Program, updated May 2023 with new procedures in NYC for submitting disability forms, and with 2023 figures.
23 May, 2023 476 kb Downloads: 159652
Excel Template for Medicaid Non-MAGI Budgeting -2023 FPL: Download
Medicaid Budgeting worksheet 2023-REVISED protected .xls
Excel template that can be used to calculate Medicaid non-MAGI eligibility under the increased 2023 levels - see http://health.wnylc.com/health/news/90/. Template uses 2023 Federal Poverty Limits. These budgets are to be used by advocates as a tool to estimate spend-down and eligibility to counsel consumers as the Public Health Emergency unwinding begins. See http://health.wnylc.com/health/news/86/#unwinding. Template has different tabs for different types of budgeting schemes. -- See list of these at http://health.wnylc.com/health/entry/222/.
17 May, 2023 95 kb Downloads: 3073
SSA Emergency Message EM-21014 Exempting Supplemental Hardship Fund Payments to Nazi Victims (2021) Download
EM 21014 SSA.pdf
PolicyNet/Instructions Updates/EM-21014: Supplemental Hardship Fund Payments to Jewish Nazi Victims (ssa.gov) - EM 21014 was released in February 2021 with a retention date of February 2022, meaning it has not been available on the SSA website since that date. Nevertheless, the policy remains in effect. See more about the policy here http://health.wnylc.com/health/entry/65/#Hardship%20March%202021
26 Mar, 2023 380 kb Downloads: 492
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms with various forms updated as of 3-24-2023 Download
MAP-259d-e-f-g-t Discharge Alert and Related Nursing Home Forms as of 2023-03-24 (259f -259t+ 648p).pdf
NYC MICSA Medicaid Alerts from 2015 and 2020 with nursing home forms updated as of 3/23/23 including "Discharge Alert" 259d that nursing home physician must sign to certify that 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 2020 (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) -- PDF has updated forms as of 3/24/2023 from NYC MARC website.
25 Mar, 2023 3.04 mb Downloads: 73974
MAP-648 P SUBMISSION OF REQUEST FROM RESIDENTIAL HEALTH CARE FACILITIES (RHCF)(05/05/2022) Download
MAP-648p Submission of request from RHCF-NH 2022-05-05.pdf
Transmittal form for Nursing Home to submit to HRA: new Medicaid application, request to convert coverage from community Medicaid, upgrade coverage, or notify HRA that transfer penalty period expired. (updated 5/5/2022)
25 Mar, 2023 69 kb Downloads: 10173
2023-01-25 Medicaid Program Modifications COVID-19 Emergency ENDING Download
2023-01-25 COVID-19 Program Modifications.pdf
Medicaid program COVID-19 easements
29 Jan, 2023 82 kb Downloads: 13420
APPENDIX from NYLAG webinar 1/18/23 on Medicaid Increased Income Limits 2023 (Updated 1/27/23) Download
Medicaid NYLAG CLE Appendix final.revised3 UPDATED.pdf
APPENDIX distributed at webinar of Jan. 18, 2023 - UPDATED after webinar with UPDATED HRA Chart of Medicaid Income Levels and UPDATED HRA form MAP-3190 (1/10/23). See further updates of that chart posted at http://health.wnylc.com/health/entry/15/. (Will be updated soon when NYS DOH issues a GIS implemented the 2023 FPL levels. Meanwhile, the 2023 Medicaid levels announced to date were based on the 2022 FPLs.
28 Jan, 2023 3.16 mb Downloads: 2050
12-22-22 HRA Medicaid Alert - Eligibility increases starting Jan. 2023 & REVISED MAP-3190 Form to Request Re-budgeting Download
2022-12-27 Non-MAGI Eligibility Increases 2023- with REVISED map-3190 (1-10-23).pdf
HRA Medicaid Alert announcing the increases in income and asset eligibility for Age 65+, Disabled & Blind recipients starting Jan. 2023. NYLAG has swapped in HRA's iupdated form MAP-3190 form (rev. 1-10-23) that will be mailed to everyone with a spend-down starting Jan. 30, 2023. The form can be completed and returned to HRA to request a decreease in the spend-down. See more at http://www.wnylc.com/health/news/90/#II.%20Timing
28 Jan, 2023 827 kb Downloads: 3709
Training Powerpoint on 2023 Medicaid Increases in NYS Download
PPT NYLAG CLE Medicaid Increases 2023-01.pdf
PowerPoint presented in CLE Webinar on Jan. 18, 2023 by NYLAG Evelyn Frank Legal Resources program on how NYS is rolling out the increases in Medicaid eligibility for the Aged 65+, Blind, & Disabled category (ABD or DAB or NOn-MAGI). Includes how this rollout intersects with "unwinding the Public Health Emergency" starting in March 2023. See updates at http://health.wnylc.com/health/news/90/
25 Jan, 2023 696 kb Downloads: 2235
Medicaid Household Size Chart for Aged, Blind and Disabled Individuals ("SSI-Related") Download
HOUSEHOLD SIZE FOR SSI RELATED CHART 2023 (using 2022 FPL).pdf
Updated 2023 using the 2022 FPLs. We hope to update it again when DOH adopts the 2023 FPLS.
22 Jan, 2023 140 kb Downloads: 49382
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