NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Financial Eligibility
Medicaic Household Size Chart for Aged, Blind and Disabled Individuals ("SSI-Related") Download
HOUSEHOLD SIZE FOR SSI RELATED CHART2016_160511180307.pdf
11 May, 2016 132 kb Downloads: 33164
Statement of NYLAG on 2016 NYS Budget Proposals to Eliminate Spousal Refusal and Reduce Spoual Impoverishment Protections Download
NYLAG Spousal Protections 2016.pdf
Statement of NYLAG on 2016 NYS Budget Proposals to Eliminate Spousal Refusal and Reduce Spoual Impoverishment Protections
04 Feb, 2016 385 kb Downloads: 648
NYLAG Testimony on NYS Budget 2016-17 - Medicaid and Health Access Issues Download
NYLAG Health Testimony 2016-2017.pdf
Testimony of NYLAG to the New York State Legislature Joint Hearing of the Senate Finance and Assembly Ways and Means Committees - January 2016
04 Feb, 2016 480 kb Downloads: 327
HRA MAP 259d Nursing Home Discharge Alert - for Community Budgeting & Related Forms (10--2015) Download
2015-10-28 NH Transition to Managed Care Forms and PDF Training Material.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 ($825+ $20 disregard in 2015) rather than only $50/month. Form replaces 1159. Related forms included - Change in Discharge plan, respite care, etc.

This PDF also includes Forms 259e (Chang/Cancellation of Discharge Plan), 259f (Notice of Discharge), and 259g (Respite Alert) -- all forms used by nursing homes to inform HRA/MICSA of discharge plan for community budgeting or respite admission
19 Jan, 2016 1.17 mb Downloads: 52842
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (12-2015).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.
02 Dec, 2015 147 kb Downloads: 3608
Fact Sheet & Form for Keeping SSI for 90 Days in Temporary Hospital or Nursing Home Placement Download
Temporary SSI in Nursing Home or Hospital - Fact Sheet and Form Request.pdf
This fact sheet explains requirements for maintaining SSI (Supplemental Security Income) for up to 90 days during a temporary hospital or nursing home stay. The PDF also includes a form for requesting continuation of SSI benefits, which must be filed with the Social Security Administration within strict timelines. NYS SSA office contacts also listed. Note that if SSI benefits are terminated, Medicaid will also be terminated, after "Stenson" notices are mailed giving the recipient an opportunity to recertify for Medicaid without SSI. See http://www.wnylc.com/health/entry/85/
22 Nov, 2015 352 kb Downloads: 3206
NYC MICSA Alerts 8/31/15 & 5/18/15 re Payment of Surplus Bills or Pay-in by Third Parties Download
2015-08-31 Mailing of Notices to Excess Income Consumers re 3rd party payment of surplus.pdf
Both Alerts in one PDF with accompanying Form MAP-3107A Attestation of Use of Recipient Funds
22 Nov, 2015 506 kb Downloads: 3741
NYC HRA Medicaid MICSA Alert June 3, 2015 - Treatment of Income of Dependents for MAGI-Like Budgeting Download
2015-06-03 Treatment of Income of a Dependent under MAGI-Like Budgeting Rules.pdf
Implements NYS DOH GIS 15 MA-08 which clarified that child dependents' Social Security or other income should not be counted in MAGI-like budgeting, which local districts must do when a person eligible under the MAGI category needs long term car and some other instances, for which eligibility must be processed by the local district rather than the Exchange.
22 Nov, 2015 207 kb Downloads: 728
MAP-648 P SUBMISSION OF REQUEST FROM RESIDENTIAL HEALTH CARE FACILITIES (RHCF) Download
MAP-648P NH MA Transmittal 6-2015.pdf
Transmittal form used by HRA Medicaid where the Nursing Home provides HRA with streamlined information about the applicant and the applicant's request for Nursing Home Medicaid coverage.
18 Jun, 2015 147 kb Downloads: 3712
Pre-Paying for Burial – Tip for Qualifying for Medicaid despite “Excess Resources” Download
Funeral Agreement Fact Sheet.2 (6-16-2015).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.
16 Jun, 2015 582 kb Downloads: 144344
Prev Next
1 2 3 4 5 6 7 8 9


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.