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Financial Eligibility
Contact List of CASA Offices prepared by NYLAG Download
CASA Contact List 2014 -October.pdf
22 Oct, 2014 107 kb Downloads: 19299
NYS Medicaid Form LDSS-4346 Institutionalized Spouse Budgeting Worksheet (1995) Download
LDSS-4346 Institutionalized Spouse Budget Worksheet 1995.pdf
1995 version of State form used to budget the spousal impoverishment income allowance in institutional budgeting and waiver budgeting. THis 1995 version is the only one we could find. IF you have a more recent version please email it to vbogart@nylag.org
18 Aug, 2014 67 kb Downloads: 3014
NYLAG PowerPoint on MAGI Budgeting Download
NYLAG ACA Part 2 - MAGI.ppt
Training outline on Affordable Care Act - the new Medicaid budgeting for MAGI.
24 Jun, 2014 2.72 mb Downloads: 8588
PowerPoint explaining Spousal Impoverishment Protections in Managed Long Term Care Download
Spousal Impoverishment Protections in MLTC.pptx
Prepared by NYLAG Evelyn Frank Legal Resources Program
12 Jun, 2014 1.1 mb Downloads: 2554
NYS OHIP-0026 (11/10) - Explanation of the Excess Income Program Download
OHIO-0026 Explanation of Excess Income Program 11-2010.pdf
Revised Explanation of the Excess Income or Spend-down Program by NYS DOH
15 Apr, 2014 20 kb Downloads: 7620
HRA Alert: Spousal Impoverishment Budgeting for MLTC Applicant/Recipients Download
Medicaid Alert Re Spousal Impv Budgeting 3-2014.pdf
Published in March 2014
05 Mar, 2014 153 kb Downloads: 3100
NYS Bar Association Elder Law Section Letter to NYC HRA Dec. 17 2013 - Spousal Impoverishment Allowances Illegally Denied Download
NYCHRA_NYSBA_Letter spousal budgeting 2013-12-17 REDACTED.pdf
Letter to HRA to cease the unlawful practice of denying this impoverishment income allowance to community spouses who did a spousal refusal. HRA responded and corrected its policy, provided spouse provides complete information regarding income and resources. For links to these documents and to the letters from the NYSBA and HRA, see http://www.wnylc.com/health/entry/96/
04 Mar, 2014 178 kb Downloads: 3476
NYC HRA 2013 MAP INF-04 Spousal Refusal Instructions - Supplement to MAP Procedure 90-10 Download
2013 MAP INF-04 Spousal Impoverishment Correction.pdf
A community spouse is entitled to the community spouse monthly income allowance (CSMIA) even if she does a spousal refusal to contribute resources. See NYS ADM 91-ADM-33 and NYS DOH Medicaid Reference Guide at page 396. However, since mid-2012, the NYC HRA Medicaid program has violated this longstanding state rule and has denied the community spouse this income allowance if she executed a spousal refusal. Many fair hearing decisions reversed these determinations, see, e.g. FH 6208131N (3/1/2013), FH 6318971R (9/5/2013). In December 2013, the Elder Law Section of the NYS Bar Association asked HRA to cease this unlawful practice of denying this impoverishment allowance. Through a Freedom of Information request, the Bar identified some internal HRA procedures that were wrong and asked that HRA correct them. On Dec. 24, 2013, HRA issued 2013 MAP-INF 04 which correctly states that the community spouse is entitled to the CSMIA even if she does a spousal refusal, if she provides complete information regarding income and resources.
04 Mar, 2014 36 kb Downloads: 2979
Medicaid Reimbursement for Home Care Expenses Download
Medicaid Homecare Reimbursement.pdf
Practical Guide on getting Medicaid to reimburse for home care expenses incurred during the 3-month retroactive period, and during the pendency of the application, in New York City. Includes citations to pertinent case law and regulations.
03 Mar, 2014 319 kb Downloads: 13872
Preserve "Spousal Refusal" in NYS - Statement of Coalition to Protect the RIghts of NY's Dually Eligible Download
CPRNYDE Spousal Refusal - 2014-2015 Budget FINAL.pdf
Opposing Governor's Budget proposal for SFY 2014-15
05 Feb, 2014 574 kb Downloads: 1547
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