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Medicare Savings Program
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: 329967
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2017 Download
2001_to_2017_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2017. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
03 Jan, 2018 3.14 mb Downloads: 262757
MAP-751K Consumer Request to Change Information on File Download
MAP-751K - Consumer request to change info on file.pdf
NYC HRA Form to use any time notifying HRA of change or requesting a change in budgeting. Use for requesting Special Income Disregard for Housing, Spousal Impoverishment budgeting, Pooled Trust budgeting, etc.
04 Dec, 2017 495 kb Downloads: 517
Sample Application for Medicaid or MSP - Disabled/Aged 65+/Blind "Non-MAGI" - Download
Medicaid Application Guide with Sample Bank Statement.pdf
Sample Medicaid application completed, with sample bank statement to show how to prove resources are within Medicaid limits
11 May, 2016 2.29 mb Downloads: 3118
Sample Application for Medicaid or MSP - Disabled/Aged 65+/Blind "Non-MAGI" training Download
2016 DAB Applications -Webinar 5 FINAL.pptx
Sample application used in Webinar on Medicaid Applications for NON-MAGI Category - Disabled/Aged 65+/Blind (DAB)
Webinar at https://youtu.be/lgm1zMb4u_o
11 May, 2016 1.39 mb Downloads: 1067
Medicare 101: Presentation by NYLAG on Medicare for New York Beneficiaries Download
2016 Medicare CLE NYLAG.2.pptx
PowerPoint presented with Webinar Presentation, recorded on April 13, 2016, by Evelyn Frank Legal Resources Program.
View recording at https://www.youtube.com/watch?v=u76iY5ycUjI&feature=youtu.be
13 Apr, 2016 2.18 mb Downloads: 1138
Medicare Part D Outline Download
Part D Outline 2016.pdf
Training materials written and updated by various staff at the Evelyn Frank Legal Resources program since 2005. This outline is updated for the 2016 enrollment period (which began 10/15/15 and ends 12/7/15) and covers the basic design of the Medicare Part D prescription drug benefit, the Extra Help subsidy for low income beneficiaries, how Part D works with other types of drug coverage including EPIC and Medicaid, and how to get Extra Help by using the Medicare Savings Program.
02 Dec, 2015 1.2 mb Downloads: 10805
SNT Excess Income Contribution Worksheet Download
Pooled Income Trust Contribution Worksheet.xls
Use this Excel spreadsheet to calculate the proper monthly contribution of excess income to an SNT in order to become eligible and maintain eligibility for Medicaid and/or Medicare Savings Program in New York.
03 Apr, 2015 42 kb Downloads: 16948
NYLAG Testimony on 2015-16 Proposed State Budget - Medicaid and Health Care Download
NYLAG Health statement 2015.pdf
Testimony by NYLAG on 2015-16 Proposed State Budget - Medicaid and Health Care. Opposes repeal of Spousal Refusal (and Parental Refusal) and repeal of a provision that requires expedited "immediate need Medicaid" services pending a final decision on a Medicaid application, where personal care or other services are urgently needed and the application is likely to be approved.
12 Feb, 2015 541 kb Downloads: 812
Medicare Savings Program application - Spanish version Download
DOH-4328-June-2008-final-Spanish.pdf
13 Nov, 2014 85 kb Downloads: 1191
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