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Medicare Savings Program
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: 1722
Social Security Verification--No Proof of SSA Income Required for Initial Applications and Renewals Download
Medicaid Alert No Proof of SSA income required 3-2013.pdf
07 Mar, 2013 337 kb Downloads: 5112
Relocation of HRA Home Care Services Program Relocation Download
2013-01-03 HCSP Relocation.pdf
HRA Home Care Services Program had been located at 109 East 16th Street, NY, NY 10003.

Effective January 14, 2013, HRA Home Care Services program will be relocated to:
785 Atlantic Avenue, 7th Floor
Brooklyn, NY 11238
09 Jan, 2013 317 kb Downloads: 3935
Medicaid Spend-Down Training Outline Download
Comprehensive outline published by Selfhelp, covering the many strategies for obtaining Medicaid coverage in New York through the Excess Income Program. Updated 5/29/09.
19 Jul, 2010 279 kb Downloads: 179951
Sample HRA QMB Recertification Form Download
DAB Renewal.pdf
Sample of new recertification form that specifically refers to QMB. Actual recertification form will be prepopulated with the QMB recipients information. In use as of January 2010.
11 Jun, 2010 166 kb Downloads: 43224
HRA MICSA Medical Assistance Program Alert - April 3, 2008 - Processing Medicare Savings Programs Applications by Mail Download
MSP Applications Done Now by Mail 4 08.PDF
Implements a new procedure for applying for Medicare Savings Programs by mail. May only be used by people not receiving and not applying for Medicaid in addition to an MSP.
14 Apr, 2010 112 kb Downloads: 8830
Application for Medicare Savings Program Download
MSP Application.pdf
This is the form used throughout New York State to apply for any of the Medicare Savings Programs (MSP), including QMB, SLMB, and QI-1.
03 Mar, 2010 132 kb Downloads: 2292
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