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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: 329741
NYC HRA Medicaid Alert 2018-01-10 Corrected Mailing - Medicare Enrollment Download
2018-01-10- HRA MICSA ALERT REVISED Must Apply for Medicare.pdf
See http://www.wnylc.com/health/entry/185/
24 Jan, 2018 113 kb Downloads: 486
Revised NYC HRA Notice to Medicaid Recipients Age 65+ Must Apply for Medicare (1-6-2018) Download
2018-01-06 Revised MA Notice Medicare Enrollment (Redacted).pdf
Notice sent to 5000 NYC Medicaid recipients age 65+ on Jan. 6, 2018 revoking an earlier Dec. 2017 notice and replacing it.. telling them they must apply for Medicare or risk having Medicaid discontinued. See http://www.wnylc.com/health/entry/185/
24 Jan, 2018 128 kb Downloads: 474
NYC HRA Medicaid Form MAP 3062c Request for Time Extension - Applying for Medicare Download
MAP-3062c Request for Time Extension- Medicare App (Fill-able).pdf
New HRA form designed to request extra time to submit proof that you applied for Medicare, as newly required as a condition of obtaining or keeping Medicaid. This form is an adaptation of new Form MAP 3062c, which is for requesting extra time to submit documents generally in applications and renewals. 3062c is limited to max 30 days, while 3062c allows you to specific any number of days extension. This is a fill-able form.
24 Jan, 2018 65 kb Downloads: 309
NYC HRA Medicaid Form MAP-3062a Request for a Time Extension (12/5/17)(fillable) Download
MAP-3062a Request for a Time Extension (12-5-17) Fillable.pdf
Used for applications, renewals, and the new requirement to apply for Medicare for those age 65+. "I am unable to provide the documentation that HRA requested at this time. I am requesting additional time past the deferral due date that HRA provided. I understand that this extra time may delay the final processing of my case which could result in an eligibility determination taking longer than the normal case processing timeframe of 30 days for a case containing a child, 45 days for a case containing adults only, or 90 days for a case based on a disability." Asks to specify if this is initial extension request or later. This is a fill-in-able form.
11 Jan, 2018 66 kb Downloads: 518
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: 262698
NYC HRA Insert to Medicaid Applications and Renewals - Must Apply for Medicare (MAP 3134e) Download
MAP3134e - DAB insert renewal and apply for Medicare (1-20-17).pdf
Insert in all Medicaid renewals and applications informing people age 65+ or approaching age 65 that they must apply for Medicare. Notice does NOT say they need only apply if they meet Medicare immigration status requirements and have incomes under 120% FPL.
22 Dec, 2017 393 kb Downloads: 380
NYC HRA Medicaid Alert 2017-12-04 - Application Dates and Deferral Timeframes Download
2017-12-04 Medicaid Application Dates & Deferral Timeframes.pdf
NYC HRA Medicaid program Alert giving new timeframes for applicants to respond to "deferrals" by the Medicaid agency, which allow additional time to submit missing timeframes. Also introduces a new Form MAP-3062b Decision on your REquest for a Time Extension. MAP-3062a Request for Time Extension is revised 12/5/17 (also posted on this site)
21 Dec, 2017 174 kb Downloads: 411
NYC HRA Medicaid Alert 2017-12-13 Most Medicaid Recipients & Applicants Must appy for Medicare Download
2017-12-13 - Must Apply for Medicare.pdf
Alert issued to implement State policy -- 17 OHIP ADM-01: "Medicare Enrollment at Age 65" -- that requires those with incomes under 120% of the Federal Poverty Line, who are age 65+ or within 3 months of turning 65 - to apply for Medicare, if they would meet the immigration status requirements (citizens or have been a lawful permanent resident for 5 years).

SEe http://www.wnylc.com/health/entry/185/
21 Dec, 2017 139 kb Downloads: 511
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: 512
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