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Formerly Incarcerated Individuals Reactivation Transmittal Download
map-3103 Formerly Incarcerated Individuals Reactivation Transmittal.pdf
This form was uploaded by NYC HRA on 2/20/15 to help formerly incarcerated individuals reactivate their medicaid account once they have been released.
13 Apr, 2015 111 kb Downloads: 649
Notice of Permanent Placement Medicaid Managed Care Download
MAP-2159i Notice of Permanent Placement Medicaid Managed Care.pdf
NYC HRA uploaded this form on 4/3/15 to be used for clients requiring permanent placement under Medicaid's managed care plan.
13 Apr, 2015 36 kb Downloads: 1761
MAGI Consumers Long Term Eligibility Rules Download
2014-10-24 MAGI Consumers Long Term Eligibility Rules.pdf
long term eligibility rules for individuals who are eligible for Medicaid under a Modified Adjusted Gross Income (MAGI) eligibility group
09 Apr, 2015 74 kb Downloads: 2063
8 Helpful hints for accurate completion of the medical request for home care (M11Q) Download
2014-12-09 8 Helpful HInts re Completion M11q.pdf
8 helpful hints for accurate completion of the medical request for home care (M11Q)
09 Apr, 2015 61 kb Downloads: 1724
Consumers Whose Active Medicaid Coverage on the NYSOH (Marketplace) Must be Transitioned to WMS Download
2015-01-05 Consumers transitioned from NYSOH to WMS update (HIV SNP).pdf
Consumers who wish to enroll in an HIV SNP must also have their coverage transitioned to WMS.
09 Apr, 2015 53 kb Downloads: 1245
CASA Fact Sheet Download
CASA FAct Sheet 2015.doc
Fact sheet describing what is covered under Housekeeping Services and where CASA offices are located
09 Apr, 2015 30 kb Downloads: 1423
HRA MICSA Alert 2015-03-10 Download
2015-03-10 CORRECTED UPDATE Transition coverage from NYSOH to WMS.pdf
Consumers who have their Medicaid coverage through the New York State of Health (the Marketplace) and who require certain services, must have their case transitioned to WMS (and administered by HRA) in order to receive those services
03 Apr, 2015 145 kb Downloads: 2214
15-03-26 Relocation of HRA Headquarters Download
15-03-26 Relocation of HRA Headquarters.pdf
As of March 2, 2015, the Office of Legal Affairs has moved.

Their new contact information is:

HRA Office of Legal Affairs
ATTN: MICSA LPCU
150 Greenwich Street, 38th Floor
New York, NY 10007
Fax: (917) 639-0331
OLAMAReferrals@hra.nyc.gov
03 Apr, 2015 266 kb Downloads: 3047
15-03-26 Relocation of HRA DARB Download
15-03-26 Relocation of HRA DARB.pdf
Effective Monday, March 30, 2015, Excess Income consumers who wish to paytheir Medicaid excess/surplus income to DARB, should be directed to their newaddress stated below:

Division of Accounts Receivable and Billing
Human Resources Administration
150 Greenwich Street, 34th Floor
New York, NY 10007

Day and hours of operations:
Monday- Friday
8:30-4:30
03 Apr, 2015 276 kb Downloads: 9745
Transition of Long Term Nursing Home Benefit into Medicaid Managed Care Download
2015-04-03 Transition of Long Term Nursing Home Benefit into Medicaid Managed Care.pdf
Update on the transition of long term nursing home benefit into Medicaid Managed Care. : Eligible nursing home
consumers age 21 and over, unless otherwise exempt or excluded, who become permanent placed in a nursing facility are required to enroll in or remain enrolled in a managed care plan to receive this benefit, includes those who are Mainstream Managed Care, Managed Long Term Care Plans, and Fee for Service Plans.
03 Apr, 2015 690 kb Downloads: 10954
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