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NYC HRA: MLTC Frequently Asked Questions (HCSP Quick-Reference-03 revised 11/13/2013) Download
MLTC Frequently Asked Questions HCSP Quick Reference- REVISED 11-13-2013.pdf
FAQ clarifying issues that pose barriers to enrollment into MLTC plans. Many of these problems stem from "coding" problems - eligibility codes in the Medicaid "eMedNy" system. This FAQ explains that some codes may appear to say the individual is not eligible for Medicaid or for MLTC -- but THEY DO NOT MEAN THAT! And plan should submit "conversion package" to HRA to activate Medicaid and allow enrollment.
15 Nov, 2013 178 kb Downloads: 3447
MAPDR-21 - Medicaid Managed Care Exemptions and Exclusions Download
MAPDR-21 Medicaid Managed Care Exemptions and Exclusions.pdf
This documents lists which categories of beneficiaries are exempt or excluded from the requirement of joining a mainstream medicaid managed care plan. Rev'd 9/23/13
27 Sep, 2013 55 kb Downloads: 8271
CASA Directory Updated 9-18-13 Download
Medicaid Alert CASA List 9-18-13.pdf
CASA field offices have been consolidated. There is one CASA office per borough.
23 Sep, 2013 70 kb Downloads: 3504
NYC HRA MICSA Alert - MLTC Submissions of Nursing Home Enrollments - Feb.14, 2013 Download
Medicaid Alert 2-2013 NH to MLTC.pdf
Special procedure for MLTC plans to submit "conversion" package to NYC HRA Medicaid program, to enroll residents of nursing homes who want to enroll in an MLTC plan in order to return to the community.

In all MLTC enrollments, the conversion package is a set of forms that HRA needs in order to make the necessary entries into the Medicaid eligibility and billing system, so that the enrollment takes effect on the 1st of the following month, and so the MLTC Plan is paid its capitation rate. Once in MLTC, the member will not be able to access Medicaid services in the MLTC service package outside the MLTC Plan's network.

For nursing home residents, the "conversion" is more complicated. HRA not only has to enter the codes described above but also has to remove the codes that applied because of the residence in the nursing home. For many years, nursing home residents have encountered delays in lifting the nursing home "code" from their eligibility, so that they could now access community-based home care and other medical services. The conversion package must include:

(1) The HCSP-3022 (Medicaid Cover Sheet) - This is the conversion form.. A copy is or will be posted on this website.
(2) Completed Nursing Home discharge Alert (MAP-259D)(posted at http://www.wnylc.com/health/download/132) and see article at http://www.wnylc.com/health/entry/117/ )
(3) A copy of the signed enrollment form
(4) A copy of the MAP-3057 (Special Income Standard) form, if applicable (posted at http://www.wnylc.com/health/download/398/) and described in http://www.wnylc.com/health/entry/114/ - last link in Table of Contents
05 Sep, 2013 284 kb Downloads: 1069
Directory of MICSA (NYC Medicaid) Contacts - August 2013 Download
MICSA Directory (08-06-13).pdf
NYC Medicaid office moved from 330 West 34th Street to 785 Atlantic Avenue, Brooklyn NY 11238 in May 2013. Contact numbers at that office listed in this document.
15 Aug, 2013 3.07 mb Downloads: 196689
Disenrolled Housekeeping Case Consumers (MLTC) 8-13-13 Download
Disenrolled Housekeeping Case Consumers (MLTC) 8-13-13.pdf
8-13-13 MICSA Alert detailing the housekeeping conversion process to facilitate consumer disenrollment from MLTC plans to HRA.
15 Aug, 2013 65 kb Downloads: 5239
NYC HRA - Explicacion del Surplus Income Program - Spanish Download
MAP-931(S) Surplus Income Spanish 2011-08-02.pdf
Document MAP 931 (S)(Spanish) explaining Surplus Income Program, dated 8/2/2011
21 May, 2013 32 kb Downloads: 2702
Relocation of MICSA 34th Offices to Brooklyn-Phase V (final) 5-6-2013 Download
Medicaid Alert Relocation of MICSA units to Brooklyn V 5-6-13.pdf
Information regarding relocation of MICSA 34th Street Offices to 785 Atlantic Avenue in Brooklyn.
07 May, 2013 135 kb Downloads: 4797
Relocation of MICSA 34th Offices to Brooklyn-Specialized Area TBI & NHTD 5-1-13 Download
Medicaid Alert Relocation of MICSA units to Brooklyn Special 5-1-13.pdf
Information regarding relocation of the Traumatic Brain Injury and Nursing Home Transition and Diversion waiver programs from 330 W. 34th Street to 785 Atlantic Ave.
07 May, 2013 47 kb Downloads: 2129
Relocation of MISCA 34th Offices to Atlantic Ave Brooklyn-Phase IV Download
Medicaid Alert Relocation of MICSA units to brooklyn IV 4-30-13.pdf
Information regarding relocation of MICSA administrative offices from 34th Street to Atlantic Ave in Brooklyn.
07 May, 2013 43 kb Downloads: 2551
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