NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Applying For and Keeping Medicaid
Excel Template for Medicaid Non-MAGI Budgeting -2024 FPL: Download
Medicaid Budgeting worksheet 2024 -PROTECTED.xls
Excel template to calculate Medicaid non-MAGI eligibility under the increased 2024 levels - see http://health.wnylc.com/health/news/90/. Can be used as a tool to estimate spend-down and pooled trust contributions. Template has different tabs for different types of budgeting schemes. -- See list of these at http://health.wnylc.com/health/entry/222/.
15 Apr, 2024 118 kb Downloads: 3566
Currency Conversion Worksheet for Holocaust Reparations Download
Reparation worksheet.xls (03-2024).xlsx
Use this worksheet to convert lifetime total amount received in Holocaust reparations / restitution from foreign currencies (Deutschmarks and Euros) into U.S. Dollars. This is for purposes of taking advantage of the exemption of saved reparations payments from the resource test for Federally-funded means-tested benefits, like Medicaid and Supplemental Security Income. Updated through Feb. 2022
01 Apr, 2024 147 kb Downloads: 8228
NYS Medicaid Income and Resource Levels for Past Years - 2001 - 2023 Download
2001_to_2023_NYS_income__resource_level_charts.pdf
Income and Resource levels for Medicaid and other public health programs in NYS for 2001 - 2023. Includes Medicare Savings Programs, Family Health Plus, Child Health Plus, Spousal Impoverishment levels, MBI-WPD, etc.
11 Mar, 2024 3.52 mb Downloads: 300047
Medicaid income and resource levels - 2023 (06-06-23) Download
HRA chart March 1 2024.pdf
NYC HRA MAPDR-01 (updated4-5-2023) -- 2023 NYS Income and Resource Standards revised. Note these now use 2023 Federal Poverty Levels so should be the FINAL figures for 2023.
01 Mar, 2024 304 kb Downloads: 441939
Basic Eligibility for Medicaid and Home Care in NYS - Age 65+, Disabled, Blind Download
Medicaid Basic - 2024 FINAL (2-20-2024).pdf
This is basic information about Medicaid eligibility for the Disabled, Aged 65+, and Blind (DAB) category and about applying for Community Medicaid in order to receive home care (personal care or consumer-directed personal assistance) through Managed Long Term Care or based on Immediate Need through the local Medicaid program. (updated Feb. 20, 2024 with final 2024 Income and Asset limits released by DOH)
20 Feb, 2024 344 kb Downloads: 188685
HRA MICSA Alert 2015-03-10 Download
2015-03-10 CORRECTED UPDATE Transition coverage from NYSOH to WMS with copy of 2014-06 Original Alert + Transmittal form.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. Amends and references an earlier Alert of June 2014, which is attached to this copy along with the Transmittal form annexted to the June 2014 Alert.
31 Oct, 2023 505 kb Downloads: 5315
MAP-909E DAB Renewal Form Redacted (2022-01-04) Download
MAP-909e DAB Renewal (2022-01-04) Redacted Sample with 2023 ACT NOW insert.pdf
HRA Medicaid Renewal Form being sent in 2023 to Disabled, Aged, & Blind (DAB) recipients in the "unwinding" of the Public Health Emergency. Note that the packet contains
(1) a 2-page Renewal Notification letter with the deadline to return the renewal, which is always the 10th of the 2nd month after the notification,
(2) "ACT NOW" alert intended to alert consumers that this renewal MUST be returned, unlike those sent during the Public Health Emergency (MAP-3185 - 2023-01-19),
(3) Renewal form has a new section in Part 6 RESOURCES requiring authorization for HRA to verify resources using data matching (page 6 of the PDF);
(4) Renewal form must be signed by both applicant and spouse (p. 9 of PDF)
(5) Financial Maintenance form - not new - only required if housing costs are more than 70% gross monthly income (p. 10 of PDF);
(6) NEW: Authorization for Verification of Resources - Recipient and Spouse each must sign this and send back with renewal!
(MAP-3179 and 3179a) (pp. 11-13 of PDF)
(7) Renewal instructions (pp. 14-16 of PDF)
31 May, 2023 2.17 mb Downloads: 11290
Stenson - Sample Notice of Discontinuance for Failure to Return Stenson Renewal Download
Disco notice after Stenson packet not received - 2023 Redacted.pdf
Sample notice of intent to discontinue Medicaid, where former SSI recipient failed to return a renewal package to renew Medicaid as a separate stand-alone benefit from SSI. Redacted.
27 Mar, 2023 2.25 mb Downloads: 671
2023-01-25 Medicaid Program Modifications COVID-19 Emergency ENDING Download
2023-01-25 COVID-19 Program Modifications.pdf
Medicaid program COVID-19 easements
29 Jan, 2023 82 kb Downloads: 13464
APPENDIX from NYLAG webinar 1/18/23 on Medicaid Increased Income Limits 2023 (Updated 1/27/23) Download
Medicaid NYLAG CLE Appendix final.revised3 UPDATED.pdf
APPENDIX distributed at webinar of Jan. 18, 2023 - UPDATED after webinar with UPDATED HRA Chart of Medicaid Income Levels and UPDATED HRA form MAP-3190 (1/10/23). See further updates of that chart posted at http://health.wnylc.com/health/entry/15/. (Will be updated soon when NYS DOH issues a GIS implemented the 2023 FPL levels. Meanwhile, the 2023 Medicaid levels announced to date were based on the 2022 FPLs.
28 Jan, 2023 3.16 mb Downloads: 2099
← Prev Next
1 2 3 4 5 6 7 8 9 10


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.