HRA MICSA Alerts are periodic announcements of policy, staff and office changes published by the Medical Insurance and Community Services Administration (MICSA). MICSA is the part of New York City’s Human Resource Administration (HRA) that administers HRA’s medically- related programs such as the Medical Assistance Program (MAP). MAP determines which New Yorkers are eligible for Medicaid and Family Health Plus. MICSA also administers the Home Care Services Program (HCSP). HCSP CASA's administer NYC'S home care programs for Medicaid eligible elderly and disabled New Yorkers.
DATE TOPIC TITLE
2021-09-27 Transition some MAGI-Like cases DSS/HRA to NYSofHealth NYC Medicaid Alert: Transitioning of MAGI-Like Medicaid Cases from DSS/HRA Medicaid to NY State of Health Exchange.
Since the New York State of Health was introduced in 2014, it has been responsible for all MAGI Medicaid cases. However, there were many Medicaid consumers with MAGI-like budgeting who were found eligible before January 1st, 2014. Their cases have remained with HRA until they could be transitioned. Those consumers were to be transitioned in phases and the first transition began in June 2018. NYS has resumed the transition and approx. 158,600 individuals transitioned between April 2021 through July 2021. The alert details which groups of MAGI recipients were transitioned and those who will not be transitioned. Clients will not be required to renew their coverage in NYSOH until after the COVID-19 Health Emergency ends.
2021-09-22 Reopening of Chinatown Medicaid Office
Chinatown Medicaid Office reopened at the same location (115 Chrystie St., 5th Fl., New York, NY 10002; tel. (212) 334-6114). Open 9:00am to 5:00pm, Monday thru Friday.
2021-09-08 MAP Undercare Division Email Address - revises previous July21, 2021 alert to clarify that reporting changes with the new MAP-751K forms and requesting budgeting changes with the 751w form may be submitted either by email to undercareproviderrelations@hra.nyc.govor by fax to 917-639-0837. These forms are attached to the Alert and are available for download in various languages at HRA site here, you can download fill-in-able MAP-751k (3/15/21) and MAP-751W (3/25/21) in English.
2021-08-23 Medicaid Program Modifications COVID-19 Emergency updates alerts issued 3/27/20, 6/22/20, 8/10/20, 9/9/20, 12/17/20, 1/13/21, 2/22/21, 3/25/21, 4/27/21, 5/21/21, 6/14/21 & 8/4/21.
New procedures have been enacted for applying for or renewing Medicaid coverage during the COVID-19 emergency. Some of the changes include:
Updated alerts confirms that 12 month automatic renewal process has been extended to cases with renewals due in June, July, August, September, October, November, December 2020, and January, February, March, April, May, June, July, August, September, October, November and December 2021
2021-08-12 HRA MICSA Alert 8-12-2021 Disability Determination Form LDSS-1151 Replaced with DOH-5139 - changes TWO forms used to prove disability, including approval of Supplemental Needs Trusts including Pooled Trusts, MBI-WPD, and other situations in this article. Replaces the LDSS-1151 form with the DOH-5139 form which can be downloaded here. Also requires using a new DOH HIPPA form -- DOH-5173 (4/2016) - for the disability determinations, but should still also include the OCA Official Form 960 - NY State HIPAA since that is what HRA and other LDSS use. Though the Alert is issued by HRA, it appears to convey new Statewide policy and forms.
2021-07-22 NYC Medicaid Alert: New Home Care Services Program (HCSP) Inquiry Email Address - Inquiries related to HCSP Medicaid case transactions (including demographic changes, address updates, pooled trust reviews, county-to-county transfer requests, Medicare Savings Program (MSP) and coverage updates) may be sent via email to hcspinquiries@hra.nyc.gov. This email is NOT for submitting applications or documents related to an application. Encrypted email and information required.
2021-07-22 NYC Medicaid Alert: Substantial Home Equity - As of January 2021, the Home Equity value limit was increased from its 2020 level of $893,000 to $906,000.
2021-07-21 NYC Medicaid Alert: MAP Undercare Division - SEE UPDATED 9/8/21 Alert)Case action update requests (including demographic changes, change of address, transfer from county-to-county requests and coverage updates) may be sent via email to undercareproviderrelations@hra.nyc.gov. Encrypted email with applicable MAP 751K or MAP 751W form required.
2021-03-26 IRS Form 1095B No Longer Automatically Mailed
The IRS Form 1095B will no longer be automatically mailed to everyone enrolled in Medicaid, Child Health Plus, or the Essential Plan. Consumers can still request a copy of the form.
2020-12-22 Asset Verification System Expanded to all DAB/SSI Related Submissions
Beginning 1/1/21 the Asset Verification System (AVS) will be used to determine Medicaid eligibility for all new community Medicaid applications. AVS electronically verifies accounts held in banking institutions or real property owned by the applicant. Applicants AND their spouse must authorize electronic verification as a condition of eligibility, regardless of the level of coverage they are seeking. AVS has been required since 2017 to verify bank accounts or real property owned by the applicant. See 17ADM-02 - Asset Verification System with attachments here. NYC HRA has implemented this gradually - first in Nursing Homes in 2018 , then in hospital applications in 2019., and now in community applications.
The Supplement A Form must be used for all applications for those age 65+, disabled or blind, and must be signed by the applicant and spouse, even if spouse is not applying or doing spousal refusal. A new Supplement A is now required in NYC - DOH-5178A, This form was previously used outside NYC but is new for NYC. See this article for more about using the new Supplement A form starting in January 2021.
2020-12-17 Medicare Savings Program Applications Client Rep
Authorized client reps can submit MSP applications can be submitted via fax to 917-639-0731
2020-10-28 Closing of Metropolitan Medicaid Office
States Metropolitan Medicaid Office (located at 1901 First Avenue, 1st floor. New York, NY 10029) will permanently close on October 30, 2020. The staff from this office will be reassigned to the Manhattanville Community Medicaid Office.
Also indicates that 12 month automatic renewal process has been extended to cases with authorizations ending in November & December
2020-05-28 Defective Renewal Notices During COVID-19 Emergency
During the week of May 18-23, notices were sent in error to consumers whose renewals were due in May 2020, informing them that their Medicaid case would be closed. However, the cases will not be closed and coverage will be extended, regardless of if the renewal was returned. A new notice will be sent to clients informing them that their case will remain open.
2020-05-27 REVISED Fax Submissions to MICSA & HCSP updates alerts issued May 4, 2020 and April 16, 2020
HRA strongly encourages the submission of Medicaid applications and other documents via e-fax instead of mail. This alert provides instructions and fax numbers for each unit. The 5/27 alert includes phone number for physicians to provide verbal orders (instead of submitting a written M11q form) and a corrected fax number for Nursing Home Eligibility Division (NHED). Includes fax number for Hospital Eligibility Division & Prenatal Care and Assistance Program.
2020-03-23 NYC Medicaid Alert: Relocation of North Central Bronx Medicaid Office
The office will be relocated and renamed: Fordham Medicaid Office, 2541-2549 Bainbridge Avenue, 3rd floor, Bronx NY 10458
2019-12-05 Hospital Applications - Asset Verification System - MICSA Alert: Asset Verification System (AVS) Expanded to Hospital Eligibility and Client Representative Case Submissions -
Expands AVS that was previously only for Nursing Home applications in NYC - 2018-04-09 Nursing Home Applications - Asset Verification System (AVS)
NYC Medicaid Office Relocations:
2019-12-12 NYC Medicaid Alert: Relocation of Brooklyn CASA Office --The Brooklyn CASA office will be relocated to: 88 Third Avenue, 3rd floor, Brooklyn NY 11217
2019-08-26 Jamaica Community Medicaid Office -- A new Medicaid office will open in Jamaica Queens at 165-08 88th Avenue, 8th floor, Jamaica NY 11432. The office will be opened on 9/9/19
2019-09-03 Relocation/Rename of Lincoln Medicaid Office - The current Medicaid office located at Lincoln Hospital in the Bronx will be relocated and renamed to: Rider Medicaid Office, 305 Rider Ave, 4th floor, Bronx NY 10451. The current office will close on 8/27/2019 and open in the new location on 9/30/2019.
2019-08-22 RENEWALS NYC Medicaid Alert: Elimination of MAP 2097K
MAP 2097K form will no longer be required for renewals. Includes sample renewal packet.
2019-07-31 RENEWALS NYC Medicaid Alert: Reapplication and Renewal Grace Period
This alert reiterates an existing policy which states that if a Medicaid case is closed for failure to renew, consumers have a 30 day grace period to submit their renewal and their case will be reopened. In addition, if a Medicaid application is rejected due to failure to provide documentation, the applicant can submit the requested information within 30 days without a completely new application.
2019-06-04 RENEWALS NYC Medicaid Alert: Notification Regarding Eligibility Renewal Packets
This alert states that a technical issue has impacted the May 2019 mailing of New York City WMS eligibility renewal packets. Consumers who were supposed to receive their renewal in May will now receive it in June. Their coverage will be extended to ensure they have time to complete the renewal process.
2019-04-09 DISABILITY DETERMINATIONS + POOLED TRUSTS NYC Medicaid Alert: Disability Determination Packet Update and Appropriate DOC TYPE for EDITS Submitters
Identifies the documents needed when applying for a disability determination for adults and children. The MAP 751E form, "Authorization to Release Medical Information" is now required for all disability determination requests.
2018-12-31 NYC Medicaid Alert: 12/31/18 - NYC HRA Contacts in Medicaid and Home Care Services Programs
2018-12-28 2019 Medicaid Income and Resource Levels
2018-12-18 Change in Email address to send HRA Office of Legal Affairs Draft SNTs for Review (not where to submit executed pooled trusts, which should be sent to Medicaid office handling the Medicaid application/renewal).
2018-07-28 Special Income Standard for Housing Expenses for Individuals Discharged from a Nursing Facility and
who Enroll into the MLTC Program - update on previous policy. See this article
2018-07-03 "Rosenberg" Medicaid Determinations after Public Assistance Discontinued - Shifted to NYS of Health
The "Rosenberg" procedure is used when public assistance cash benefits are terminated, to allow the individual to recertify and maintain Medicaid without disruption if they are still eligible. See more here. Initially this change applies to Singles and Childless Couples, and not to anyone in an MLTC plan or HARP plan. Those affected will receive a letter from HRA telling them they must renew their Medicaid online on NYS of Health. The Alert includes the form letter.
2018-06-25 Pooled Trusts (SNT) Deferral of SNT's Submitted with Invalid Power Of Attorney.
THIS DIRECTIVE IS VOID under GIS 20 MA/03 – Clarification of GIS 19 MA/04, “Clarification of Policy for Treatment of Income Placed in Medicaid Exception Trusts” A statutory gift rider is NOT required for enrolling a pooled trust or SNT with a Power of Attorney. See more here about the directive and how it came about from advocacy from the NYS Bar Association Elder Law & Special Needs Section.
2018-04-26 Pooled Trusts (SNT) Disability Form Completion when Submitting Pooled Trusts over age 65
Reminder to submit completed LDSS-1151 (revised 6/2012) with pooled trusts for those over age 65, or under 65 if they are not receiving SSD/SSI benefits. Implies that must complete Work History section even if work done more than 15 years ago, but don't have to enter physical demands of job if more than 15 years ago. Says should not cross out entire work section even if no work done in last 15 years.
2018-04-09 Nursing Home Applications - Asset Verification System (AVS) -
NYC rolling out Asset Verification System (AVS) that has been rolled out statewide. So far in NYC used in Nursing Home applications only, not in Community Medicaid applications. This system applies only in "non-MAGI" cases, meaning for people age 65+, disabled, or blind. This is because MAGI cases (< 65 and not on Medicare) do not have any asset limit.
2017-12-13 Applications/Eligibility Requirements Medicare Enrollment Required. See this article for more info.
2017-12-04 Applications Application Dates and Deferral Timeframes - Changes deadline for applicants to respond
to a "deferral" or request by local DSS for additional documents to support application.
Everyone gets 15 calendar days to respond, except for nursing home applicants (5-year
lookback) get 21 calendar days. Consumer may request an extension by submitting new
form MAP-3062a manually to the department where they submitted application.
Decision granting or denying extension will be on form MAP-3062b (sample attached to the Alert.
2017-07-26 Pooled Trusts Powers of Attorney and Statutory Gift Rider -
THIS DIRECTIVE IS VOID under GIS 20 MA/03 – Clarification of GIS 19 MA/04, “Clarification of Policy for Treatment of Income Placed in Medicaid Exception Trusts” A statutory gift rider is NOT required for enrolling a pooled trust or SNT with a Power of Attorney. See more here about the directive and how it came about from advocacy from the NYS Bar Association Elder Law & Special Needs Section.
2017-05-11 Renewals Revised Disabled, Aged, Blind (DAB) Renewal Form and On-line Reprints of DAB on www.nyc.gov/accessnyc.
2017-04-26 Transportation New Contractor for NYC Medicaid transportation - LogistiCare - (formerly MAS - Medical Answering Services LLC) Has contact info.
2016
2016-12-15 Changes in Medicaid Coverage for Temporary Non-Immigrants Temporary Non-Immigrants
2016-09-23 Medicaid Applications & Personal Immediate Need Applications - Personal Care and CDPAP
Care & CDPAP Procedure and Transmittal Form HCSP 3052
2016-04-04 HIPAA Release MAP-751d Authorization for Disclosure of Health Information replaced by
OCA Form No. 960 - Authorization for Release of Health Information Pursuant to HIPAA Download Alert here.
2015
2015-10-28 Nursing Home & Managed Care Nursing Home Transition into Managed Care: Forms & PDF Training Material (lists new forms which are attached in PDF including:
2015-10-26 Nursing Home & Managed Care - MICSA/NHED Submission Protocol for Transition of Nursing Home Benefit into Medicaid Managed Care
2015-08-31 Spend-Down/ Surplus NYC MICSA Alerts 8/31/15 & 5/18/15 re Payment of Surplus Bills or Pay-in by Third Parties with accompanying form MAP-3107a Attestation of Use of Recipient Funds to pay Surplus
2015-06-15 Nursing Home MAP-648 P Nursing Home Medicaid Transmittal
2015-06-03 MA Eligibility-MAGI Treatment of Income of a Dependent under MAGI-Like Budgeting. Implements NYS DOH GIS GIS 15 MA/008 - Treatment of Income of Dependents Under MAGI-like Rules PDF
2015-06-02 Nursing Home Policy Change for the Start Date of the Transfer of Assets Look Back Period
2015-03-10 MA Eligibility Newborn Processing Update
2015-04-03 Nursing Home Transition of Long Term Nursing Home Benefit into Medicaid Managed Care
2015-03-31 Nursing Home Nursing Home Eligibility Division Expedited Renewal Protocol
2015-03-10 Transition Exchange to LDSS Consumers with Medicaid on Exchange Needing Enrollment into MLTC or
2015-03-10 MA Eligibility Automated Newborn Processing on WMS
2015-02-20 MA Eligibility Reinstatement of Suspended Medicaid Coverage for Formerly Incarcerated Individuals
2015-02-03 MA Eligibility Medicaid Recipients Transferred at Renewal from NYS of Health to Local Dept. of Soc. Services
Procedure for transitioning people from expanded "MAGI" Medicaid generally for people under 65 who do not have Medicare -- when they turn 65 or become enrolled in Medicare, they must transfer to Non-MAGI Medicaid, using a stricter income and resource test. The procedure provides some coverage to fill the gap during the transition. It implements State DOH 14-LCM-02 PDF (Dec. 2014) with Attachments to State DOH LCM:
2015-01-26 MLTC CASA Fact Sheet
2015-01-05 MA Eligibility Consumers Transition from NYSOH to WMS update
2014
2013
2013-12-24 MA Eligibility Important Changes in Medicaid Application Submissions-MAGI & Non-MAGI
2013-12-20 MA Eligibility Substantial Home Equity (Nursing Home and Community-Based LTC)
2013-12-16 MLTC Spousal Impoverishment & Transfer of Assets for Certain Individuals Enrolled in MLTC
2013-12-13 Transportation Public Transportation Reimbursement Change
2013-11-13 MLTC FAQ - procedures for MLTC plans to enroll members who have a spend-down.
2013-10-1 Health Exchange NYS Health Benefit Exchange Opens October 1, 2013
2013-8-13 MLTC Disenrolled Housekeeping Case Consumers (MLTC)
2013-5-6 Office Relocation PHASE V-Relocation of MICSA 34th Street Offices to Brooklyn
2013-5-1 Office Relocation SPECIAL TBI & NHTD-Relocation fo MICSA 34th Street Office to Brooklyn
2013-4-30 Office Relocation PHASE IV-Relocation of MICSA 34th Street Offices to Brookyn
2013-4-24 Office Relocation PHASE II-III-Relocation of MICSA 34th Street Offices to Brooklyn
2013-4-18 LTHHCP\Lombardi Mandatory Enrollment of LTHHCP Consumers in Managed Care
2013-4-16 Office Relocation PHASE I-Relocation of MICSA 34th Street Offices to Brooklyn
2013-4-3 Office Relocation Relocation of MICSA 34th Street Offices to Brooklyn
2013-3-05 MA Eligibility Social Security Verification--No Proof of SSA Income Required at Applications or Renewals
2013-2-19 MLTC Special Income Standard for Housing Expenses for Individuals Discharged from NH to MLTC
2013-2-14 MLTC MLTC Submissions of Nursing Home Enrollments
MLTC FORM ** References Form HCSP-3022 known as MLTC Conversion Form (9/26/2013)
2013-1-24 Pooled Trusts Medical Evidence Gathering for Adult Disability Determinations
2012
2012-09-06 Managed Long Term Care Mandatory Enrollment into Managed Long Term Care
2012-07-03 Managed Long Term Care Mandatory Enrollment into Managed Long Term Care
2012-03-27 Managed Care MAPDR-21 Medicaid Managed Care Exemptions and Exclusions
2011
2011-12-30 MANUAL MAILING - Discontinued Manual Mailing of Medicaid Alerts
2011-05-03 RENEWALS - Expansion of Attestation of Income, Resources, and Residence for SSI-related (DAB) Renewals
2011-03-16 MEDICAID FAIR HEARINGS Relocation of Fair Hearing and Conference Unit to 111 Livingston St.,Brooklyn
2010
2010-07-02 APPLICATIONS Financial Maintenance Requirements for Medicaid and Family Health Plus
2010-07-01 APPLICATIONS Revisions to Health Insurance Application 4220 and Access NY Supplement A
2010-06-30 CITIZENSHIP PROOF Puerto Rican Birth Certificates
2010-04-26 APPLICATIONS Elimination of the Face to Face Interview for Medicaid Family Health Plus applicants
2010-02-26 UNDOCUMENTED IMMIGRANTS Temporary Protected Status for Undocumented Haitian Immigrants
2010-01 2010 INCOME LEVELS Medicaid Income and Resource Levels 2010
2010-01 MEDICARE SAVINGS PROGRAM Disregard of Income Placed in Pooled Trust when Applying for MSP Program
2010-01 RESOURCE LEVELS Elimination of Resource Limit for Non-SSI Related Medicaid
2008
2008-11-03 APPLICATIONS Change of Submission Location for Client Reps
2008-06-10 ELIGIBILITY NYC Eliminates Drug and Alcohol Screening
2008-06-10 RESOURCE LEVELS Resource Level Raised to $13,050
2008-04-08 RECERTIFICATIONS Mail Renewal 30 Day Grace Period
2008-04-08 APPLICATIONS MSP Applications Done Now by Mail
2008-04-08 APPLICATIONS Elimination of the Resource Test for MSP Program
2006
2006-10-06 RECERTIFICATIONS Introduction of MAP-909E DAB Mail Renewal Form
2006-04-26 POOLED TRUSTS Instructions for Submitting Supplemental Needs Trusts
2005
2005-07-07 POOLED TRUSTS Disability Determinations for Individuals with a Pooled Trust
2004
2004-06-21 BURIAL ACCOUNTS Irrevocable Pre-Need Funeral Agreements and Burial Funds
2004-05 POOLED TRUSTS Supplemental Needs Trusts Excluded from Medicaid Eligibility Budgeting
2001
2001-05-30 NURSING HOMES Nursing Home Expedited Discharge Program
DATE TOPIC TITLE
2012
2012-09-06 Managed Long Term Care Mandatory Enrollment into Managed Long Term Care
2012-07-03 Managed Long Term Care Mandatory Enrollment into Managed Long Term Care
2011
2011-05-02 CASA III Relocated Merger of CASA III with CASA V
2011-03-16 Home Care Fair Hearings Relocation of Fair Hearing and Conference Unit to 111 Livingston St.,Brooklyn
2010
2010-08-25 Applications Relocation and New Address of Central Intake Office to Submit M11Q
2009
2009-11-05 APPLICATIONS Revised MIIQ for Home Care
2008
2008-04 RECERTIFICATIONS Mail Renewal 30 Day Grace Period
DATE TOPIC TITLE
2015-03-26 Office Relocation Relocation of HRA Division of Accounts Receivable and Billing (DARB)
2015-03-26 Office Relocation Relocation of HRA Headquarters to 4 World Trade Center
2014
2013
2013-9-18 CASA Field Offices CASA Directory
2012
2011
2011-03-16 OFFICE MOVED Relocation of Fair Hearing and Conference Unit to 111 Livingston St.,Brooklyn
2010
2010-10-14 OFFICE MOVED Relocation of the CASA VII Office.
2010-10-12 OFFICE MOVED Relocation of the Long Term Health Care Program Brooklyn Units
2010-08-25 OFFICE MOVED Relocation of HCSP, Central Intake and BMPR
2010-04-22 CONTACT LIST Updated Nursing Home Eligibility Division Telephone and Address Directory
2010-03-16 CONTACT LIST New Contact Numbers for MAP Dialysis Unit
2009
2009-09-11 OFFICE MOVED NYC Health and Human Services has new office at 622 W 168th St Manhattan