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
Two Medicaid Alerts Regarding New and Changing Medicaid offices
Alert 1: 2019-08-26 Jamaica Community Medicaid Office
Alert 2: 2019-09-03 Relocation/Rename of Lincoln Medicaid Office
2019-07-31 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 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.
This alert 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.
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 will now be transitioned in two phases: one in June 2018 and one in April 2019. The alert details which groups of MAGI-like recipients will and will not be transitioned. Some groups that are excluded from the transition are consumers with the Medicare Savings Program and consumers who are 64 years of age.
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.
Elaborates on earlier Alert of 2017-07-26 -- Powers of Attorney (POA) and Statutory Gift Rider required for Pooled Trusts. This directive says if an SNT is submitted that is signed with a POA without authority to establish a trust, it will be deferred, with opportunity for applicant to execute a new POA, presuming capacity to do so. It is unclear if the approval will be retroactive to initial submission of SNT.
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
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 - Requires that POA's executed after Sept. 1,
2009 must include a Statutory Gift Rider in order for agent to establish a pooled trust.
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