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.
- Medicaid Eligibility Procedures – include applications, renewals, verification of citizenship/immigration status, etc.
- Medicaid Home Care
- Medicaid/CASA Office Relocations Staff
MEDICAID ELIGIBILITY AND PROCEDURES
DATE TOPIC TITLE
2016
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:
- MAP 259d – Discharge Alert for Non-Chronic Care Budget (Community Budgeting)(10-2015 revised)
- MAP 259e (Change in Discharge Plan)
- MAP 259f (Discharge Notice)
- MAP 259g (Respite care)
- MAP-259t – Request to Convert Case
- MAP-2159 Notification of Change or Correction to File from nursing facility
- MAP-2150i Notice of Permanent Placement – Medicaid Managed Care
- MAP2159W Permanent Placement Disenrollment Request
- MAP-648p – Submission of Request from RHCF – Residential Health Care Facility
- NOTE – references PowerPoint which is not attached but posted here)
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:
- Attachment I -Renewal form notice language and Medicaid Renewal Form
- Attachment II – Statewide Provider IDs (Medicaid managed care plans)
- Attachment III – Recipient Referral Information – Data Elements
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.
- References Form HCSP-3022 known as MLTC Conversion Form (9/26/2013)
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 LTHHCPLombardi 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
MEDICAID HOME CARE – NOTE – not updated since 2012 – see above section
DATE TOPIC TITLE
2012
- CDPAP must be accessed through Medicaid managed care plans effective 11/1/12 for those enrolled in these plans (people with Medicaid but not Medicare statewide), or through Managed Long Term Care plans, for people who have Medicaid and Medicare in NYC)
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
MEDICAID/CASA OFFICE RELOCATIONS and STAFF
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