2016 General Information System Messages

• GIS 16 MA/001 - Care At Home (CAH) I/II Waiver Quarterly Report Form, CAH I/II Waiver Retroactive Eligibility Period and CAH I/II Waiver Application Submission Process
  • PDF (115KB, 2pg.)
  • MEDICAID WAIVER - CARE AT HOME (CAH) I/II PROGRAM (151KB, 1pg.)
  • CAH I & II Quarterly Report Completion Instructions (144KB, 1pg.)
  • CAH I/II QUARTERLY REPORT (14KB, 1pg.)
  • Home and Vehicle Modifications Completed This Quarter (7KB, 1pg.)

• GIS 16 MA/002 - Changes in Medicaid Coverage for Temporary Non-Immigrants
  • PDF (184KB, 2pg.)
  • Residency Review Worksheet (89KB, 1pg.)
  • Residency Review Worksheet (Spanish) (89KB, 1pg.)
  • Temporary Non-Immigrant Document Types and Visa Codes(89KB, 1pg.)

• GIS 16 MA/003 - Incarcerated Temporary Non-Immigrants and Undocumented Aliens
  • PDF (79KB, 2pg.)

• GIS 16 MA/004 -Referrals from NY State of Health to Local Departments of Social Services for Individuals who Turn Age 65 and Instructions for Referrals for Essential Plan Consumers
  • PDF (80KB, 2pg.)

• GIS 16 MA/005 - Changes to eMedNY for Certain Medicaid Recipient Coverage Codes
  • PDF (71KB, 1pg.)

• GIS 16 MA/006 - Changes to the Statute for the Consumer Directed Personal Assistance Program (CDPAP)
  • PDF (70KB, 1pg.)

• GIS 16 MA/007 - 2016 Federal Poverty Levels
  • PDF (180KB, 2pg.)
  • NEW YORK STATE INCOME AND RESOURCE STANDARDS FOR NON-MAGI POPULATION (89KB, 1pg.)
  • NON-MAGI POPULATION
  • New York State Income Standards for MAGI Population
  • MAGI POPULATION

• GIS 16 MA/008 - Voluntary Managed Care Enrollment for Nursing Home Recipients
  • PDF (120KB, 2pg.)

• GIS 16 MA/009 - Revised DOH-4220: Access NY Health Care Application
  • PDF (114KB, 1pg.)

• GIS 16 MA/010 - 2015 Update to the Actuarial Life Expectancy Table
  • PDF (100KB, 1pg.)
  • 2015 Life Expectancy Table (65KB, 2pg.)

• GIS 16 MA/011 - Closing the Long Term Home Health Care Program (LTHHCP)
  • PDF (76KB, 1pg.)
• GIS 16 MA/012 - Applying for Entitlement Benefits
  • PDF (97KB, 1pg.)
• GIS 16 MA/013 - Processing Newborns in WMS
  • PDF (125KB, 1pg.)
• GIS 16 MA/014 - Restriction/Exception Code N9 - Pending NH Eligibility Determination
  • PDF (72KB, 1pg.)
• GIS 16 MA/015 - 2016 Update to the Actuarial Life Expectancy Table
  • PDF (123KB, 1pg.)
  • 2016 Life Expectancy Table (PDF 42KB, 1pg.)
• GIS 16 MA/016 - Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2017
  • PDF (120KB, 1pg.)
• GIS 16 MA/017 - Changes to the Loading of Drug Coverage in the Third Party Health Insurance Scope of Benefits on eMedNY
  • PDF (120KB, 1pg.)
• GIS 16 MA/018 - 2017 Medicaid Levels and Other Updates
  • PDF (122KB, 2pg.)
  • New York State Income and Resource Standards for MAGI and Non-MAGI Population Effective January 1, 2017 (320KB, 4pg.)