Announcements
1. UCP/NYC
Housing Case Management services for individuals who are family support eligible.
Family Reimbursement for all boroughs but Queens.
Contact: Project Connect at 1-877-UCP-CONNECT
2. YAI
Autism Parent Support Groups
Free Support Group for caregivers of people with Autism Spectrum Disorders
English & Spanish
For more information contact YAI LINK Department at 212-273-6182
Link Memo
Please see attached YAI link memo for complete information.
Free psychological and Psychosocial Evaluations
For Brooklyn and Queens Residents
Managing Care for Special Populations: Is there a clinical, financial, and technological roadmap?
Tenth annual one day conference, Wednesday may 4th, 2011 at The Hilton New York 1335 Ave. of the Americas (Bwtn 53rd & 54th streets). For more information visit the website
www.yai.org/conference
3. SPROUT
Weekend Day and Evening Recreation Program
Individuals 16yrs and older. Manhattan or Brooklyn residents who live with their families. For more information contact Kimberly Pierce at 212-222-9575.
The New York City program for March & April 2011
Please see attached document for complete information
SPROUT Film Festival
From Friday April 29th to Sunday May 1st, 2011. At the metropolitan Museum of Art located at 5th avenue and 81st street.
For more information please see attached document and/or visit the website at www.sproutfilmfestival.org
Presentation: Enrolling in Medicaid Through the Medicaid Waiver
Presenter: Elizabeth Carver, District Manager, Division of Fiscal and Administrative Solutions
Children ages 18 and under can enroll in Medicaid if enrolling in the HCBS Waiver. The income and the assets for the child only is considered. The application is processed through the local DDSO, approved for completeness and then taken to the 34th Street office for processing.
The necessary forms include the DOH 4220 application (blue and white), Supplemental Form A DOH 4495A , Disability Interview DSS-486 and the Medical Report for Determination of Disability (Must be original and not be older than one year) , Insurance form signed and completed by employer HR Department or Insurance Company if individual has supplemental insurance, and the Declaration of Support MAP2050A.
Also necessary:
– Birth certificate (if none, declaration of citizenship form)
– Double-Sided Copy of the SS card
– Proof of address ( copy of utilizing bill)
– Copy of LOC
– Current psychological
– Documentation of all reported income and assets
– Summary of Health Benefits, if there is supplemental health insurance
Ms. Carver requested that all documents be submitted in triplicate (original + 2 sets of copies)
Questions asked? Why are some applications returned?
Some people at Medicaid are asking for the parental income and assets to be included in the application even though it won’t be considered in order to get the Medicaid. It may also be returned if information is missing.
Ms. Carver also suggested that we write “OPWDD HCBS Waiver Application” on top of the application.
Ms. Carver mentioned that Medicaid is getting stricter about how quickly NODs for waiver get in the system after Medicaid is approved. Since you have to wait for a Medicaid number before MSC can be approved, this slows down the process of acquiring an NOD. She suggested using state funding for case management that’s available for up to 90 days. She acknowledged that it is not used very much in the City and that there’s a different process for applying for this but that it may be worth it for agencies to do. You must get a “State Funding Authorization Request”. She wasn’t sure what the process and regulations were, but that we should contact our SDIS or DDSO Liaison to find out. 
How soon will someone get Medicaid?
The Revenue Support Staff Member gets a receipt of delivery from HRA. That person waits one month. If there’s no Medicaid number by then, they will check weekly for Medicaid number. Once Medicaid is approved, they will e-mail the Medicaid number to the OPWDD staff person who submitted the application.
Agencies should advocate for the child if you submitted the application. If you haven’t heard anything in three months, you need to call and ask what is going on
Once Medicaid is noted in TABS system, the Revenue and Reimbursement Staff Person will wait two weeks and then send another e-mail to the OPWDD waiver coordinator asking about the NOD date. If the NOD is not entered by the 4th week, the Waiver Coordinator will be notified that an NOD is required in 2 days time or they will inform HRA to close the Medicaid case. If an NOD is not issued in time, OPWDD will owe Medicaid money.
There was also a discussion about Medicaid recertification with SSI vs. Medicaid recertification when you got the Medicaid through the Medicaid Waiver