ATTENTION: If you have a change in address or are planning to have a change in address, please contact us at (315)-435-2928.
MEDICAID CHRONIC
CARE SECTION
(PUBLIC HEALTH INSURANCE PROGRAMS)
Onondaga County Office Building 6th Floor
600 S. State St
Syracuse, New York 13202
Hours: 8:00 AM- 4:00 PM (Monday-Friday)
Telephone: (315) 435-2928 Fax: (315) 435-8530
The Medicaid Chronic Care Unit processes Medicaid applications
for those individuals who are seeking help in paying for
nursing home or long term home health care services.
WHO IS ELIGIBLE?
Financial eligibility is determined
based on the income and resource standards governing the Medicaid Program. A Supplemental Security Income recipient is granted Medicaid
based upon his/her certification for SSI Benefits.
BENEFIT LEVELS
The amount of assistance that the
Medicaid program will pay toward the cost of nursing home and/or
home care services is determined using a comparison of the available income and resources of the applicant against the cost of the medical
services needed. Since each financial and medical circumstance
is unique, the regulations and policies governing what assets are
exempt and what assets are used in the determination of eligibility
vary, therefore, income and resource standards are not listed here.
Anyone who needs financial assistance in paying for nursing home or long term home health care services is encouraged to contact
our office for consultation regarding their specific need for benefits.
WHAT TO EXPECT:
WHAT DOCUMENTS WILL YOU BE ASKED TO PROVIDE?
The
law requires that you provide documentation to verify your sources
of income, your assets, birth date, marital status, and citizenship,
as well as some other items. Below is a list of some of the items
that will be required.
• Birth certificates for the applicant
and spouse
• Social security cards for the applicant and spouse
• Alien registration card / I-94 card / Naturalization papers for
the applicant and spouse
• Marriage certificate or separation papers or divorce papers
• Death certificate(s) of spouse(s)
• Veteran Discharge papers for applicant and /or spouse
• Power of Attorney Papers
• Written Authorization to Represent the Applicant
• Medicare and other health insurance cards and verification of monthly
premiums
• Verification of ALL sources of income for the applicant and the
spouse, such as but not limited
to: wages, social security, pensions,
veterans and military benefits, interest and dividend
income. The
gross amounts must be verified, with all deductions, and the frequency
with
which the income is received.
• Verification
of ALL the assets of both the applicant and spouse MUST be documented. Examples of some types of assets that must be documented are (but not limited to): checking & savings accounts, CD’s, stocks, bonds, mutual funds, retirement funds, annuities, Life insurance policies, burial spaces, burial funds, all properties owned, vehicles, mobile homes and RV’s.
If you are seeking nursing home services, monthly statements for all financial accounts for the
60 months prior to the date of application must be provided. This includes accounts currently closed but that were active at any time in the 60 month look back period. If the applicant or spouse set up a trust or are the beneficiaries
of a trust, the trust document must be provided and all assets ownedby the trust must be documented for the 60
months prior to the date of application.
Once an application is received and reviewed if any further documentation is required a pending letter will be issued. This letter will include the name and phone number of the individual processing the application as well as a due date for submission of the information.
RENEWAL OF ELIGIBILITY & REPORTING RESPONSIBILITY
If you are found eligible for ongoing Medicaid
benefits you will be required to re-establish your eligibility
at regular intervals as determined by the New York State Social Welfare law. This is
called receritfication or renewal.
You will receive notification of your recertification/renewal by mail. The completed form must be returned by the due date listed in the notice for your benefits to continue.
Social Services law requires that you report any changes in your income, resources, third party health insurance, family composition and residence to the Medicaid office. You may also be contacted by the department if a computer income match indicates a change in your circumstances.
If you have any questions, you may contact the Medicaid Chronic
Care Unit at 315-435-2928.
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