These forms are also available at your relative´s hospital or nursing home.ģ.
Submission of Application on Behalf of Applicant can be found as Attachment I to 17 ADM-02.
This allows the application to be processed without the applicant´s signature. You will also need to complete and sign the Submission of Application on Behalf of Applicant (DOH-5147 form or MAP-3044 for NYC applicants).
During the COVID-19 emergency, you can help your relative apply for Medicaid by submitting the Access NY Health Care application (DOH-4220-I form) and signing the Supplement-A (DOH-5178A form) on your relative´s behalf.
My elderly relative is in a hospital or nursing home and cannot sign the Medicaid application.
Any money that you have left 12 months after receiving these payments, will count as a resource.Ģ.
Both the one-time stimulus check (up to $1,200 for single adults, $2,400 for married couples, $500 for children under age 17) and the weekly $600 Pandemic Unemployment Compensation checks do not count as income on your Medicaid application. Do I include my federal stimulus payment and/or the Pandemic Unemployment Benefit as income on my Medicaid application? Applying for Medicaid During the COVID-19 State of Emergency 1. What You Should Know About: Medicaid Coverage through Your Local Department of Social Services during the Coronavirus Emergency* FREQUENTLY ASKED QUESTIONS about Medicaid coverage during the COVID-19 State of Emergency for consumers enrolled through their Local Departments of Social Services.
Fact Sheet is also available in Portable Document Format (PDF).
Guidance for Medicaid Consumers Enrolled Through their Local Department of Social Services FACT SHEET
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