There are approximately 250 fair hearing requests pending since 1993 on the issue of Medicaid co-payment have been scheduled. These requests, which involve both Upstate and New York City cases, were initiated by an October 1, 1993 notice (attached) sent to Medicaid recipients informing them of certain situations where a co-payment could be requested. These fair hearing requests are coded as follows:
Issue Code: 957 (Medicaid Co-payment)
Subcategory: SP-29
Local districts will be responsible for representation and providing whatever supporting documents, including the case record, in support of their determination. Please refer to Local Commissioner's Memorandum 93 LCM-119 and 93 LCM-146 for more specific information on the implementation and handling of co-payments for Medicaid recipients.
In New York City, there will be two calendars for 1993 Medicaid co-payment hearings scheduled at 330 W. 34th Street and one half-day calendar scheduled at 80 Centre Street. Upstate 1993 Medicaid co-payment hearings will be integrated into the regular calendars.
In addition, on September 1, 1995, most MA recipients age 21 or older may be asked to contribute to the costs of some drugs and medical supplies provided by pharmacies. Notices will be mailed in August to all Public Assistance and MA only cases, except nursing home residents. Fair hearing requests generated by these notices will be coded differently and scheduled separately.
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