NY – Medicaid Recertification HELP!

My mother is 77 and is a household of 1. She formerly received SSI and Medicaid automatically through it. She no longer receives SSI and thus has no eligible income. I need to recertify her Medicaid so she can continue receiving it without the SSI.

I am helping her fill out the MAP-3074 (E) recertification form and have a few questions. Unfortunately I am up against a deadline of a few days to get this done so unlikely I can get HRA assistance in person. I already had to take off work to go twice in person, just to get the form since it was never mailed.

  1. Section B housing info: she lives in an apt in a multifamily home owned by relatives. I am currently covering her bills directly. Would it be better for me to say her rent is $0 or put down the rental amount and if they ask then state that I pay it? Would they require any proof if I put down a rental expense and her income is $0?

  2. Section C Employment: if she doesn't work because elderly/dementia, do we just leave it blank or put in N/A.

  3. Section C1 certified disabled: seems this part should be No because she is not currently on SSI, but please correct me if I'm wrong.

  4. Section G Income: only thing that I think could count is "income from relatives," but I don't know if this is accurate if I never give her any of the money directly. I pay the bills/expenses with my credit card or personal checking directly, it never goes to her account.

  5. Should I sign as representative? The form doesn't specify what counts. Is it a Power of Attorney or healthcare proxy? I had to get a signed HIPAA authorization form just so they could provide me the recert form when I went to the office. Should I just have her sign and leave the representative part blank?

TIA for any assistance. She got the notice that Medicaid would be discontinued 4 days ago because of a failure to recertify. I already lost two days to trying to get the form in person and another to holiday. Hoping to take the form in person this Monday before the Tues effective date.

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