95 Franklin Street
Room 385 Buffalo, NY 14202
www2.erie.gov/socialservices/index.php?q=medicaid-long-term-care-eligibility
Intake
716-858-4868
Fax
716-858-1937
Primary Services
Long Term Care Resident Subsidies
Description
Provides Medicaid funding for nursing home residents who have exhausted all of their resources.
Hours
Monday-Friday, 8:30am-4:30pm.
Eligibility
Nursing home residents who have exhausted all of their resources.
Service Area: Erie County.
Service Area: Erie County.
Intake Process
Call 716-858-1901 to request an Access NY application. The date that the completed application is received is considered to be the application date.
When completing and returning the application, be sure to complete the Access NY Supplement A form and a notarized authorization to represent. Also include your choice of how you should be contacted. Be sure to sign the application AND Supplement A.
Upon receipt of the completed application, it will be assigned to an examiner who will contact you to discuss the application or arrange a face to face appointment. Face to face meetings are scheduled within two weeks of the agency's receipt of the application. Meetings are scheduled between 8am-2pm at the Rath Building, 158 Pearl Street, Buffalo, NY 14202.
In addition to verification of gross monthly income and outstanding medical bills, the representative must supply the last 60 months of financial records. This may include all pages of bank statements and statements from brokerage houses; will need to provide photocopies. Must provide documentation of the source of all deposits and withdrawals of $2,000 or more.
When completing and returning the application, be sure to complete the Access NY Supplement A form and a notarized authorization to represent. Also include your choice of how you should be contacted. Be sure to sign the application AND Supplement A.
Upon receipt of the completed application, it will be assigned to an examiner who will contact you to discuss the application or arrange a face to face appointment. Face to face meetings are scheduled within two weeks of the agency's receipt of the application. Meetings are scheduled between 8am-2pm at the Rath Building, 158 Pearl Street, Buffalo, NY 14202.
In addition to verification of gross monthly income and outstanding medical bills, the representative must supply the last 60 months of financial records. This may include all pages of bank statements and statements from brokerage houses; will need to provide photocopies. Must provide documentation of the source of all deposits and withdrawals of $2,000 or more.
Program Fees
Free.
Date of Official Change
Apr 22, 2020
Contacts
Michelle Shaffer (Primary)
Chief Welfare Examiner
716-858-1919