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  • *nycna-rcrt-20140321* New York State Recertification Form Instructions: Please Print Clearly

Get *nycna-rcrt-20140321* New York State Recertification Form Instructions: Please Print Clearly

*NYCNA-RCRT-20140321* New York State Recertification Form Instructions: Please print clearly, neatly and completely. The facility where the nurse aide works or last worked must complete this form.

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If you want to recertify for Medicaid and PA, check (✓) the “Medicaid (MA) and PA” box. If you wish to only recertify for MA, you can go online at https://nystateofhealth.ny.gov/ or call 1-855-355- 5777 for more information or to recertify.

For detailed information about your SNAP or Cash cases, or to schedule an appointment: Call the Human Resources Administration (HRA) information line at 718-557-1399.

Family Assistance (FA) Under FA, eligible adults are limited to receiving benefits for a total of 60 months in their lifetime, including months of TANF-funded assistance granted in other states. Once this limit is reached, that adult and all members of their FA household are ineligible to receive any more FA benefits.

Cash Assistance Benefits. FA and SNA provide a cash benefit twice per month that can be used for food, utilities and housing expenses. If you are eligible for FA, you can only receive benefits for a lifetime total of five years (60 months).

How much cash assistance you'll get in NY largely depends upon your family's income and size. New York pays a maximum of $789 a month to a family of three — one of the most generous among the contiguous 48 states and the District of Columbia.

If you could not recertify on ACCESS HRA, you can recertify now using one of these ways: Mail/Fax: Request a recertification form by phone at 718-557-1399 or download it here: https://on.nyc.gov/ca-recert. Then, mail or fax your completed form to your Benefits Access Center.

How much cash assistance will I get in NY? # How much cash assistance you'll get in NY largely depends upon your family's income and size. New York pays a maximum of $789 a month to a family of three — one of the most generous among the contiguous 48 states and the District of Columbia.

Call NY State of Health at 1-855-355-5777 (TTY: 1-800-662-1220) Log into your account at nystateofhealth.ny.gov, or. Contact an enrollment assistor.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232