Get Access Ny Supplement A

This guide provides essential steps to assist users in completing the Access NY Supplement A online form. Whether you're familiar with Medicaid applications or just starting out, this comprehensive guide will help you navigate the necessary fields with clarity and ease.

Follow the steps to effectively complete the Access NY Supplement A online.

1. Click the ‘Get Form’ button to obtain the Access NY Supplement A and open it in your selected online editor.
2. Begin with Section A, which requires you to enter your legal last name, first name, middle initial, Social Security number, and marital status. Ensure all information is accurate.
3. Proceed to Section B, where you will answer questions regarding whether you are chronically ill, certified blind, or interested in the MBI-WPD program. Mark the appropriate boxes and provide any necessary signatures.
4. Move to Section G, labeled 'Applicant Living in a Long-Term Care Facility/Nursing Home.' Fill in the name of the facility, the date admitted, telephone number, street address, city, state, and zip code. Also, provide your previous address.
5. In Section H, Asset Transfers, respond to all questions related to asset transfers, including selling or changing ownership of assets. If you answer 'yes' to any of these questions, provide additional explanations as necessary.
6. Continue filling out Section I regarding tax returns. Indicate whether you or your spouse filed U.S. income tax returns in the last four years and prepare to submit copies if applicable.
7. Review all the sections to confirm that no fields are left incomplete and all necessary documents are ready for submission.
8. Once all sections have been filled out correctly, save your changes, and you will have the option to download, print, or share the access NY supplement A form.

Complete your Access NY Supplement A online today to ensure your Medicaid application proceeds smoothly.