MedicaidAdministrativeHigh impact
New York custodial care — Reminder of Medicaid eligibility requirements to avoid payment recovery
UnitedHealthcare·NY · Geriatrics·State news
We identified it
Jan 12, 2026
Summary
New York nursing home facilities must submit signed 2159i and 3559 forms to HRA or LDSS within 90 days of a member's placement into long-term care to maintain Medicaid eligibility. Failure to submit these forms will result in denied authorization extensions and potential payment recoupment from UnitedHealthcare Community Plan of New York.
Action Required
Within 90 days of member placement: Nursing home billing teams must ensure signed 2159i and 3559 forms are submitted to Human Resources Administration (HRA) or Local Department of Social Services (LDSS). Track submission dates in billing system to avoid authorization denials. Failure to submit forms will result in denied authorization extensions and payment recoupment for long-term services and supports (LTSS) claims.