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Medicaid Liens

NY Medicaid Lien Management

Social Services Law § 104-b compliance & reduction tracking

📞 NY Medicaid Contacts

NYS Department of Health - Third Party Liability Unit
Empire State Plaza, Corning Tower, Albany, NY 12237
Phone:(518) 474-9193
Fax:(518) 474-5235
Conduent State Healthcare, LLC (Third Party Recovery)
PO Box 4601, Rensselaer, NY 12144-4601
Phone:1-800-428-6664
Fax:(518) 473-8439
NYC Human Resources Administration - Medical Assistance Program
150 Greenwich Street, New York, NY 10007
Phone:(718) 557-1399
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📋 NY Medicaid Lien Resolution Workflow

1. Send Notice of Representation
  • • Send immediately upon retention
  • • Include case details & client info
  • • Send via certified mail
  • • Keep proof of delivery
2. Request Lien Verification
  • • Request itemized breakdown
  • • Verify dates of service
  • • Check for related charges only
  • • Challenge unrelated items
3. Calculate Proportional Reduction
  • • Apply SSL § 104-b formula
  • • Account for attorney fees
  • • Include litigation costs
  • • Compare to total medicals
4. Submit Reduction Request
  • • Provide settlement statement
  • • Include all calculations
  • • Cite anti-lien statute
  • • Request written agreement
5. Resolve & Pay
  • • Get final amount in writing
  • • Obtain release/satisfaction
  • • Pay from settlement funds
  • • Keep all documentation
📌 Key Legal Authority
  • • SSL § 104-b: Recovery rights
  • • SSL § 366(4)(h): Liens
  • • 42 U.S.C. § 1396p: Federal
  • • Ahlborn limitations apply