The Children’s Health Insurance Program (CHIP) offers health coverage to children.

Let a knowledgeable agent assist you immediately. The insurance program ensures that beneficiaries are comprehensively covered through the program.

Filling out a Medicaid application form on your own can be confusing and time-consuming. Click here for more information on the Medicaid Excess Income program. Medicaid is a program for low-income persons whose income and/or resources are below certain levels.

Sibling who has an equity interest in the home and has resided in the home for at least one year immediately prior to you entering the Nursing Home.

The following paper application may only be printed and completed if you are applying at a local department of social services (LDSS) for Medicaid because you are over the age of 65 or an individual in your household is deemed certified blind or disabled or you are applying for Medicaid with a spenddown. A penalty period may be imposed for the transfer of non-exempt assets for less than fair market value.

You typically must work directly with the government to qualify for your program or benefits. If an adult has too much income and/or resources and is not eligible for Medicaid, that person may be eligible for: * Income Levels are subject to yearly adjustments. Your original county needs to notify the new county and get your case transferred. If you cannot print your NY Medicaid application online, you can retrieve one in person, fill it out and then bring it back to a representative to file on your behalf. The Medicaid Program in Erie County provides access to a variety of public health insurance programs including Medicaid, Family Planning Benefits Program and the Medicare Savings Program.

Childless Adults who are: not pregnant, age 19-64, not on Medicare, and could be certified disabled but not on Medicare, Individuals who are age 65 or older, who are not a parent or caretaker relative, individuals who are blind or disabled who do not meet the criteria of any of the MAGI eligibility groups, Medicaid Buy-In for Working People with Disabilities, Residents of Adult Home run by LDSS, OMH Residential Care Centers/Community Residences. Find a Facilitated Enroller here. We may only be able to pay what Medicaid pays for the services.

The cost of such examinations, consultations, and tests requested by the disability review team, if not otherwise covered, will be paid by the local social services agency.

If you or your spouse sell the life estate interest for less than fair market value, it can be considered a transfer of assets and may be subject to the penalty period. Family planning (birth control) services -This includes family planning drugs or supplies like birth control pills and condoms. Medicaid income and resource levels generally change on January 1 of each year. Let the SSA representative know you are receiving or applying for Medicaid and you want to apply for MEDICARE. If you are found eligible for PCS or CDPAS, the social services office/HRA will let you know and you will get the home care as quickly as possible.

When it comes to your application for Medicaid, a lot of private and personal information is necessary. For assistance in applying for health insurance through New York State's Health Plan Marketplace (NY State of Health), Certified Application Counselors (CACs) are available at offices that appear with an asterisk (*). For some pregnant women, services may be limited to perinatal care if their incomes are too high to qualify for full Medicaid coverage. For you to use your Benefit Identification Card for certain medical supplies, equipment, or services (e.g., wheelchair, orthopedic shoes, transportation), you or the person or facility that will provide the service must receive approval before the service can be provided (prior approval). Children and families may be eligible for Child Health Plus or Family Health Plus if they are not eligible for Medicaid. Yes. Financial eligibility is determined based on the income and resource standards governing the Public Health Insurance Programs.

Money paid directly to you from the trust is counted as income. You can find contact details for all local offices of the department here. These individuals have a resource test.

Address: 32-20 Northern Boulevard3rd FloorQueens, NY 11101Phone: 718-784-6729Monday – Friday 9:00am to 5:00pm, Jamaica: This location is CLOSED TO THE PUBLIC. is not a government website or a government agency. the trust must include language specifying that upon the death of the individual, funds not retained by the non-profit organization will go to the state, up to the amount of Medicaid paid out on behalf of the individual. Luckily, you can file Medicaid application forms via several methods in New York. You are not required to submit Medicaid applications in person, although you are encouraged to bring your paperwork in if you need assistance with different fields on the document.

This may be less than the bill you paid.

Applications using form DOH-4220 are reviewed by local Medicaid staff. A listing of offices can be located here:, If you live in the five boroughs of New York City, your offices are run by the Human Resources Administration (HRA).

Presumptive Eligibility (PE) for Pregnant Women apply with provider, processed by the LDSS.

Address: 520-530 W 135th St.1st FloorNew York, NY 10031Phone: 212-939-0207. All regular medical checkups and needed follow-up care. The tax form you received, Form 1095-B, represents health coverage you received in Medicaid, Child Health Plus (CHP) or Essential Plan (EP) for part or all of the past year.

If you are unsure of how to get a Medicaid application or where to apply for Medicaid in New York, look no further. Citizenship/Immigration status and social security number will be verified through federal data sources. To apply for Medicaid, please submit the completed application via fax at 917-639-0732. Those who live in New York City’s five boroughs can also find offices managed by the Human Resources Administration.

Bills you paid before you asked for Medicaid must be for services you received on or after the first day of the third month before the month that you asked for Medicaid.

Ask your Medicaid worker if you fit into one of these groups. Legal aliens can also apply for Medicaid coverage. Find out how to apply for Medicaid in NY seamlessly and where to apply for Medicaid with the comprehensive information and instructions outlined below. The life estate is not considered a countable resource, and no lien may be placed on it.   |  

Please note that Medicaid mail cannot be forwarded. ** FPL = Federal Poverty LevelIf a child has too much income and is not eligible for Medicaid, the child may be eligible for Child Health Plus.

We encourage the public to submit applications for Medicaid by mail to PO Box 120, Buffalo, NY 14201-9903 or online at.


Once the Medicaid office receives the letter, they will issue you an unborn/infant card which you will use to take the baby to the doctor once he/she is born, until the child´s permanent card is issued. Eligible populations include children, pregnant women, single individuals, families and individuals certified blind or certified disabled.

In general, the following services are paid for by Medicaid, but some may not be covered for you because of your age, financial circumstances, family situation, transfer of resource requirements, or living arrangements. This location will remain open to serve clients whose needs cannot be met through ACCESS HRA or over the phone. Address: 115 Chrystie St. 5th Floor New York, NY 10002 Phone: 212-334-6114 Monday – Friday 9:00am to 5:00pm. Online Medicaid applications are readily available in the state of New York. Download the application, fill it and then send it to Department of Social Services. By no later than 7 days after the social service office/HRA receives the necessary information, they must let you know if you are eligible for Medicaid. There are two Supplements: DOH-4495A and DOH-5178A. You receive Supplemental Security Income (SSI). You may establish an irrevocable pre-need funeral agreement with a funeral firm, funeral director, undertaker or any other person, firm or corporation which can create such an agreement for your funeral and burial expenses. Want to learn about who we are? Dial the number for the office to which you sent your NY Medicaid application forms, and request confirmation that the documents were received. See the section of this page entitled ""What are my rights?".

If you are eligible for Medicaid, you will receive a Benefit Identification Card which must be used when you need medical services. The Affordable Care Act (ACA) requires most Americans to have health coverage that meets Minimum Essential Coverage (MEC).