Medicaid in New York State
For those subject to a resource test:
What is Medicaid?
Medicaid is a program for New Yorkers who can't afford to pay for medical care.
How do I know if I qualify for Medicaid?
You may be covered by Medicaid if:
- You have high medical bills.
- You receive Supplemental Security Income (SSI).
- You meet certain financial requirements.
How do I apply for Medicaid?
You may apply for Medicaid in the following ways:
Where you apply for Medicaid will depend on your category. Your category might be single, childless couples, pregnant women, parent(s) and caretaker relatives with dependent children, elderly and/or disabled.
The Marketplace determines eligibility using Modified Adjusted Gross Income (MAGI) Rules. In general, income is counted with the same rules as the Internal Revenue Service (IRS)
with minor variations. Applications may be completed online, in person with a navigator or certified application counselor, by mail and by phone.
The following individuals should apply with New York State of Health Marketplace:
- Adults (not pregnant) and aged 19-64, not eligible for Medicare;
- Pregnant Women and Infants;
- Children ages 1 – 18; and
- Parents and Caretaker Relatives
The following individuals should apply with their Local Department of Social Services (LDSS):
What do I need to apply for Medicaid?
The necessary documentation needed to apply for Medicaid will depend on your category, whether you fall under the Modified Adjusted Gross Income (MAGI) guidelines or non-MAGI guidelines which are defined in the previous section.
MAGI Eligibility Groups include:
Non – MAGI Eligibility Groups include:
Application for Non-MAGISource: www.health.ny.gov