Medicaid Application

Qualify and Obtain New York State Medicaid

Since its creation in 1965, non-MAGI Medicaid for the Aged (i.e., the Elderly) has become one of the most complex, convoluted and unwieldy areas of laws, coverages, reimbursement procedures and practices ever enacted in our nation. Federal laws, administrative decisions and regulations are implemented within our nations 50 States, and about 14 US Territories. Each governance sets differing qualifications for Elderly entitlements, then administers Care/Services under its State law consistent with individual legislative passed laws, regulations, administrative rulings and judge decided case law.

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Frequently Asked Questions

Who is eligible for Medicaid in New York State?

Eligibility is based on income and other factors.

What documents will I need to apply for Medicaid?

Required documents vary depending on your situation, but may include proof of income, identification, proof of citizenship or immigration status, and proof of address.

How do I find a doctor who accepts Medicaid in New York State?

You can use the NY State of Health website or contact your local Department of Social Services to find a list of providers who accept Medicaid.

What if my income changes?

You must report any changes in income or household size to your local Department of Social Services.

What happens if I lose my Medicaid coverage?

You may be eligible to re-enroll in Medicaid if your circumstances change. You can contact your local Department of Social Services to learn about your options.

How do I apply for Medicaid in New York State?

You can apply online through NY State of Health (nystateofhealth.ny.gov), by phone, or in person at a local Department of Social Services office.

What services are covered by Medicaid in New York State?

Medicaid covers a wide range of services, including doctor visits, hospital stays, prescription drugs, mental health services, dental care, and more. Specific coverage varies depending on the plan and your individual needs.

What is the difference between Medicaid and Medicare?

Medicaid is a health insurance program for low-income individuals and families, while Medicare is a health insurance program for people 65 or older, people under 65 with certain disabilities.

How can I get help with my Medicaid application?

You can contact your local Department of Social Services for assistance. You can also consult with our team at Medicaid4Seniors.

We resolve MEDICAID application issues and protect your rights.

Medicaid Statistics

Population growth projects increases in Seniors. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845680/

Seniors use non-MAGI Medicaid, an important source of health and long-term care coverage. See Medicaid Financial Eligibility in Pathways Based on Old Age or Disability in 2022: Findings from a 50-State Survey | KFF


MEDICAID Forms

1.) The Basic Application for spend-down (non-MAGI) Medicaid – DOH4220

2.) Required Financial Details Supplemental Form for Medicaid Application – Supplement ‘A’ Form – DOH-5178A

Both forms are necessary, filed as PDF.