Q:

How can an individual apply for Medicaid in New York state?

A:

Quick Answer

Individuals eligible for Medicaid in New York state according to modified adjust gross income, or MAGI, rules can apply via the NY State of Health Official Health Plan Marketplace in person, online, by mail or by phone. Individuals in non-MAGI eligibility groups apply at the local Department of Social Services.

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Full Answer

Individuals eligible for Medicaid according to MAGI rules include adults 19 to 64 years old who are not pregnant and not eligible for Medicare, children 1 to 18 years old, pregnant women, infants, and parents and caretaker relatives. Qualification for individuals in the MAGI groups depends on income, mainly with the same guidelines the IRS uses. If income, citizenship or Social Security number verification is not found via data matches, applicants must provide documentation to support their claims.

Non-MAGI eligibility groups include people age 65 and over, recipients of Supplemental Security Income and Medicare Savings Program premium payments, those in the AIDS Health Insurance Program or the Medicaid Cancer Treatment Program, those in Foster Care or Former Foster Care, and residents of adult homes run by various state programs. Paper applications to download, print, fill in and take to the local Department of Social Services are available in various languages online at the New York State Department of Health website. Individuals applying for non-MAGI Medicaid coverage must provide documentation to support their personal and financial information.

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