How Do New York Residents Determine Medicaid Eligibility?


Quick Answer

To be eligible for New York's expanded Medicaid coverage, adults should have incomes of up to 138 percent of the federal poverty level, or FPL, while pregnant women and infants with incomes of up to 218 percent of the FPL may also qualify for Medicaid coverage. Other regular, non-financial criteria in determining Medicaid coverage also applies in the state and these criteria include residency, immigration status and United States citizenship, notes the Medicaid website.

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Full Answer

The Affordable Care Act (ACA) of 2010 set the minimum eligibility level for Medicaid coverage at 133 percent of the FPL. The Act was signed by United States President Barack Obama in March 23, 2010, and it came into effect in January 1, 2014. The FPL is adjusted each year to factor in inflation.

New York chose to expand its Medicaid coverage when it came into effect in 2014. Since then, the number of New York residents covered by Medicaid and CHIP was more than 6 million as of August 2014, as reported in an article on the HealthInsurance.gov website.

From 2013 to August 2014, the number of New Yorkers covered by Medicaid and CHIP increased by more than half-a-million. The state of New York has been an advocate of healthcare reform, implementing expanded health care programs even before the ACA was signed.

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