What Are the Eligibility Requirements for Medicaid in New York?


Quick Answer

In general, eligibility for Medicaid in the state of New York requires a person to be a resident of the state, United States citizen, U.S. national, certified U.S. immigrant and in need of medical insurance coverage due to a low income or very low income status, explains Benefits.gov. Applicants are more likely to qualify for Medicaid financial health assistance if they incur high medical expenses, receive Supplementary Security Income or fulfill specific financial prerequisites.

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Full Answer

Medicaid is a collaborative program between federal and state governments that entitles a recipient to collect financial aid to pay for health care. Depending on the status of the applicant, such as single, pregnant woman, childless couple, elderly or disabled, several options are available on how to avail of this benefit.

When applying through the Official Health Plan Marketplace of the New York State of Health, the Modified Adjusted Gross Income (MAGI) guidelines are used to determine Medicaid entitlement, notes New York's Department of Health. Typically, an applicant's income is calculated based on similar income standards as the Internal Revenue Service.

Applicants who are eligible under the MAGI rules include expectant mothers, infants and children below 19 years old, children in foster care, parents and caretaker relatives, adults aged 19 and 20 who are living with their parents and Family Planning Benefit Program recipients. Nonpregnant childless adults who are aged 19 to 64, nonrecipient of Medicare assistance and certified disabled without Medicare are also covered under the MAGI eligibility group.

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