How To Apply For Medicaid In New York City

Am I Eligible For Medicaid In New York

There are a few basic eligibility criteria that apply to everyone applying for Medicaid, including things such as you must be a resident of the State of New York and be a U.S. national, citizen, or have a satisfactory and legal status with U.S. immigration. Beyond the basics, given all of the various Medicaid eligibility rules, and exceptions to those rules, it is not surprising that many people are unable to determine if they will qualify even after going over the eligibility guidelines. Fortunately, you have the ability to pre-screen for benefits. Although not a guarantee that you will qualify for benefits, using the pre-screening tool will give you a good idea of you qualify.

What Does Medicaid Cover For Adults

Mandatory benefits include services including inpatient and outpatient hospital services, physician services, laboratory and x-ray services, and home health services, among others. Optional benefits include services including prescription drugs, case management, physical therapy, and occupational therapy.

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What Is Medicaid Planning

Because of the resource limits imposed on applicants for Medicaid, your hard-earned assets could be at risk if you do not plan ahead for the very real possibility that you will need to qualify for Medicaid during your retirement years. Medicaid planning uses legal strategies and tools to help protect your assets and ensure that you will qualify for Medicaid if the time comes that you need benefits to help cover the high cost of nursing home care.

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Find Out How Homefirst Can Provide The Following Services For You:

• Adult day health care
• Chore service, including shopping, light house cleaning and preparing meals
• Consumer directed personal assistance services
• Durable medical equipment, medical/surgical supplies, prosthetics, orthotics and oxygen
• Home health care, including:
• Personal Care Workers also known as Home Health Aides
• Physical therapy

Income And Resources Requirements For Medicaid Eligibility In Ny

Depending on your various factors, like the size of your household, your medical needs, and your age, there are specific income and asset limits to be eligible for Medicaid in NY.

See below for tables that outline income limits based on different criteria.

Please note that these are the limits during the time of writing . Please be sure to check the New York State Medicaid page for the most current income limits.

Income before taxes for single individuals and couples without children

$23,100

Medicaid eligibility can be more complex depending on various factors like your age, medical conditions, and other factors.

To check if youre eligible based on your specific situation, you can visit Benefits.gov and complete their Medicaid eligibility quiz.

We will also include the contact information of NY Medicaid offices below. You can get in touch with them directly with any questions as well.

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How Does Medicaid Provide Financial Assistance To Medicare Beneficiaries In New York

Many Medicare beneficiaries receive Medicaid financial assistance that can pay for Medicare premiums, lower prescription drug costs, and cover expenses not reimbursed by Medicare such as long-term care.

Our guide to financial assistance for Medicare enrollees in New York includes overviews of these benefits, including Medicare Savings Programs, long-term care coverage, and eligibility guidelines for assistance.

Are There Any Exceptions To The Look

The 2019 Coronavirus pandemic has had a significant impact on Medicaid eligibility. The COVID Public Health Emergency has been extended several times, most recently in April 2022, prohibiting the government from discontinuing Medicaid or increasing the spend-down until August 1, 2022.

As a result, the 30-month look-back period that disqualifies many applicants from home care or minimum requirements for CDPAP services will not apply until October 1, 2022*. If applicants complete their Medicaid planning and submit their Home Care Medicaid Application before October 1, 2022*, they may not be subject to the standard 30-month look back or penalties for transfers to a Medicaid Asset Protection Trust. For this reason, anyone who needs these services now should speak with our Medicaid planning team as soon as possible.

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How To Apply For Ny Medicaid

You may apply for Medicaid in the following ways:

• Enrollment Assistors offer free personalized help.
• To speak with the Marketplace Customer Service Center call 355-5777
• Through a Managed Care Organization
• Call the Medicaid Helpline 541-2831
• Through your Local Department of Social Services Office

Where you apply for Medicaid will depend on your category of eligibility. Certain applicants may apply through NY State of Health while others may need to apply through their Local Department of Social Service . No matter where you start, representatives will help make sure you are able to apply in the correct location. For more information on determining your category of eligibility and where you should apply read on.

NY State of Health determines eligibility using Modified Adjusted Gross Income Rules. In general, income is counted with the same rules as the Internal Revenue Service with minor variations. Individuals who are part of the MAGI eligibility groups listed below should apply with NY State of Health.

• Adults 19-64 years of age who are not eligible for Medicare,
• Children 1 – 18 years of age
• Pregnant Individuals,
• Parents and Caretaker Relatives of any age, who may have Medicare.

Individuals who are part of the non-MAGI eligibility groups listed below should apply with their Local Department of Social Services .

Other factors that may affect your eligibility include:

• State Residency
• Family or Household size

Medicaid Application for Non-MAGI Eligibility Group

Supplement A

Queens Food Stamps Summary

We hope our Queens Food Stamps Guide was helpful to you! If you found this article helpful, please share it using the Share this button below.

If you have more questions about the New York food stamp program or your SNAP EBT benefits, please let us know in the comments section below. Were here to help!

Also, be sure to check out our other articles about New York SNAP and New York EBT, including:

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Are You A Person With A Disability Who Is Working

The Medicaid Buy-In program offers coverage to people with disabilities who are working and earning more than what is allowed in traditional Medicaid.

To qualify you must meet all the following requirements:

• Be a resident of New York City
• Be between 16-64 years of age
• Have a disability as defined by the Social Security Administration or by New York State
• Have resources not exceeding $20,000 for an individual and $30,000 for a couple
• Have an income below 250% of the federal poverty level . However, the way income is calculated allows you to earn more than the FPL and still be eligible. For example, in 2021, 250% of the FPL was around $32,208, but people with $65,436 in earned income could still be eligible. You can use the Income Test Worksheet on page 6 of the toolkit for the MBI-WPD program to get a better sense of whether you might be eligible at your income level.

How Can You Apply

You or your authorized representative can apply by mailing in an application to the address below:

Initial Eligibility Unit HRA/Medical Assistance Program PO Box 24390 Brooklyn, NY 11202-9814

You can also fax your application to 917-639-0732. Your authorized representative can fax an application to 917-639-0731.

You or your authorized representative can also apply at any local Medicaid office within New York City. You can call 311 for the nearest Medicaid Office, or visit our Medicaid Office page for the complete list.

For help applying, please see this list of facilitated enrollers.

For more information, call the Medicaid Helpline at 1-888-692-6116 or visit the NYS website.

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Early Planning Is Key To Getting Medicaid When You Need It

At Landskind & Ricaforte Law Group, P.C., we know the difference Medicaid benefits can make to people who need care as soon as possible. We guide you through all steps of the process, getting you the care you need without sacrificing your loved ones’ inheritances. Call us today at 333-5007 or contact us through our online form to learn how we can be of assistance.

How Will New York Handle Medicaid Renewals After The Pandemic

The end of the COVID-related federal continuous coverage requirement for Medicaid is scheduled for March 31, 2023. So as of April 1, 2023, states will resume regular full eligibility redeterminations and can start disenrolling people who are no longer Medicaid-eligible. States have 12 months to initiate eligibility redeterminations for everyone enrolled in Medicaid as of April 2023, and up to 14 months to complete the process.

New York plans to keep each enrollees already-scheduled renewal date, so a persons whose coverage is scheduled for renewal in October will receive their renewal notice in early September. So although the COVID-related continuous coverage requirement will no longer be in effect as of April 2023, many enrollees will not receive their renewal notice until several months after that.

New York has an overview page where they will provide additional information related to the end of the continuous coverage requirement and the return to normal eligibility redeterminations. It includes an important reminder to the states Medicaid enrollees about the need to ensure that their contact information on file with the state is up-to-date, as coverage will not continue for a person who doesnt complete the renewal process. That will require being able to receive the renewal packet that the state sends to enrollees, and replying with any necessary information.

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Where Can I Go To Apply For Medicaid

Here is a list of resources for you or your loved one to begin applying for Medicaid if you reside in the state of New York.

• Apply By Phone Contact the New York State Department of Health to get the phone number for your location
• Apply Online Download the Medicaid application via the New York State Department of Health Marketplace website
• Apply By Mail Download the Medicaid application via the Health Marketplace website and mail it in
• Apply In-Person Visit your local Social Services office and follow their instructions on how to apply in-person
• Facilitated Enroller A Facilitated Enroller can assist you with the application process. Obtain a list of FEs here.
• New York City Residents If you live in New York City, you can apply here.

About the author, Carlos Nath:

Carlos Nath is the Senior Trust Advisor with KTS Pooled Trust. As a seasoned professional with over four years of experience in the New York pooled trust space, Carlos has helped thousands to enroll and set up their accounts with KTS. He is proficient in understanding the Medicare process and provides assistance in clarifying what clients may need. Previously, Carlos worked with a Medicaid consulting firm as an advisor who helped clients who were seeking Medicaid assistance.

Are Medicaid And Medicare The Same Thing

No. Medicaid is a needs-based program primarily used to pay for long-term care, whether in a nursing home or through New York’s Home and Community-Based Services program.

Medicare is a government-sponsored healthcare insurance program that covers adults over 65 and people with severe disabilities. While it covers regular doctors’ visits, emergency treatment, and prescriptions, it won’t provide enough to cover the full costs of long-term nursing care.

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How To Apply For Medicaid

You can request an application for Medicaid by phone, by mail, or in person through your local department of social services. Our representatives can help you understand whether you are eligible and then guide you through every step of the application process.

You can also complete the application yourself by going online to the ACCESS NY Health Care website and following the instructions at . Applications and assistance in filling them out can also be obtained by calling New York Health Options at . You will need:

• Proof of age, like a birth certificate
• Proof of citizenship or alien status*
• Four weeks of recent paycheck stubs
• Proof of your income from sources like Social Security, Supplemental Security Income, veterans benefits, retirement, unemployment insurance benefits, child support payments
• If you or anyone who lives with you is 65 years old or older, certified blind, or certified disabled, you need to give information on bank accounts, insurance policies and other resources
• Proof of where you live, like a rent receipt, landlord statement, mortgage statement, or envelope from mail you received recently
• Insurance benefit card or the policy
• Medicare ID card

New York State Medicaid information: health.ny.gov/health_care/medicaid/. * Medicaid coverage is available, regardless of alien status, if you are pregnant or require treatment for an emergency medical condition .

What Are The Financial Requirements For Medicaid

Medicaid applies both asset and income limits to all applicants. Income includes funds from all sources, such as pensions, rent from income properties, interest or dividends from investments, wages, and Social Security Income. The amount of allowable income changes each year, but it’s always extremely low. For example, in 2022, the monthly income limit for an individual was $934, while a married couple with both spouses applying for Medicaid could have only $1,367 in net income per month.

Assets include any property within your control that could potentially be of value. The 2022 asset limit was $16,800 for a single Medicaid recipient and $24,600 for a couple. Essentially, the government is checking whether you could cover the costs of care out of your pocketeven if it meant selling most of what you own.

Medicaid may count all of the following as assets:

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What Is A Medicaid Managed Care Plan

A Medicaid managed care plan offers participants the opportunity to choose a health plan and work with doctors and healthcare works within the plan. Managed care plans focus on preventative care in an effort to keep participants healthy year around. In some counties participation in a managed care plan is optional however, in other counties you will be required to join a managed care plan. More information about Medicaids managed care plans is available on the Department of Health Managed Care website.

Eligibility Requirements For Medicaid In Ny

Since Medicaid is designed for low-income individuals and families, there are specific income and asset requirements that you must meet, depending on various factors, as we will discuss below.

To be eligible for Medicaid in NY, you must also meet the following eligibility criteria.

• You must be a U.S. national, citizen, permanent resident, or legal alien.
• You must be a resident of New York.
• You must need help with medical care/insurance coverage.
• Your financial situation must fall within the low-income category .

In addition to these requirements, you must also be one of the following:

• 65 years of age or older

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Applying For Medicaid In New York State

This article is not intended to provide you with legal advice. Should you seek legal advice, please consult an attorney. KTS would gladly recommend an attorney should you need one. Its important to have an attorney take appropriate actions on your behalf and to avoid issues that may be discussed in this article.

Applying for Medicaid in New York State? New York State Medicaid is a program available to eligible, low-income New York State residents who require additional help paying for their medical expenses. This joint state and federal government program provides health care insurance to people with limited income and assets.

New York Medicaid is available to all New York State residents who are legal citizens, and who meet certain eligibility requirements. Medicaid is the most widely used medical assistance program in the United States. Coverage will only be granted to people in qualifying situations.

Although Medicaid is a federal program with guidelines that all states must follow, each state is able to set its own eligibility for Medicaid requirements, rules, and regulations. This article outlines the specific guidelines for New York State residents, the eligibility requirements, and how to apply for Medicaid. It also lists the robust benefits that approved Medicaid applicants will be able to use.

Get Personal Care From A Care Management Team At No Cost To You

One of the biggest perks of being enrolled in HomeFirst, is that you are assigned a dedicated Care Manager who leads a team of caring clinical professionals all committed to helping you stay healthy. Your Care Manager will stay in touch with your doctors, help arrange your medical visits as well as transportation to get you there. They will be your go to person and will work to help ensure you get the care you need to remain safely at home.

Your Personal Care Worker will help you with activities of daily living, such as bathing, dressing and meals. And our Personal Care Workers receive cultural sensitivity training, so they can effectively care for our diverse community. Respite care is also provided for family caregivers to make life a little easier on them and make the time you spend together more enjoyable.

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Applying For Medicaid In Nassau

The Medicaid planning and application process is complicated and if done incorrectly can result in a denial of benefits or an extended penalty period. Securing the assistance of a New York Medicaid attorney will not only expedite this process but can expedite the submission of an application and assist you in preserving income and assets while still allowing you to receive benefits from Medicaid in New York. The creation of a plan to preserve your assets against the costs of long term care is crucial to any financial plan.