New York Medicaid
New York
What is New York Medicaid?
Medicaid is a program for New Yorkers who can't afford to pay for medical care. Medicaid pays for a number of services, but some may not be covered for you because of your age, financial circumstances, family situation, transfer of resource requirements, or living arrangements. Some services have small co-payments. These services may be provided using your Medicaid card or through your managed care plan if you are enrolled in managed care.
Administration
New York Medicaid is administered by New York.
Program Requirements
Qualification Requirements Last Updated on 2025-03-01
To be eligible for New York Medicaid, you must be a resident of the state of New York in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Certain Medicaid programs may also be determined based on one of the following criteria:
- Pregnant, or
- Being responsible for a child 18 years of age or younger, or
- Immigration status, or
- Blind, or
- Have a disability or a family member in your household with a disability, or
- Be 65 years of age or older.
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $20,783 |
| 2 | $28,208 |
| 3 | $35,632 |
| 4 | $43,056 |
| 5 | $50,481 |
| 6 | $57,905 |
| 7 | $65,330 |
| 8 | $72,754 |
Application Details
What is the application process for New York Medicaid?
- Through NY State of Health: The Official Health Plan Marketplace
- Navigators and Enrollment Assistors offer free personalized help.
- To speak with the Marketplace Customer Service Center call (855) 355-5777 (TTY: 1-800-662-1220)
- Through a Managed Care Organization (MCO)
- Call the Medicaid Helpline (800) 541-2831
- Through your Local Department of Social Services Office
Contact Info
NY Medicaid Helpline: 800-541-2831