New York Medicaid Eligibility

This page provides general guidelines for the New York Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is New York Office of Medicaid Inspector General. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the New York Medicaid office.


New York Medicaid Overview

Medicaid is a program for New Yorkers who can't afford to pay for medical care.


New York Medicaid Eligibility Requirements - Non Income

Medicaid recipients must be U.S. citizens or legal immigrants, and residents of New York State. However, coverage is still available, regardless of alien status, if you are pregnant or require treatment for an emergency medical condition.


Documents Needed For New York Medicaid Application


New York Medicaid Benefits

Medicaid offers the following: Smoking cessation agents treatment and preventive health and dental care, hospital inpatient and outpatient services, laboratory and x-ray, nursing home, home health agencies and personal care, treatment in psychiatric hospitals, mental health facilities, family planning, early periodic screening, diagnosis, and treatment for children, medical equipment, and appliances, transportation to medical appointments, emergency ambulance, prenatal care, clinical services and other health services.


New York Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for New York Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 218%
Age 1-5: 149%
Age 6-18: 149%
400% Medicaid: 218%
CHIP: N/A
133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,120
Age 1-5: $1,449
Age 6-18: $1,449
$3,890 Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,858
Age 1-5: $1,953
Age 6-18: $1,953
$5,243 Medicaid: $2,858
CHIP: N/A
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,595
Age 1-5: $2,457
Age 6-18: $2,457
$6,597 Medicaid: $3,595
CHIP: N/A
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $4,333
Age 1-5: $2,961
Age 6-18: $2,961
$7,950 Medicaid: $4,333
CHIP: N/A
$2,643 $2,643