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Medicaid Application

Click Here to Download a Medicaid Application

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

How do I know if I qualify for Medicaid?
You may be covered by Medicaid if:

  • You have high medical bills.
  • You receive Supplemental Security Income (SSI).
  • You meet certain income, resource, age, or disability requirements.

How do I apply for Medicaid?
You can apply for Medicaid in any one of the following ways: Write, phone, or go to your local department of social services.

In New York City, contact the Human Resources Administration by calling (718) 557-1399.

Pregnant women and children can apply at many clinics, hospitals, and Prenatal Care Assistance Program (PCAP) offices. Call your local department of social services to find out where you can apply.

If you are in a facility operated by the New York State Office of Mental Health, contact the patient resource office.

If you are in a facility certified by the New York State Office of Mental Retardation and Developmental Disabilities, contact the revenue and reimbursement office.

When I go for my application interview, what should I take with me?

  • Proof of age, like a birth certificate
  • Proof of citizenship or alien status*
  • Proof of your income from sources like Social Security, Supplemental Security Income (SSI), Veteran's Benefits (VA), retirement
  • Any bank books and insurance policies that you may have
  • Proof of where you live, like a rent receipt or landlord statement
  • Insurance benefit card or the policy (if you have any other health insurance)
  • Medicare Benefit Card

*NOTE: Medicaid coverage is available, regardless of alien status, if you are pregnant or require treatment for an emergency medical condition. A doctor must certify that you are pregnant or had an emergency, and you must meet all other eligibility requirements.