Medicaid is a government health insurance program that provides free or low-cost coverage to eligible New York residents. It includes services like doctor visits, hospital care, prescriptions, and preventive care.

Most people apply through the state’s official marketplace, while certain individuals (like seniors or those needing long-term care) apply through their local social services office.

You may qualify if you:

• Live in New York State
• Are a U.S. citizen or have eligible immigration status
• Meet income requirements based on household size

You may also qualify if you are:

• Pregnant
• Age 65 or older
• Living with a disability
• Responsible for a child under 18

Medicaid eligibility in New York is based on a percentage of the Federal Poverty Level (FPL).

• Most adults (under 65) qualify at up to approximately 138% of the FPL
• This is roughly:
  • About $20,000 per year for an individual
  • About $34,000 per year for a family of three

These numbers may change annually, and some groups (such as pregnant individuals or those needing long-term care) may qualify at higher income levels.

Medicaid in New York includes:

• Doctor visits and preventive care
• Hospital and emergency services
• Prescription medications
• Mental health services
• Dental and vision care
• Lab tests and imaging
• Home care services (if eligible)

Have these ready before applying:

• Proof of identity (ID or birth certificate)
• Social Security Number (if available)
• Proof of income (pay stubs, tax returns, etc.)
• Proof of New York residency (utility bill or lease)
• Immigration documents (if applicable)
• Current health insurance information (if any)

Option 1: Apply Online (Fastest & Recommended)

Apply through the official New York marketplace:

This is the fastest way to:

• Create an account
• Submit your application
• Upload documents
• Receive eligibility results

Option 2: Apply by Phone

Call the Medicaid Helpline:
1-800-541-2831

A representative can guide you through the application process.

Option 3: Apply In Person (LDSS)

If you are 65+, applying for long-term care, or living with a disability, apply through your local office.

They can assist you with completing and submitting your application in person.

Option 4: Get Help from a Certified Agency

You can work with a Medicaid assistor or home care agency, like Sincere Care Agency, to:

• Avoid application mistakes
• Speed up approval
• Get help with next steps for home care services

1. Confirm eligibility
2. Gather required documents
3. Submit your application (online, by phone, or in person)
4. Respond to any follow-up requests
5. Receive your eligibility decision (typically within 30–45 days)
6. Choose a Medicaid plan if required

• Typically 30–45 days
• Faster for pregnant applicants
• Delays are usually caused by missing documents

Yes. Medicaid must be renewed periodically.

New York may automatically renew your coverage or request updated information. Always respond to renewal notices to avoid losing coverage.

Yes. If eligible, Medicaid may cover:

• Personal care assistance
• Home health aide services
• Long-term care services

An additional assessment is required after approval.

Once approved:

1. You receive your Medicaid benefits
2. You may select a health plan
3. You can begin using healthcare services
4. You can apply for home care services if needed

Applying correctly the first time can make a major difference.

Sincere Care Agency can help you navigate the Medicaid process, avoid delays, and get set up with home care services as quickly as possible.