![]() ![]() You should apply at the Local Department of Social Services (LDSS). from the Social Security Administration), you may be eligible for Medicaid even if your income is otherwise too high. If you think that you are disabled, but you do not have a certification of disability (e.g. Of special interest to persons with disabilities: ![]() This form is currently available in the following languages:Įnglish, Spanish, Chinese, Haitian Creole, Italian, Korean, Russian This form (DOH-5178A) is a supplement to the Non-MAGI Medicaid Application (DOH-4220) above and completion is required for many applicants. This application is currently available in the following languages:Įnglish, Spanish, Chinese, Haitian Creole, Italian, Korean, Russian, Yiddish, Polish, Bengali, Arabic Supplement A ( DOH-5178A) This application (DOH-4220) should only be printed and completed if you are applying for Medicaid with your Local Department of Social Service (LDSS) and meet any of the criteria listed above for the "non-MAGI" eligibility group, or you are applying for Medicaid with a spenddown. Medicaid Application for Non-MAGI Eligibility Group ( DOH-4220) Please Note: Applicants will be notified if proof of any of the above factors will be required to complete the processing of their application. Other factors that may affect your eligibility include: Individuals screened for Presumptive Eligibility (PE) with a provider.Foster care and former foster care youth.Medicaid Buy-in Program for Working People with Disabilities.Individuals eligible for the following programs:.Residents of Adult Homes run by LDSS, OMH, Residential Care Centers/Community Residences,.Individuals who are blind or disabled who do not meet the criteria of any of the above MAGI eligibility groups, including those individuals with an immediate need for Personal Care Services (PCS) or Consumer Directed Personal Assistance Services (CDPAS),.Individuals 65 years of age and older, who are not a parent or caretaker relative,.Individuals who are part of the non-MAGI eligibility groups listed below should apply with their Local Department of Social Services (LDSS) or a Facilitated Enroller for the Aged, Blind and Disabled. Parents and Caretaker Relatives of any age, who may have Medicare. ![]() Adults 19-64 years of age who are not eligible for Medicare,.Individuals who are part of the MAGI eligibility groups listed below should apply with NY State of Health. In general, income is counted with the same rules as the Internal Revenue Service (IRS) with minor variations. NY State of Health determines eligibility using Modified Adjusted Gross Income (MAGI) Rules. For more information on determining your category of eligibility and where you should apply read on. No matter where you start, representatives will help make sure you are able to apply in the correct location. Certain applicants may apply through NY State of Health while others may need to apply through their Local Department of Social Service (LDSS). Where you apply for Medicaid will depend on your category of eligibility. Through your Local Department of Social Services Office.Through a Managed Care Organization (MCO).To speak with the Marketplace Customer Service Center call (855) 355-5777 (TTY: 1-80).Enrollment Assistors offer free personalized help.Through NY State of Health: The Official Health Plan Marketplace.You may apply for Medicaid in the following ways: All Health Care Professionals & Patient Safety.Clinical Guidelines, Standards & Quality of Care.Health & Safety in the Home, Workplace & Outdoors.Birth, Death, Marriage & Divorce Records. ![]()
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