Medicaid Buy-In Program for Working People with Disabilities
The Medicaid Buy-In Program for Working People with Disabilities offers people with disabilities who are working, and earning more than the allowable limits for regular Medicaid, the opportunity to keep their health care coverage through Medicaid.
Eligibility Requirements Include:
- Age: Individuals between the ages of 16 to 64 years old.
- Residency: Must be a New York State resident;
- Disability: Have a disability as defined by the Social Security Administration;
- Work status: Must receive a salary as a full-time or part-time worker;
- Citizenship/Immigration Status: Can be a U.S. citizen or fall under one of many immigration categories. Undocumented immigrants and people on short-term visas who are not in the process of applying for permanent status are not eligible.
- Assets: The resource (asset) test has been eliminated for applicants/recipients who are not aged (65 or older), certified blind or certified disabled. This means applicants may need to show information about their home or car ownership, investments or their accounts.
- Income: Please see chart below for income levels.
This chart is only a guide. Individuals should see an enrollment counselor for eligibility screening.
NOTE: Chart effective January 1, 2013; subject to annual income updates.
Determination of Disability
The Social Security Administration (SSA) determines disability for Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) benefits. The Human Resources Administration will accept a determination of disability by SSA as proof of disability for the Medicaid Buy-In program for Working People with Disabilities. If you have not been certified disabled through SSA, you will need to have a disability review done by SSA.
What Benefits are Covered by the Medicaid Buy-In Program for Working People with Disabilities?
This program provides the same medically necessary care generally covered by Medicaid including:
- Regular checkups;
- Hospital inpatient and outpatient services;
- Emergency room care;
- Prescription drugs;
- Specialist care;
- Home health care;
- Nursing home care;
- Dental care;
- Prenatal care;
- Smoking cessation agents;
- Medical supplies and equipment.
How to Enroll in the Medicaid Buy-In Program for Working People with Disabilities
To apply, please visit any one of the Medical Assistance Program offices (in PDF)
Other Helpful Resources
For more information regarding this and other Medicaid programs, please contact an agency listed below:
Human Resources Administration at 1-718-557-1399
New York State Department of Health at1-800-541-2831or visit its website at New York State Department of Health