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Public Health Insurance

Medicaid information

New York's Medicaid program provides comprehensive health coverage to millions of New Yorkers. Medicaid pays for a wide range of services, depending on your age, financial circumstances, family situation, or living arrangements. These services are provided through a large network of health care providers that you can access directly using your Medicaid card or through your managed care plan if you are enrolled in managed care. Some services may have small co-payments, which can be waived if you cannot afford them.

Applying for Medicaid

You can apply for Medicaid through HRA if you:

Are over 65
Need Medicaid because of a disability or blindness
Get Medicare and are not a parent or caretaker of minor children
Are a former foster young adult under 26
Are a person with disabilities between the age of 16-64 who is working and earning more than what is allowed in traditional Medicaid

If any of these categories describe your case, you can apply online at ACCESS HRA or call the HRA Helpline at 888-692-6116 to request an application kit be mailed to you or visit any one of the Medicaid Offices..

You or your authorized representative can also apply by mailing an application to the address below:

Initial Eligibility Unit
HRA/Medical Assistance Program
PO Box 24390
Brooklyn, NY 11202-9814

You can also fax your application to 917-639-0732. Your authorized representative can fax an application to 917-639-0731.

Low-income pregnant women, children, and adults under 65 must apply for coverage through NY State of Health. It is operated by New York State and is the Official Health Plan Marketplace. Contact the Marketplace at 855-355-5777.

If you apply for ongoing Cash Assistance (CA), we will also determine your eligibility for Medicaid and the Supplemental Nutrition Assistance Program (SNAP). If denied for CA, you may still get Medicaid and/or SNAP. We will either decide at the same time or we will decide at a later date. The notice that says "denied" for CA will tell you. If that notice says we will decide later, then we will also send you separate notices for Medicaid and for SNAP.

Jump down to Notices, Brochures, and Applications

Medicaid Surplus information

If you are eligible, the Surplus Income Program will allow you to receive Medicaid on a month-to month basis, or to establish coverage for as long as six months at a time, even though your income is over the Medicaid limit. You may have also heard this program called the Excess Income Program. You must meet your Surplus amount to obtain coverage. For more in formation please see MAP-931.

If you are a Medicaid consumer enrolled in the Surplus Income Program and will be having a non-legally responsible third party pay-in your surplus on your behalf, before they make the first payment they need to complete and submit this form.

To submit paid or unpaid medical bills to meet your surplus amount by FAX, please use the MAP- 931Y Surplus Fax Medical Bills Cover Sheet. And FAX all requested information to the Medical Assistance Program Centralized Surplus Unit.

MAP-931y Surplus Fax Medical Bills

Medicaid Buy-in Program for Working People with Disabilities (MBI-WPD)

Are you a person with a disability who is working?

The Medicaid Buy-In program offers coverage to people with disabilities who are working and earning more than what is allowed in traditional Medicaid.

Please visit us here for more information.

Disability Determination Requests

Use the MAP-3177 form below if you need a disability determination to participate in the Medicaid Buy-in Program for Working People with Disabilities (MBI-WPD) or if you are an individual aged 65 or older who is participating in a pooled trust.

Disability Determination Request (MAP-3177)

Medicare Savings Program (MSP)

The Medicare Savings Program (MSP) is a Medicaid-administered program that can assist people with limited income in paying for their Medicare premiums. Depending on your income, the MSP may also pay for other cost-sharing expenses. There is no resource test for the MSP programs. This means many Medicare beneficiaries who may not qualify for Medicaid because of excess resources can qualify for an MSP.

Medicare Savings Program Brochure

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Medicaid Transportation

The Medicaid Transportation program ensures Medicaid members can get to and from their medical appointments at no cost to them. They arrange non-emergency transportation, such as pre-scheduled trips to primary care and the dentist. For emergency medical services, please call 911. They do not provide trips to non-medical locations like pharmacies, gyms, schools, or grocery stores.

More detail about the program can be found on the MAS website: https://www.medanswering.com.

The New York State Department of Health (NYS DOH) now manages the Public Transportation Automated Reimbursement (PTAR) System. Efforts have been made to enable the system to provide greater efficiencies and allow for expediting claims processing and payment. Public Transportation Automated System (PTAR): Run by the New York State Department of Health, learn more about PTAR

Medicaid Reimbursement

Medicaid applicants or their family member who paid the applicant's medical expenses are entitled to direct reimbursement for medical care/services/supplies received during their retroactive eligibility period, if they are determined to be Medicaid eligible. The retroactive eligibility period has two parts, a pre-application period and a post-application period.

The pre-application period begins on the first day of the third month prior to the month in which the consumer applied for Medicaid and ends on the day the consumer applied for Medicaid. Consumers may receive payment for any qualified provider during this period whether or not the provider is a Medicaid provider as long as the provider is not in sanction status.

The post-application period begins on the day after the consumer applied for Medicaid and ends when the consumer receives the Common Benefit Identification Card (CBIC). Consumers must use a Medicaid enrolled provider during this period. Once a CBIC has been received by a consumer no reimbursement may be made for expenses incurred after that date. To request reimbursement for these expenses, send a request with copies of the bills, proof of payment (canceled checks, credit card statement, and/or receipts), and the Medicaid notice showing that Medicaid was approved, and the effective date Reimbursement requests should be addressed to:

Medicaid Client Reimbursement Unit

785 Atlantic Ave. 5^th floor

Brooklyn NY 11238

Fax: 917-639-0674

Email: map.fiscal@hra.nyc.gov

Medicare Information

If you have any questions about Medicare or Medicare Part D, or about choosing a Part D prescription drug plan or changing the one in which you were enrolled by Medicare, visit the 311 page.

Child/Teen Health Program

Notices, Brochures, and Applications

Consumer/Provider Request to Change Information on File (MAP-751k)

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Consumer/Provider Request to Change Information on File (MAP-751W)

Medicaid clients who have case changes that require additional documentation should use the MAP-751W form below. The documentation should also be submitted with the MAP-751W. The form can be submitted via fax to 917-639-0837.

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Privacy Notices

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Authorization for Release of Health Information Pursuant to HIPAA (OCA-960)
Instructions for Completing the Authorization for Release of Health Information Pursuant to HIPAA (OCA-960)

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For Professionals

2025 Virtual Community Medicaid Eligibility Presentation Schedule for Professionals

Please be advised that these courses are intended for professionals or staff who assist consumers with Medicaid. These presentations cover all aspects of the Medicaid eligibility process which include the application and the renewal processes. You must be a registrant in the Medical Assistance Program Automated Resource Center (MARC) to register for these presentations, as the announcements for upcoming presentations are sent to all MARC registrants. MARC is intended for professionals and staff who assist consumers with the Medicaid process. Register for MARC. Please note you must register with your work/professional email and respond to a few questions about your agency and the population you serve. Once that is done the MARC administrator reviews your request and informs you when authorization is approved.