The Guided Search helps you find long term services and supports in your area. A set of questions will help you identify services and supports that may meet your needs. See the FAQs to learn how to save and organize your search results. The Category Search is arranged by topic. Click on a category in the menu below to learn more about it. Use the location bar above to find providers of these services in your area.
See the FAQs to learn how to save and organize your results. Resources that provide survival level services including food, housing, material goods, transportati Resources that help meet financial needs by helping people find and sustain employment, enroll in pu Resources that help people access social groups and activities in their communities including commun Medicaid keeps your health information private and shares it only when we need to.
If you are not satisfied with a decision made by the local social services district, you may request a conference with the agency. Box , Albany, New York Online: www. If your request involves any issues about health benefits or services provided under your Managed Care Plan or Managed Long Term Care you can write to:.
Time limits to ask for a fair hearing or appeal - If you want to ask for a fair hearing or appeal, call right away because there are time limits. If you wait too long, you may not be able to get a fair hearing or appeal. If you receive medical services paid for by Medicaid on or after your 55th birthday, or when permanently residing in a medical institution, Medicaid may recover the amount of the cost of these services from the assets in your estate upon your death.
In general, the following services are paid for by Medicaid, but some may not be covered for you because of your age, financial circumstances, family situation, transfer of resource requirements, or living arrangements.
Some services have small co-payments. These services may be provided using your Medicaid card or through your managed care plan if you are enrolled in managed care.
You will not have a co-pay if you are in a managed care plan, except for pharmacy services, where a small co-pay will be applied.
If you are eligible for Medicaid, you will receive a Benefit Identification Card which must be used when you need medical services. There may be limitations on certain services.
For you to use your Benefit Identification Card for certain medical supplies, equipment, or services e. Your year begins on April 1st and ends March 31st each year. You cannot be denied care or services because of your inability to pay a co-payment. A provider has the right to ask you for the co-payment at each visit and bill you for any unpaid co-payments. A Medicaid Managed Care health plan will provide your care by working with a group network of doctors, clinics, hospitals and pharmacies.
Your PCP will provide most of your care. You will need a referral from your PCP to see a specialist and for other services. Managed care covers most of the benefits recipients will use, including all preventive and primary care, inpatient care, and eye care. People in managed care plans use their Medicaid benefit card to get those services that the plan does not cover. In many counties you can join a plan if there is one available and you want to.
However, there are some counties where families will have to join a plan. Please check with your local social services department to see if you have to join a plan. Health coverage providers are required to report certain health benefit information to the Internal Revenue Service IRS. This form does not require any action on your part. You may receive additional B forms from more than one provider if you changed coverage in the past year.
For additional information about the B form you received, please click on the following link. If you receive a letter from the IRS, please click on this link for additional information. If you think you are disabled, and if you meet the criteria for disability included in the Social Security Act, you may be eligible for Medicaid even if your income is otherwise too high.
If you believe you are disabled, you should furnish the local department of social services with medical evidence about your impairment s. The cost of such examinations, consultations, and tests requested by the disability review team, if not otherwise covered, will be paid by the local social services agency.
NOTE: Persons who are denied for reasons of failure to meet the disability criteria are entitled to appeal the disability decision that led to the denial of their application. See the section of this page entitled " "What are my rights? The following questions are only for people who are 65 years of age or older, certified blind, certified disabled, or in need of care in a nursing home. These individuals have a resource test. Resources are cash or those assets, which can be readily converted to cash, such as bank accounts, life insurance policies, stocks, bonds, mutual fund shares and promissory notes.
Resources also include property not readily converted to cash i. Under Medicaid you are allowed to keep a small amount for your personal needs. You can also keep some of your income for your family if they are dependent on you.
A spouse who remains in the community may also keep resources and income above the levels shown. When applying for Medicaid for nursing facility services Nursing Home , the local department of social services will look at financial transactions to determine whether any assets have been transferred or given away for less than fair market value during a certain time period prior to your application in order to determine if a transfer of assets penalty period needs to be applied.
This is known as the "lookback" period. Currently the "lookback" period is 60 months 5 yrs prior to the month you are applying for coverage of nursing home care. A penalty period may be imposed for the transfer of non-exempt assets for less than fair market value. The penalty period results in a period of ineligibility for Medicaid coverage of nursing facility services. For more information regarding the transfer of assets and penalty periods, please contact your local department of social services.
A life estate is limited interest in real property. A life estate holder does not have full title to the property, but has the use of the property for his or her lifetime, or for a specified period. The life estate is not considered a countable resource, and no lien may be placed on it. If you or your spouse sell the life estate interest for less than fair market value, it can be considered a transfer of assets and may be subject to the penalty period. You may establish an irrevocable pre-need funeral agreement with a funeral firm, funeral director, undertaker or any other person, firm or corporation which can create such an agreement for your funeral and burial expenses.
Pre-need burial agreements purchased for certain members of your family on or after January 1, must also be irrevocable. The pre-need funeral agreement is used towards burial and funeral expenses and is not counted as a resource when determining Medicaid eligibility. Please note, these funds, must be kept separate from any non- burial fund related resources. Where you apply for Medicaid will depend on your category. Applications may be completed online, in person with a navigator or certified application counselor, by mail and by phone.
The following paper application may only be printed and completed if you are applying at a local department of social services LDSS for Medicaid because you are over the age of 65 or an individual in your household is deemed certified blind or disabled or you are applying for Medicaid with a spenddown. Please read the instructions below to see which Supplement you should use. Navigation menu. Questions 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.
Pregnant women and children can apply at many clinics, hospitals, and provider offices. NY Connects is your trusted place to go for free, unbiased information about long term services and supports in New York State for people of all ages or with any type of disability. Know what you need? Please enter a Keyword or Location: Find:. Providers, Services, or Resources.
Finding services for a child under 3 with a disability or developmental delay Finding services for a child age 3 to 5 with a disability or developmental delay that may affect learning Learning needs in school for a child age 5 to 21 Finding child care for children with chronic conditions or special needs Finding support groups related to Youth and Students Finding support groups related to Parenting and Family Additional Services Is there a need for help with any of the following: Finding legal services Finding job training and support Finding housing Finding services and supports related to the Lesbian, Gay, Bisexual, Transgender community Transitioning from a care facility, institution, or hospital Location:.
Basic Needs Resources that provide survival level services including food, housing, material goods, transportati View Community Engagement Legal and Government Services Resources that protect consumer rights, help with legal services and provide information on public s View Legal and Government Services. Home Resource Type Detail.
Medical Assistance Medicaid Description: There are significant changes to the way individuals and families apply for and receive health insurance in New York State. Areas Served: Madison.
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