How do I contact Medicaid in New York?
Asked by: Vivien Breitenberg II | Last update: June 5, 2025Score: 4.2/5 (54 votes)
How do I contact NYS Medicaid?
For questions regarding your eligibility or to find out which managed care plan you are enrolled in, you may call the Medicaid Helpline at 1-800-541-2831. It is available from 8:00 a.m. through 8:00 p.m., Monday through Friday and from 9:00 a.m. to 1:00 p.m., on Saturday.
How can I check my Medicaid status in New York?
In New York City, call the Information Hotline at 311 or (718) 557-1399. For more information about Medicaid, visit the Medicaid website: www.health.ny.gov/health_care/medicaid/.
How to check if your Medicaid is active online?
Log into your state's Medicaid portal
Many states have online portals where you can check your Medicaid coverage status. If you already created an account when you applied, log in to see any updates or changes to your status. Look for a section that shows your coverage details or current eligibility.
How do I get my Medicaid back active?
Your state regularly checks if you're still eligible to keep Medicaid or CHIP—called a renewal process. Your state will reach out to you if they need more information. Complete and submit any forms your state asks for right away.
How To Apply for Medicaid in New York (Very EASY!)
How do I find my NY Medicaid ID number?
All Medicaid recipients are assigned a unique CIN even if they are enrolled in a Medicaid managed care (MMC) plan. The CIN is located on all member cards including MMC plan cards. On some MMC cards it's called CIN however other MMC cards may identify it as Program ID, Member ID, or ID#.
How often does Medicaid check your bank account?
Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.
How does NY Medicaid verify income?
The Medicaid program has access to Internal Revenue Service records and will use the applicant's Social Security Number to find any unreported sources of income.
How long does it take for Medicaid to be approved in NY?
If you are pregnant or applying on behalf of children, a determination should be made within 30 days from the date of your application. If you are applying and have a disability which must be evaluated, it can take up to 90 days to determine if you are eligible.
What are the four types of Medicaid?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
How do I check my Medicaid status in NY?
Call the HRA Medicaid Helpline at 888-692-6116. Log in or create your ACCESS HRA account at nyc.gov/accesshra, then click the "Benefits" tab at the top of the screen and click "View Details" on your Medicaid case.
How do I contact Medicare NY?
1-800-MEDICARE (1-800-633-4227)
If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information." Get this form in Spanish.
Can you have Medicaid and employer insurance at the same time?
Can I use Medicaid as secondary insurance after my insurance through my employer? Yes, you can maintain your employer-sponsored insurance plan as your primary coverage while also qualifying for Medicaid, which would pay for, generally speaking, any qualifying expense that your primary plan doesn't cover.
How do I protect my bank account from Medicaid?
One such option to protect assets is a Medicaid Trust. By placing some of your assets in an appropriate trust, you can protect them from Medicaid and have them not be counted when you are applying for benefits.
Can Medicaid see your income?
Some states use a computerized system to cross reference a Medicaid applicant's reported income. For instance, in California, an electronic database, the Income Eligibility Verification System (IEVS), is used to match the income information provided by the applicant to other databases to verify it is accurate.
Do you have to pay back Medicaid in NY?
The general rule is that any Medicaid paid after age 55 is subject to payback and the rules are complicated. A good Medicaid Lawyer can guide you and save a lot of money.
What happens if you make too much money while on Medicaid?
If you're over the Medicaid income limit, some states let you spend down extra income or place it in a trust to help you qualify for Medicaid. If you receive long-term care but your spouse doesn't, Medicaid will allow your spouse to keep enough income to avoid living in poverty.
What is the maximum income to qualify for Medicaid in NY in 2024?
For 2024, the income limits for both Community and Institutional Medicaid are: Married (both spouses applying): $2,351/month. Married (one spouse applying): $1,732/month for the applicant. Single: $1,732/month.
How do I know if my Medicaid is active?
Ways to Check Your Medicaid Status
Log in to your online Medicaid account, and click on your application status to see if it's been approved. Alternatively, call your state's Medicaid agency or visit a local Medicaid office with your case number to find out the application status.
What is code 54 on Medicaid?
Denial code 54 indicates that multiple physicians or assistants involved in the case are not covered for payment.
What does Medicaid not cover?
Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.