New York Medicaid

New York Medicaid provides comprehensive health coverage to eligible low-income residents, including children, pregnant women, seniors, and adults with disabilities.

It provides a wide range of essential medical services at little or no cost, including routine doctor visits, inpatient and outpatient hospital care, and prescription drug coverage through the NYRx Pharmacy Program . Beyond standard medical care, the program offers long-term services, such as nursing home care and home health aides.

The program is divided into two primary eligibility categories:

MAGI (Modified Adjusted Gross Income)
Generally covers low-income adults under 65, children under age 18, and pregnant women.
Non-MAGI
Covers individuals over 65, those who are blind or disabled, or those requiring long-term care.

Effective January 1, 2025, New York now provides continuous coverage for children from birth until age 6. Once enrolled, a child remains eligible regardless of changes in family income.

FAQ

What is the income limit to qualify for Medicaid in NY?

New York expanded Medicaid to cover adults ages 19—64 with income up to 138% of the federal poverty level. Children from birth through age 18 are covered up to 154%.

NY Medicaid income limits by household size
NY MedicaidHousehold Size	154% Child 0—18	223% Pregnant Women	138% Adults 19—64
1	$2,048	$2,966	$1,835
2	$2,777	$4,021	$2,489
3	$3,506	$5,077	$3,142
4	$4,235	$6,133	$3,795
5	$4,964	$7,188	$4,448
6	$5,693	$8,244	$5,101
7	$6,422	$9,299	$5,755
8	$7,151	$10,355	$6,408

A 5% disregard based on the federal poverty level (FPL) for the household size may be applied and is reflected in the amounts shown above. Source: Kaiser Family Foundation (KFF).

Pregnant women of any age are covered up to 223% of poverty level and may apply for immediate coverage at these selected providers . Coverage for pregnant women has also been extended from 60 days to one year following childbirth.

For parents to maintain Medicaid eligibility after pregnancy coverage ends, their income must be below 138% of the federal poverty level.

How do I apply for Medicaid in NY?

New York is operating a State-Based Marketplace, known as NY State of Health , through which you can apply for Medicaid, CHPlus or other private health insurance.

New York State Department of Health
Medicaid Helpline
(800) 541-2831