Medicaid Program Information

  • Americans with Disabilities Act Complaint Form (PDF)
  • Child Health Plus
    New York State has a health insurance plan for kids, called Child Health Plus. Depending on your family's income, your child may be eligible to join either Children's Medicaid or Child Health Plus. Both Children's Medicaid and Child Health Plus are available through dozens of providers throughout the state.
  • Consumer Directed Personal Assistance Program (CDPAP)
    CDPAP is a New York State Medicaid program that allows Medicaid members who are eligible for home care services to choose and hire their own personal caregiver, or “personal assistant”.
  • Continuing The Medicaid Eligibility Modernization
    This page is dedicated to the ongoing modernization of New York's Medicaid eligibility and enrollment system within NY State of Health. This resource provides information on the modernization effort for Medicaid enrollees who receive their Medicaid coverage through local departments of social services (LDSS).
  • Career Pathways Training (CPT) Program
    The Career Pathways Training (CPT) Program is an education and training program that was authorized under New York’s 1115 Demonstration Waiver, and is designed to create a reliable workforce pipeline to address workforce shortages by funding education and training for health, behavioral health and social care workers throughout New York State.
  • Dental Services Benefit
    New York State Medicaid offers an extensive dental plan for Medicaid members, through the New York State Fee-for-Service program or through a Medicaid Managed Care plan. It is important to see your dentist on a regular basis to maintain a healthy mouth and prevent future problems.
  • Doula Services Benefit
    The New York State enacted 2023-24 Executive Budget includes expanded Medicaid coverage of preventative care, including coverage and higher reimbursement for doulas. Learn more about the NYS Medicaid Doula Services Benefit.
  • eMedNY Website
    eMedNY, or the electronic Medicaid system of New York State, has a number of useful resources on their website including manuals and reference material for providers and the general public.
  • Elderly Pharmaceutical Insurance Coverage (EPIC) Program
    The EPIC program is a New York State program for seniors administered by the Department of Health. It helps more than 325,000 income-eligible seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs.
  • Family Planning Benefit Program (FPBP)
    The FPBP is a public health insurance program for New Yorkers who need family planning services, but may not be able to afford them.
  • Health Insurance Portability and Accountability Act of 1996 (HIPAA). - HIPAA Information Center
  • Integrated Care for Dual Eligible New Yorkers (DUALS)
    Dual-eligible beneficiaries (Medicare "dual-eligibles" or "duals") refers to those who qualify for both Medicare and Medicaid benefits.
  • Long Term Care Services in New York State
  • Medicaid and Medicare Part D
    Medicare Part D is a prescription drug benefit available to everyone with Medicare.
  • Medicaid Buy-in Program for Working People with Disabilities
  • Medicaid Cancer Treatment Program (MCTP)
    The MCTP is a Medicaid program for eligible persons who are found to be in need of treatment for breast, cervical, colorectal or prostate cancer (and in some cases, pre-cancerous conditions of these cancers)
  • Medicaid Health Homes
    A ´Health Home´ is not a physical place; it is a group of health care and service providers working together to make sure you get the care and services you need to stay healthy. Once you are enrolled in a Health Home, you will have a care manager that works with you to develop a care plan that maps out the services you need, to put you on the road to better health.
  • Medicaid Managed Care
    Managed Care is a term used to describe a health insurance plan or health care system that coordinates your health care. In general, when you enroll in a managed care plan, you select a regular doctor, called a primary care practitioner (PCP), who will be responsible for coordinating your health care.
  • Medicaid Pharmacy Program (NYRx)
    The New York State Medicaid Pharmacy program (NYRx) covers medically necessary FDA approved prescription and non-prescription drugs for Medicaid fee-for-service and Medicaid Managed Care enrollees.
  • Medicare Savings Program (MSP)
    The 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.
  • Medicaid Telehealth Information
    Telehealth is defined as the use of electronic information and communication technologies to deliver health care to patients at a distance. Medicaid covered services provided via telehealth include assessment, diagnosis, consultation, treatment, education, care management and/or self-management of a Medicaid member.
  • Medicaid Transportation
    The Medicaid Transportation program ensures Medicaid members can get to and from their medical appointments at no cost to them. The program covers non-emergency transportation, such as pre-scheduled trips to primary care and the dentist, for Medicaid members enrolled in fee-for-service and mainstream managed care.
  • Medicaid Update
    A monthly publication of the New York State Department of Health, Office of Health Insurance Programs
  • New York State Smokers Quitline
    Smoking is an addiction. Get Support. Don't give up.
  • Obtaining Payment Records
  • Preschool/School Supportive Health Services Program
  • Social Care Networks (SCNs)
    This program establishes regionally based Social Care Networks (SCNs) to increase and strengthen the delivery of social care services to Medicaid members including physical and behavioral health services, food and housing security support services, and transportation services.