Medical Assistance Community
The Medicaid Community Unit processes applications for a variety of public health insurance programs including Medicaid, Prenatal care services (Presumptive Eligibility), Family Planning Benefit Program and the Medicare Savings Program.
Who is Eligible?
Financial eligibility is determined based on the income and resource standards governing the Public Health Insurance Programs. A Supplemental Security Income recipient is granted Medicaid based on his/her certification for SSI benefits. A separate application for Medicaid is not needed for SSI recipients.
Persons eligible for Medicaid may be required to enroll in a managed care plan. Managed Care information and options will be provided upon application.
You can obtain more information online at www.mybenefits.ny.gov.
PREGNANT WOMEN MAY APPLY FOR PRENATAL CARE SERVICES (PE) AT THE FOLLOWING SITES:
- Family Planning (315) 435-3295
- Planned Parenthood (315) 475-5540
- St. Joseph’s Maternal Child Health Center/St. Joseph’s family medicine (315) 448-6146
- Syracuse Community Health Center (315) 476-7921 ext 2327
- UHCC/Womens Health Care Services (315) 464-5210
THE FOLLOWING INDIVIDUALS APPLY WITH THEIR LOCAL DEPARTMENT OF SOCIAL SERVICES (LDSS) BY CALLING (315)-435-2928
- Individuals age 65 and older, who are not parents or caretaker relatives, when age is a condition of eligibility
- Individuals whose eligibility is based on being blind or disabled or who request coverage for community based long term care services (CBLTC)
- Medicare Savings Program (MSP)
- Medicaid buy-in for Working People with Disabilities enrollees (MBI-WPD)
- Residential treatment center/community residences operated by the Office of Mental Health (OMH)
- Presumptive Eligibility (PE) for pregnant women apply with provider, processed by the LDSS
What to Expect
WITH THE APPLICATION THE FOLLOWING DOCUMENTATION MUST BE PRESENTED
- Birth Certificates for all persons who are applying
- Social Security Card for all who are applying
- Proof of citizenship status
- Veteran Discharge papers (if applicable)
- Verification of ALL income, including but not limited to: wages, Social Security, pensions, veteran’s benefits and interest or dividends
- Depending on your circumstances you may be asked to verify ALL your resources, including but not limited to: bank accounts, trust funds, insurance, CDs, burial accounts, burial spaces, vehicles and property.
- Medicare and other health insurance cards and verification of premium cost
RENEWAL OF ELIGIBILITY & REPORTING RESPONSIBILITY
If you are found eligible for ongoing Medicaid or another Public Health Insurance Program you will be required to re-establish your eligibility at regular intervals as determined by the New York State Social Welfare law. This is called a “Renewal”. You will receive notification of your renewal and a renewal form by mail. It must be retuned by the date in the notice for your benefits to continue. You will need to send in verifying documentation such as:
Verification of ALL income, including but not limited to wages, Social Security, pensions, veteran’s benefits and interest or dividends
Depending on your circumstances you may be asked to verify ALL your resources, including but not limited to bank accounts, trust funds, insurance, CDs, burial accounts, burial spaces, vehicles, and property.
Medicare and other health insurance cards and verification of premium cost
If you have any questions, you may contact the Medicaid Community Unit at
(315) 435-2928.