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Medicaid Division

(Program)

Processes applications for a variety of public health insurance programs, including Medicaid for certified disabled individuals, individuals ages 65 or older, prenatal care services (presumptive eligibility), Medicaid buy-in for Working People with Disabilities, and the Medicare Savings Program. Screens individuals to determine if they need to apply for Medicaid through the NYS Health Benefit Exchange.

Eligibility: Eligibility based on income and resource standards governing Public Health Insurance Programs

Application Process: Individuals who should apply through the New York State Marketplace: - Adults (not pregnant) ages 19 to 64 years who are not eligible for Medicare - Pregnant women and infants - Children ages 1 to 18 years - Parents and caretaker relatives Individuals who should apply through the Department of Social Services: - Individuals ages 65 years 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) Facilitated Enrollers: Fidelis: 315-383-9686 United Healthcare: 315-271-1426 MVP Healthcare: 315-222-3103 Navigators: NC Prenatal/Perinatal Council: 315-788-8533 ACR Health: 315-785-8222 x371

Required Documentation: Proof of income required; call for specific documents

Fees: None

Lewis County

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