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If a person doesn’t have enough income to pay for private care, which include nursing homes, etc., and doesn’t or cannot get a long-term care insurance policy, the best alternative is Medicaid. Unlike its counterpart, Medicare, Medicaid is a government backed program which pays both medical costs including long-term care costs.

While Medicaid seems like a beneficial program for individuals who cannot afford to pay for private care, qualifying for this program is somewhat difficult as you are required to meet some stringent financial and other eligibility requirements. Mind you, the rules backing Medicaid are complicated, and are often altered.

With that said, anyone who is eager to benefit from this program needs adequate planning and preparation. However, such burden can be lessened by hiring a Medicaid attorney. If you or a loved one requires Medicaid, please don’t hesitate to contact our office to schedule a consultation.

Applying for Medicaid

Applying for Medicaid is not a walk in the park, and it is quite evident in its eligibility requirement. Thus, if you need to apply for this healthcare benefit, it is important that you have an insight into the process. Even if you will be hiring a Medicaid attorney for assistance, it is still crucial that you have a little understanding of how it is dine so you don’t get lost during the process. 

The application method for Medicaid differs per state. In other words, the Medicaid application process for residents in Texas may be quite different from the process in New York.

In this article, however, we’ll be talking about the Medicaid application process in Bronx City. New York.

How to Apply for Medicaid in Bronx City, New York

You may apply for Medicaid in Bronx City in the ways stated below:

  • NY State of Health. The Official Health Plan Marketplace (855) 355-5777
  • Managed Care Organization ( MCO)
  • Navigators and certified Application Counselors
  • Medicaid Helpline (800) 541-2831
  • Local District Social Services Offices

Before applying for a Medicaid, it is important that you determine your eligibility status. If you cannot do that, contact a Medicaid attorney for assistance.

Also, it is important you know that where you apply for Medicaid will depend on your category. Your category might be single, childless couples, pregnant woman, parent(s) and caretaker relatives with dependent children, elderly and/ or disabled.

The Marketplace, (NY State of Health) will ascertain the eligibility of applicants using Modified Adjusted Gross Income (MAGI) Rules. Generally, income is counted with similar rules as the Internal Revenue Service (IRS) with little differences.  Person Applicants may decide to complete their application online, in person with a navigator or certified application counsellor, by mail including by phone.

The following persons are meant to apply for Medicaid care benefit in the Marketplace, (NY State of Health).

  • Adults (not pregnant) and aged 19-64, not eligible for Medicare
  • Pregnant Women and minors
  • Children of ages 1-18, and
  • Parents including caretaker relatives

If you fall in the category listed below, ensure you apply with your Local Department of Social Service (LDSS).

  • People age 65 and older, who aren’t parents or caretaker relatives, when age is a condition of eligibility
  • People whose eligibility is based on their disability or who request coverage for community based long term care (CBLTC) services, and those persons with an urgent need for Personal Care Services (PCS) or Consumer Directed Personal Assistance Services (CDPAS).
  • Medicare Savings Program (MSP).
  • Medicaid Buy-in for Working People with disabilities enrollees (M BI-WPD)
  • Ex Foster Care Youth
  • People living in adult homes including nursing homes
  • Resident treatment center/community residences handled by The Office of Mental Health (OMH), and
  • Presumptive Eligibility (PE) for pregnant women apply with provider, processed by the Local Department of Social Service

Documents you may require when applying for Medicaid in Bronx City

You’ll need the following documents to apply for Medicaid care benefit in Bronx City, New York.

  • Tax bill for your home
  • A copy of your birth certificate
  • A pay stub to show how much you earn
  • Your bank statements
  • Your Social Security Number
  • Other personal information

If you or a loved one need Medicaid, don’t hesitate to contact our office. Our Medicaid attorneys are on standby!

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