Where to Apply for Medicaid and Medicaid Home Care in New York City

Changes in how people apply for and receive Medicaid personal care services occurred in September 2012, followed by major changes for how all people under age 65 applied for Medicaid in 2014, when the NY State of Health Exchange was launched to accept Medicaid applications under the Affordable Care Act.

There are 2 main ways of accessing Medicaid, depending on age, Medicare status, and some other factors.

A. People age 65+ or younger if they are disabled and have Medicare -- they apply for Medicaid at offices of New York City's Medicaid program is run by the Human Resources Administration ( HRA ) Medical Insurance and Community Services Administration ( MICSA ).

B. People under age 65 who do not have Medicare, and those who have Medicare and live with and take care of a dependent child or other relative apply on the NYS of Health Exchange.

A. Age 65+, or under 65 with a disability and receive Medicare --

There are two networks of offices to apply for Medicaid in the community, depending on whether you are seeking Medicaid for home care (whether through Managed Long Term Care or "Immediate Need" or otherwise for those exempt from MLTC) or NOT seeking home care.

(2) Home Care Services Program ( CASA ) - DO NOT FILE application directly with any CASA office. Instead

A. WHERE TO FILE Medicaid applications for adults age 21+ who have Medicare and who will be seeking Medicaid Managed Long Term Care services:

HRA--HCSP Central Medicaid Unit - MAIL HERE

785 Atlantic Avenue, 7th Floor

Brooklyn, NY 11238 T: 929-221-0849

DURING COVID EMERGENCY MAIL HERE OR FAX TO 917-639-0732

OUTSIDE COVID EMERGENCY - FILE ion the 1st floor WINDOW 16- Recommended that you file it in PERSON and get your copy STAMPED received.

Please see NYC Medicaid Alert dated January 3, 2013 explaining the relocation of the Central Medicaid Unit and other home care services programs within HRA.

B. WHERE TO File Medicaid applications and M11q forms, for those EXCLUDED from Managed Long Term Care and seeking "regular" personal care or housekeeping services --

  1. those who need only Housekeeping services - maximum 8 hours/week, not full personal care, or
  2. in the Nursing Home Transition, OPWDD or TBI Waivers, or
  3. do NOT have Medicare and are not in a "mainstream" Medicaid managed care plan, so are not required to enroll in an MLTC plan or
  4. under age 21, or
  5. in hospice care (and are excluded from enrolling in MLTC)