|
Privacy Notice: This
notice from the State of New York
Department
of Health describes how
medical information about
you may be used
and disclosed and how you
can get access to
this information. Please
review it
carefully.
Privacy
Notice-English
Notificación de Privacidad:
Esta carta del Estado de Nueva
York Departamento de Salud describe
cómo se puede usar y
divulgar su información médica confidencial, y
también cómo
puede usted obtener acceso a esa información.
Por favor lea
con cuidado.
Privacy
Notice-Spanish
Who is eligible for MA or Child
Health Plus A?
You may
be eligible for Medical Assistance if you receive
Public Assistance, Supplemental Security Income (SSI), or if
you meet
income, resource, age or disability criteria. There are
special programs
to help if you are pregnant or have a child.
If you are pregnant, a worker
at the clinic or hospital you are
using for prenatal care can assist you to apply for Medicaid.
If
you have a child, he/she may be eligible for
Child Health
Plus
A (Children's Medicaid) which provides the
same
benefits as
Medicaid.
What Medical
Services are paid for by Medicaid in New York
State?
-
inpatient
care in hospitals
-
outpatient care at
hospitals
-
physician
services
-
clinic services
-
dental care
-
drugs,
prescription and non-prescription (some co-pays apply)
-
eyeglasses
-
nursing home care
-
personal
care/long term home health care
-
domiciliary care
facilities
-
child teen/health
program
-
managed care
-
prenatal care
-
family planning
-
laboratory and
X-ray services
-
mental health
services
-
health insurance
and Medicare premium payments
How can I
apply for Medical Assistance or for Child Health Plus A?
Applications for
Medical Assistance can be filed at any of the four
social service
district offices: Mt. Vernon (914-813-6000),
Peekskill
(914-862-5000), White Plains (914-995-4681) and
Yonkers
(914-231-2000).
Applications for Child
Health Plus can be filed at a social services
district office,
through a facilitated enroller at one of several
community based organizations.
For information, call the Westchester
County Department of Health:
(914) 813-5629 (English),
(914) 813-5631
(Spanish)
or with a facilitated enroller at one of the
following health
plan sites throughout
Westchester:
-
Hudson Health Plan
(1-800-339-4557)
-
Fidelis Care
(1-888-343-3547)
-
Affinity Health
Plan (1-800-553-8247)
-
HIP Health Plan
(1-800-447-0221)
-
GHI (1-877-244-4466)
Westchester County
Department of Social Services has a deputized
worker program for
hospitals and most
nursing homes in Westchester.
This program allows people who are hospitalized or admitted
to a
nursing home to apply for Medicaid at that facility instead of applying
at one of the
four Social Services Centers
or at the
Institutional
Assistance Office in New Rochelle, (914) 813-5560.
If you have any
questions
regarding
the Medicaid program, please call (914) 995-5468.
What is Transitional Medical Assistance?
Transitional Medical Assistance
is a program that provides
continued
medical assistance coverage to people who become ineligible for
family
assistance and who have a dependent child under the age of 21
living with them.
Transitional MA benefits are available for six
months to those who lose family assistance
due to:
An additional six months,
up to a total year, may be possible if the
person remains employed; has earned income below
certain levels;
and has a dependent child under the age of 21 living with them.
What if I don't
qualify for Medical Assistance but I have no
health insurance?
New York State has
health insurance programs for all uninsured
children up to 19 years of
age and some uninsured adults. Children
ineligible for Medicaid
may receive health services under Child
Health Plus B available
through providers throughout Westchester.
What services
are covered by Child
Health Plus B?
- well-child care
- physical examinations
- immunizations
- diagnosis and treatment of illness and
injury
- X-rays and lab tests
- outpatient surgery
- emergency care
- prescription drugs
- inpatient hospital medical or surgical care
- short-term therapeutic outpatient services
(chemotherapy,
hemodialysis)
- limited outpatient treatment for alcoholism, substance
abuse,
and
mental health
How can I
apply for my child?
Call 1-800-698-KIDS (1-800-698-4543),
the Westchester County
Department of Health: (914)
813-5629 (English)/
(914) 813-5631 (Spanish)
or you can obtain information from
the
Child
Health Plus website.
What is Family
Health Plus?
Family Health Plus
provides coverage to adults who do not have
health insurance but have
income too high for Medicaid. Parents and
childless adults aged
19 through 64 are eligible if they live in New
York State, have no
health insurance and meet income and resource
guidelines. There is no cost to
apply for Family Health Plus and no
deductibles
once you are enrolled.
Once enrolled you may be asked
to
co-pay part of the costs of some
medical care/services. Health
care is provided
through managed care plans. Family Health Plus
will do its
best
to help participants continue to see their current doctor.
What services are
covered by Family Health Plus?
- physician services
- inpatient and outpatient
hospital
care
- prescription drugs and smoking
cessation products
- X-rays and lab tests
- vision, speech, and hearing
services
- rehabilitative services (some
limits apply)
- durable medical equipment
- inpatient hospital medical or surgical care
- emergency room and emergency
ambulance
- drug, alcohol, and mental
health treatment (some limits apply)
- diabetic supplies and equipment
- radiation therapy, chemotherapy
and hemodialysis
- dental services (if offered by
the plan)
- family planning and reproductive health services
How can I enroll in Family
Health Plus?
Enrollment facilitators and social
service district offices answer
questions and help you choose a
health plan. Call 1-877-9FHPLUS
(1-877-934-7587), call the
Westchester County Department of
Health: (914) 813-5629
(English)/(914) 813-5631 (Spanish)
or visit the
Family
Health Plus website.
What is Supplemental Security Income
(SSI)?
Supplemental Security
Income (SSI) is a federal assistance program
for
the aged (65 and over), blind and
disabled which is administered
through
local Social Security Offices. SSI beneficiaries
are
automatically
eligible for Medicaid and may be eligible for
Food Stamps and
Emergency Assistance to Adults
(EAA), as
well as
other services,
through the local district offices. A small number of
SSI
recipients,
whose available income is less than the applicable
public assistance
standard,
may be eligible for Safety Net Assistance.
Any public
assistance applicant who reasonably appears to qualify for
SSI, must
apply for SSI and appeal any negative determination made
by the Social Security Administration.
What is SSI
Disability Review?
SSI Disability Review seeks to assist
disabled individuals to secure
Federal SSI benefits. Retro Review seeks to evaluate
Medicaid cases
with high expenditures against Federal disability criteria to secure
Federal participation and reimbursement.
Address questions about individual SSI claims to the
Social Security
Administration at 1-800-772-1213; visit the Social
Security web site
for information.
|
