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Medicaid Redesign Team

New York's 1115 Waiver has been in effect since 1997.

Eligibility

  • Care recipient must have a qualifying disability

Questions to ask the program

These are questions to ask the program, not a verdict on your eligibility. Confirm the current rules directly with the program.

  • Does the person receiving care live in New York? — Residency is usually the first thing a program checks.
  • What counts as a qualifying disability or level of care need, and what documentation shows it?
  • Is there a caregiver-specific department, coordinator, or support line? Ask for it by name. — Many agencies have one that isn’t advertised on the website.
  • What documents do you need from us to start an application?
  • Is there a waitlist right now, and how long is it?

What this record does not yet say

  • a direct application link

How to apply

  • Individuals seeking Community Based Long-Term Care are a non-MAGI Medicaid eligibility group who apply through their Local Department of Social Services (LDSS) (in NYC, the Human Resources Administration), not through the NY State of Health marketplace, using the Medicaid Application for Non-MAGI Eligibility Group (DOH-4220).