Medicaid in New York
Medicaid income limits in dollars
Medicaid limits are expressed as percentages of the Federal Poverty Level (FPL). These are the 2026 FPL figures that apply in New York:
| Household size | 100% FPL | 138% FPL | 200% FPL | 400% FPL |
|---|---|---|---|---|
| 1 | $15,960 | $22,025 | $31,920 | $63,840 |
| 2 | $21,640 | $29,863 | $43,280 | $86,560 |
| 3 | $27,320 | $37,702 | $54,640 | $109,280 |
| 4 | $33,000 | $45,540 | $66,000 | $132,000 |
| 5 | $38,680 | $53,378 | $77,360 | $154,720 |
| 6 | $44,360 | $61,217 | $88,720 | $177,440 |
| 7 | $50,040 | $69,055 | $100,080 | $200,160 |
| 8 | $55,720 | $76,894 | $111,440 | $222,880 |
48 contiguous states + DC — for each additional person above 8, add $5,680 (at 100% FPL). Source: HHS Poverty Guidelines 2026 (Federal Register 2026-00755), effective January 13, 2026 · verify at federalregister.gov
What that means in dollars — New York
- Parents (family of 3): eligible for Medicaid with annual income up to $37,702 (138% of the $27,320 FPL for 3 persons)
- Childless adults: eligible with annual income up to $22,025 (138% of the $15,960 FPL for 1 person)
Eligibility percentages: KFF (Kaiser Family Foundation). Dollar figures recompute automatically each year from the HHS guidelines.
Medicaid eligibility limits in New York (verified data)
Source: Kaiser Family Foundation (KFF) — Medicaid data by state
Verified on: 2026-05-25
ACA expansion status in New York
✅ New York ADOPTED Medicaid expansion under the Affordable Care Act.
Income limits for Medicaid in New York
- Parents in a family of 3: up to 138% of Federal Poverty Level (FPL)
- Other adults (childless): up to 138% FPL
- Pregnant women: up to 223% of FPL (Medicaid)
Calculate your FPL for household size at aspe.hhs.gov/poverty-guidelines.
Verify eligibility
⚠️ Limits change annually. Verify current eligibility with New York’s Medicaid agency or at healthcare.gov.
Medicaid expansion
New York HAS adopted ACA Medicaid expansion.
This means low-income adults up to 138% of federal poverty level can qualify for Medicaid in New York, regardless of having dependent children or disability.
Coverage for undocumented in New York
New York offers additional coverage with state funds: Essential Plan / Child Health Plus — undocumented children eligible
Federal rules applying in New York
Regardless of expansion, federal eligibility rules by immigration status apply in New York:
- Citizens: YES qualify
- Permanent residents (green card) 5+ years: YES qualify
- Permanent residents < 5 years: NO (5-year bar), EXCEPT children and pregnant women in CHIPRA Option states
- Refugees, asylees: YES qualify (no 5-year bar)
- DACA: NO qualify (excluded by current rule)
- Undocumented individuals: NO qualify federally
Emergency services
Under EMTALA, all hospitals in New York must treat medical emergencies regardless of immigration status. Emergency Medicaid may cover the cost of emergency treatment for those meeting income requirements but not immigration status.
How to apply for Medicaid in New York
- Visit New York’s Medicaid portal (search “New York Medicaid” or specific program name)
- Fill application online (also available by paper or in person)
- Provide: identification, proof of income, proof of residency, immigration documents (if applicable)
- Wait for determination (typically 45 days, 90 for disability-based cases)
- If approved, receive Medicaid card + provider information
Related information
Last verified: 2026-05-24.
Related procedural information
- Federal benefits eligibility by immigration status — who qualifies for what
- Find legal aid in your state — public-benefits appeals
- ITIN for tax-funded benefits — eligibility requires SSN or ITIN
- Consulate of your country — many offer financial-assistance referrals
- Know Your Rights — public-benefits enrollment — agency confidentiality limits