Singles and childless couples who get cash assistance and
Medicaid or who get only Medicaid
Low-income families with children who get cash assistance
and Medicaid or who get only Medicaid
TANF recipient families who get Medicaid
Pregnant women with income at or below 200% of the federal
poverty level for their household size
Children aged 1 or below whose family income is at or below
185% of the federal poverty level for their household size
Children aged 1 through 5 whose family income is at or below
133% of the federal poverty level for their household size
Children aged 6 through 19 whose family income is at or below
100% of the federal poverty level for their household size
Transitional Medical Assistance beneficiaries
Supplemental Security Income (SSI) and Supplemental Security Income
Related (Medicaid only)
People who are dually-eligible for Medicaid and Medicare
People who are only eligible for Medicaid through income spend-down
People who are eligible for Family Health Plus
People who are already enrolled in comprehensive private health care
coverage that is determined to be "cost-effective" by the local social
services district
People who live in state-operated psychiatric facilities or
in state-certified or voluntary treatment facilities
for adolescents or children
People who live in Residential Health Care Facilities at the time
of enrollment, and enrollees whose stays in such a facility are classified as permanent
at the time of entry
People enrolled in managed long-term care demonstrations
Medicaid-eligible infants living with incarcerated mothers
Infants who weigh less than 1200 grams at birth or infants under 6 months
who meet the criteria for SSI or the SSI-related category
Foster children in the placement of a voluntary agency
Youths in the care and custody of the commissioner of the NYS Office of
Children and Family Services
Certified blind or disabled children living or expected to be
living apart from the parents for 30 days or more
People expected to be Medicaid eligible for except for pregnant women
Foster children in direct care [discretion of local social services
district]
People receiving long-term care services through Long Term Home
Health Care programs or Child Care Facilities (except ICF services for the Developmentally
Disabled)
People who are eligible for Medicaid only for TB-related services
People in State Office of Mental Health licensed family care homes
People in the Restricted Recipient Program
People with a "County of Fiscal Responsibility" code of 97, 98 or 99
People admitted to a hospice program at the time of enrollment
People receiving family planning services who are not otherwise eligible
for Medicaid and whose income is 200% or less of the federal poverty level
home 
