Content Provided by: A Guide for Families and Friends of People with Developmental Disabilities; New York State Developmental Disabilities Planning Council
Medicaid is a health benefits needs-tested program funded and administered jointly by the federal, state and local governments. It is available primarily for needy families and pregnant women as well as for needy persons who are blind, have a disability or are age 65 or over.
Some services covered by Medicaid include:
- Necessary medical services provided by physicians;
- Hospital or skilled nursing-facility;
- Home health care services;
- Outpatient or clinical services;
- Independent laboratory and X-ray services;
- Service coordination/Case management;
- Clinical services;
- Personal care;
- Transportation to Medicaid covered services;
- Nursing care;
- Durable medical equipment.
If a person is eligible for Medicaid and Medicare, Medicaid can be used to supplement the coverage provided by Medicare. If a person does not initially qualify for Medicaid because of her/his income or asset level, the person may qualify on a month by month basis by documenting medical expenses which when subtracted from personal income and assets would bring down the income to the eligibility level. This is known as the Spend-down Program or the Surplus Income Program in New York City. People with excess income can now also pay that amount directly to the local social services districts through a program called Pay-In.