New York Medicaid
New York State Medicaid
Apply or call
New York State Medicaid covers pregnant women up to 223% of the federal poverty line — roughly $57,580 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014. Apply at https://nystateofhealth.ny.gov/ or call 1-800-541-2831.
On maternal health specifically: New York State Medicaid has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and covers doula services through Medicaid at up to $1,930 per full perinatal package (effective 2024-03-01).
New York added Medicaid doula coverage statewide in March 2024 (the Bronx and Erie County ran a pilot starting 2019), reimbursing up to $1,930 per perinatal package. Ancient Song Doula Services in Brooklyn pushed for the rate to rise above the 2019 pilot's $600 cap.
Key facts at a glance
- Pregnant women eligible up to 223% FPL ($57,580 for a family of three in 2025).
- Children 0-5 eligible up to 405% FPL ($104,570 for a family of three).
- Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
- Doula reimbursement: $1,930 per full perinatal package.
- Postpartum Medicaid extended to 12 months (effective 2022-04-01).
New York Medicaid, topic by topic
Eligibility
Income limits & who qualifies
New York State Medicaid covers pregnant women up to 223% of the federal poverty line, $57,580 annual income for a family of three in 2025.
How to apply
How to apply step by step
Apply online at https://nystateofhealth.ny.gov/ or by phone at 1-800-541-2831. Federal law requires a 45-day decision on non-disability app…
Doula coverage
Doula coverage details
New York State Medicaid covers doula services at up to $1,930 per full perinatal package, effective 2024-03-01.
Postpartum extension
12-month postpartum status
New York State Medicaid extended postpartum Medicaid coverage to 12 months, effective 2022-04-01.
Pregnant women
Pregnancy coverage in full
New York State Medicaid covers pregnancy-related care up to 223% of the federal poverty line, about $57,580 annual income for a family of t…
Renewal
Annual renewal & unwinding
New York State Medicaid redetermines eligibility at least once every 12 months under 42 CFR 435.916. During the 2023+ unwinding, roughly 69…
For Black families
Roughly 1,250,000 Black residents are enrolled in New York State Medicaid, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.
New York added Medicaid doula coverage statewide in March 2024 (the Bronx and Erie County ran a pilot starting 2019), reimbursing up to $1,930 per perinatal package. Ancient Song Doula Services in Brooklyn pushed for the rate to rise above the 2019 pilot's $600 cap.
For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/ny/.
More on New York from Black Health
FQHCs
Federally Qualified Health Centers in New York
Sliding-scale clinics that take Medicaid + help with applications.
Providers
Providers who accept Medicaid in New York
Filter our directory to New York by specialty.
Health data
Black Health outcomes in New York
Maternal mortality, life expectancy, uninsured rate by race.
Sickle cell
Medicaid gene-therapy coverage in New York
Does New York Medicaid cover Casgevy + Lyfgenia? SCDAA chapter, comprehensive centers.
Hospitals
Safety-net hospitals in New York
CMS ratings, Medicaid-accepting hospitals, and which facilities anchor care for Black patients.
Tool
Medicaid eligibility pre-check for New York
Household size and income, in about a minute. Direct link to New York’s apply portal.
WIC
WIC in New York
Adjunctive WIC eligibility for everyone on New York State Medicaid, monthly food package + Cash-Value Benefit.
SNAP
SNAP (food stamps) in New York
Federal food assistance: FY 2025 max benefits, ABAWD rules, application URL for New York.
TANF
TANF cash assistance in New York
New York’s maximum monthly TANF cash benefit, time limits, and how to apply.
Data sources
- New York State Medicaid — state Medicaid portal.
- KFF State Health Facts, Medicaid income eligibility + expansion + enrollment tables (kff.org/statedata).
- National Health Law Program doula Medicaid project (healthlaw.org/doulamedicaidproject).
- March of Dimes Report Card, 12-month postpartum extension tracker (marchofdimes.org/report-card).
- CMS T-MSIS Analytic Files, Medicaid enrollment by race and ethnicity (medicaid.gov/dq-atlas).
- HHS Poverty Guidelines, 2025 Federal Register release.
Data refreshed: