Public Health Insurance
All children are eligible for this program regardless of their immigration status
What is Child Health Plus?
Earn income AND complete hours of the approved activities
What is converting income to hours using the federal minimum wage ($7.25) to determine how many hours of approved activities are needed to reach 80 total hours to meet the Medicaid work requirement
This population is no longer eligibile for the Essential Plan and Qualified Health Plans.
What are DACA recipients?
This population will need to work or participate in approved activities or qualify for an exemption to retain Medicaid
What are adults 19 - 64 years old?
November 1, 2026 to December 31, 2026
What is the new open enrollment period for Qualified Health Plans
An undocumented adult can get this coverage
What is Medicaid for the treatment of an emergency medical condition? What is Emergency Medicaid? What is Medicaid?
Complete 80 hours of any combination of these approved activities in a month
What is Work - traditional or self-employment; Participation in community service; Participation in a work/job training program; Active enrollment in an educational program to meet the Medicaid work requirement
Under age 19; over 64, medically frail, former foster children, Parent, guardian, caretaker relative, or family caregiver of a dependent child age 13 or under
What are some exempted populations?
Enrollment into a Qualified Health Plan for this population will be available May 16 - August 30, 2026
What are people no longer eligible for the Essential Plan?
This benefit is available one month prior to applying for Medicaid
What is the retroactive coverage period for 19-64 year olds?
Enrollment is open all year long for these public health insurance programs?
What is Medicaid, Child Health Plus and the Essential Plan?
Earn a household income of at least $580 in a month or be a seasonal worker with a 6-month average income ≥ $580
What is one way to meet the Medicaid work requirement?
High-unemployment area and Declared emergency / disaster area
What are short-term county-based hardship exemptions?
A health care access program that provides its members free to low-cost services
NYC Care or H+H Options/HHC Options
Available two months prior to applying for Medicaid
What is the retroactive coverage period for individuals 65 and over, disabled, child under 19, or pregnant?
Adults 65 and over might be eligible for this program?
What is Medicaid or Medicare?
Will receive a notice of noncompliance
Who are members who are not exempt or do not meet work and community engagement requirements?
Institutional / high-acuity care and Extended travel for health care
What are short-term individual-based hardship exemptions?
Legal permanent residents (green card holders), Cuban/Haitian entrants and Citizens of the Freely Associated States
What are the categories of people who will be eligible for Medicaid and Medicare beginning October 2026?
Consumers will lose this coverage if not used for six months.
What is Medicaid for the Treatment of an Emergency Medical Condition or Emergency Medicaid?
This program's income eligibility will change in 2027
What is the Essential Plan?
Blind or disabled, Substance use disorder, Disabling mental disorder, Serious or complex medical condition, Physical, intellectual, or developmental disability
What are medical frailty definitions that allow someone to be exempted from the work/community engagement requirement?
A federal law that allows someone to continue health insurance coverage offered by their former employer, usually for up to 18 months after leaving a job. You must pay the full cost of your coverage plus you may be charged an administrative fee
What is COBRA?
Immigrants who are eligible because they are in the U.S. with the knowledge and permission of United States Citizenship and Immigration Services (USCIS).
What is PRUCOL? Permanently Residing Under Color of Law?
Must renew their Medciad coverage twice per year
Who are 19 – 64 year olds?