NY Health Access About Us   |   Contact Us Empire Justice Center Legal Aid Society NYLAG WNYLC
Family Health Plus
Family Health Plus Premium Assistance Program
The Family Health Plus Premium Assistance Program ("FHP-PAP") was established in 2007 to help low-income workers who are eligible for the regular Family Health Plus Program ("FHP") to access insurance offered by their employers, and to help the state recognize the savings that could be achieved by...
Public Health Insurance Programs in New York State
These materials include an overview of public health insurance programs in New York and in-depth information on Medicaid managed care.
The Medicaid Pharmacy Benefit
Medicaid’s pharmacy benefit was moved into the Medicaid managed care benefit package in October of 2011. Before that date, people enrolled in a Medicaid managed care plan obtained all of their health care through the plan, but used their regular Medicaid card to access any drug available on the...
Elimination of resource test for adults in Family Health Plus and many adults in Medicaid
Beginning January 1, 2010 the resource test for all adults in Family Health Plus and many adults in Medicaid is eliminated.  There is no resource test for Medicaid recipients who are Singles/Chlldless Couples (S/CC)(over age 21 and under age 65 and not disabled and not caring for...
Temporary Protected Status (TPS) and Public Health Insurance
Haitian individuals who have applied for Temporary Protected Status (TPS) may be eligible for public health insurance in New York State.  What is Temporary Protected Status? TPS is a temporary immigration status granted to eligible individuals of a certain country designated by the...
Financial maintenance requirements at application and renewal
 In September, 2011, NYS Department of Health (DOH) clarified the administrative directive 10ADM-06 Standardized Financial Maintenance Requirements for Medicaid Applicants/Recipients,  which in June, 2010,  established a standardized methodology by which local social...
Elimination of Face to Face Interview for Medicaid and Family Health Plus applicants
As of April 1, 2010, applicants for Medicaid and Family Health Plus (FHP) are no longer required to have a face to face interview as part of the application process.  Applications can now be mailed or dropped off at local Medicaid offices.  Unfortunately, the federal government...
New Application Form (2010, updated 3/2015) Used for Medicaid, Child Health Plus and Family Health Plus in New York State
Since 2010, the New York State Department of Health has used a uniform 6-page application form to be used for Medicaid called the Access NY Application or form DOH-4220. Download the form at this link - scroll down to Application for Non-MAGI. As of October 2016, the form was last updated in...
Medicaid Managed Care Fact Sheet - Pharmacy Services
Effective October 1, 2011, Medicaid’s pharmacy benefit will be moved into the managed care benefit package. The pharmacy benefit includes all FDA approved prescription drugs, as well as some over-the-counter drugs and medical supplies. The Family Health Plus (FHP) pharmacy benefit, which is less...


This site provides general information only. This is not legal advice. You can only obtain legal advice from a lawyer. In addition, your use of this site does not create an attorney-client relationship. To contact a lawyer, visit http://lawhelpny.org. We make every effort to keep these materials and links up-to-date and in accordance with New York City, New York state and federal law. However, we do not guarantee the accuracy of this information. To report a dead link or other website-related problem, please e-mail us.