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What do I need to apply for Medicaid?

What are the basic requirements to qualify for Medicaid?

Basic requirements to determine eligibility under any Aged Blind Disabled (ABD) Medicaid program includes:

  • Aged (65 or older), Blind or Disabled
  • Application for other benefits
  • Citizenship/Qualified Alien status 
  • Valid social security number (SSN)
  • Residency
  • Assignment of medical benefits to the Division of Medical Assistance (DMA)

Basic requirements to determine eligibility under a Family Medicaid program includes:

  • Age
  • Application for other benefits
  • Citizenship/Qualified Alien status 
  • Cooperation with Child Support Service (CSS)
  • Valid SSN 
  • Residency
  • Assignment of medical benefits to DMA
  • Living with a Specified Relative (For Low Income Medicaid (LIM) and Newborn only).
  • Cooperation with Office of Child Support Services is a requirement of receiving certain types of Medicaid. 

What is considered income in Medicaid?

INCOME is all money, earned or unearned, cash or any type of support received from any source by you/or your household that can be used to meet basic needs for food, clothing or shelter. Income is considered on a monthly basis and is used to determine financial eligibility and benefit level. For a list of income limits click the link below.

Income and Resource Requirements

What do I need to verify my income?

Verification of income can be provided in a variety of ways, including:

  • Pay stubs
  • Award letter
  • Written statement from source
  • Computer match
  • Copy of check reflecting gross income
  • Form 809 - Wage Verification Form (ENGLISH ,  SPANISH)
  • Form 139 - Verification of Income other than employment (ENGLISH ,  SPANISH)

For some Medicaid programs your statement of the source and amount of income, earned or unearned may be accepted unless questionable. For others all income must be verified. Verification of income is required when information available to the agency contradicts your statement or your statement is otherwise questionable.

What is the maximum value of items (resource) I can own and still qualify for Medicaid?

The appropriate resource limit is dependent upon several factors including the Medicaid program for which you are applying. For a list of resource limits click the link below.

Income and Resource Requirements

You have the primary responsibility for providing verification to support statements or to resolve questionable information.   You will be given sufficient time to verify information.  The agency will assist you in obtaining verification when assistance is requested.

What kind of documentation do I need to prove citizenship?

To find out more about providing documentation for Citizenship click on the link below.

Citizenship Requirement (ENGLISH ,   SPANISH)

Get verification form (ENGLISH ,   SPANISH)

How do I use my Medicaid Services?