New York: Medicaid & CHIP
This category provides information about the states health coverage programs for the low-income, including Medicaid and the Children's Health Insurance Program (CHIP). Includes topics such as enrollment, eligibility requirements, managed care participation, spending and federal matching amounts, and enrollment practices.
Select a subcategory on the left to see how the indicators compare across the states. Results will be shown as a table, map, or trend graph as available.
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New York: Medicaid & CHIP Indicators
Medicaid Spending
- Total Medicaid Spending
- Medicaid Expansion Spending
- Distribution of Medicaid Spending by Service
- Distribution of Fee-for-Service Medicaid Spending on Acute Care
- Distribution of Fee-for-Service Medicaid Spending on Long Term Care
- Average Annual Growth in Medicaid Spending
- Federal and State Share of Medicaid Spending
- Federal Medical Assistance Percentage (FMAP) for Medicaid and Multiplier
- Federal Medicaid Disproportionate Share Hospital (DSH) Allotments
Section 1115 Medicaid Waivers
Medicaid Spending and Enrollment by Enrollment Group
Current Medicaid & CHIP Enrollment
Coverage under the Medicaid Expansion
Medicaid and CHIP Participation Rates
Medicaid/CHIP Eligibility Limits
- Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Children as a Percent of the Federal Poverty Level
- Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level
- Medicaid/CHIP Coverage of Lawfully-Residing Immigrant Children and Pregnant Women
Trends in Medicaid Income Eligibility Limits
Trends in Income Eligibility Limits for Adults
Trends in Income Eligibility Limits for Children
- Medicaid/CHIP Upper Income Eligibility Limits for Children, 2000-2019
- Medicaid Income Eligibility Limits for Infants Ages 0 – 1, 2000-2019
- Medicaid Income Eligibility Limits for Children Ages 1 – 5, 2000-2019
- Medicaid Income Eligibility Limits for Children Ages 6-18, 2000-2019
- Separate Children’s Health Insurance Program (CHIP) Income Eligibility Limits for Children, 2000-2019
Medicaid Eligibility for Seniors, People with Disabilities, and the Medically Needy
Application and Enrollment Systems
Streamlined Enrollment & Renewal Practices
Premium & Cost-Sharing Requirements
- Premiums, Enrollment Fees, and Cost-Sharing Requirements for Children
- Cost-Sharing Amounts for Selected Services for Children at Selected Income Levels
- Cost-Sharing Amounts for Prescription Drugs for Children at Selected Income Levels
- Cost-Sharing Requirements for Selected Medicaid Services for Section 1931 Parents
- Premium and Cost-Sharing Requirements for Selected Services for Medicaid Adults
Medicaid Beneficiaries
Medicaid Physician Fees
SSI Beneficiaries
Dual Eligibles
- Distribution of Medicaid Spending for Dual Eligibles by Service (in Millions)
- Dual Eligibles’ Share of Medicaid Spending
- Medicaid Spending per Dual Eligible per Year
- Number of Dual Eligible Beneficiaries
- Dual Eligible Beneficiaries by Race/Ethnicity
- Dual Eligibles as a Percent of Total Medicare Beneficiaries
- Dual Eligibles as a Percent of Total Medicaid Beneficiaries
- Aged and Disabled Dual Eligibles as a Percent of Total Medicaid Beneficiaries
Medicaid Managed Care Market Tracker
Medicaid MCO State-Level Enrollment Data
Medicaid MCO-Level Data
Medicaid MCO Parent Firm-Level Data
Medicaid MCO State-Level Spending Data
Medicaid MCO State-Level Access Standards & Quality Initiatives Data
Medicaid Managed Care State-Level Data
- Medicaid Enrollment in Managed Care by Plan Type
- Dual Eligible Enrollment in Medicaid Managed Care, by Plan Type
- Total Medicaid Enrollment in Managed Long-Term Services and Supports (MLTSS)
- Limited Benefit Medicaid Managed Care Program Enrollment
- States using Medicaid Managed Care “In Lieu of” Authority for Inpatient Treatment in an IMD
- States Reporting Social Determinant of Health Related Policies Required in Medicaid Managed Care Contracts
Home and Community-Based Services
- Medicaid Home Health Participants
- Medicaid Home Health Expenditures ($, in thousands)
- Medicaid Personal Care Services Participants
- Medicaid Personal Care Services Expenditures ($, in thousands)
- Total Number of Medicaid Section 1915(c) Home and Community-Based Services Waivers
- Medicaid Section 1915(c) Home and Community-Based Services Waivers Participants
- Medicaid Section 1915(c) Home and Community-Based Services Waivers Expenditures ($, in thousands)
- Medicaid Section 1915(c) Home and Community-Based Services Waivers Participants, by Type of Waiver
- Medicaid Section 1915(c) Home and Community-Based Service Waiver Expenditures, by Type of Waiver ($, in thousands)
- Total Aged and Aged/Disabled Medicaid Section 1915(c) Home and Community-Based Services Waivers Participants
- Total Aged and Aged/Disabled Medicaid Section 1915(c) Home and Community-Based Services Waivers Expenditures ($, in thousands)
- Waiting List Enrollment for Medicaid Section 1915(c) Home and Community-Based Services Waivers
Children's Health Insurance Program (CHIP)
Opioids-Related Medicaid Policies
Medicaid Coverage of Preventive Services
Medicaid Policy Action Trends
Medicaid Eligibility Changes
Medicaid Benefit Changes
Medicaid Provider Rate Changes
Medicaid Benefits
Institutional and Clinic Services
- Medicaid Benefits: Inpatient Hospital Services, other than in an Institution for Mental Disease
- Medicaid Benefits: Outpatient Hospital Services
- Medicaid Benefits: Rural Health Clinic Services
- Medicaid Benefits: Federally Qualified Health Center Services
- Medicaid Benefits: Clinic Services (Excluding Mandatory FQHC and RHC Services)
- Medicaid Benefits: Freestanding Birth Center Services
Practitioner Services
- Medicaid Benefits: Physician Services
- Medicaid Benefits: Medical/Surgical Services of a Dentist
- Medicaid Benefits: Nurse Midwife Services
- Medicaid Benefits: Nurse Practitioner Services
- Medicaid Benefits: Dental Services
- Medicaid Benefits: Podiatrist Services
- Medicaid Benefits: Optometrist Services
- Medicaid Benefits: Chiropractor Services
- Medicaid Benefits: Psychologist Services
Prescription Drugs
Physical Therapy and Other Services
Products and Devices
Transportation Services
Other Services
- Medicaid Benefits: Laboratory and X-Ray Services, outside Hospital or Clinic
- Medicaid Benefits: Family Planning Services
- Medicaid Benefits: Diagnostic, Screening and Preventive Services
- Medicaid Benefits: Rehabilitation Services – Mental Health and Substance Use
- Medicaid Benefits: Case Management
- Medicaid Benefits: Targeted Case Management
- Medicaid Benefits: ACA Health Home
- Medicaid Benefits: Other Medical or Remedial Care – Hygienists or Dental Assistants
- Medicaid Benefits: Other Medical or Remedial Care – Physician Assistants
Long-Term Care: Home and Community Based Care
- Medicaid Benefits: Home Health Services – Nursing Services, Home Health Aides, and Medical Supplies/Equipment
- Medicaid Benefits: Home Health Services – Physical Therapy, Occupational Therapy, and/or Speech Pathology/Audiology
- Medicaid Benefits: Private Duty Nursing Services
- Medicaid Benefits: Hospice Care
- Medicaid Benefits: Personal Care Services
- Medicaid Benefits: Self-Directed Personal Assistance Services
- Medicaid Benefits: Program of All-Inclusive Care for the Elderly (PACE)
Long-Term Care: Institutional Care
Medicaid Behavioral Health Services
Institutional Care and Intensive Services
Outpatient Facility Services and/or Provider Services
- Medicaid Behavioral Health Services: Case Management
- Medicaid Behavioral Health Services: Day Treatment
- Medicaid Behavioral Health Services: Partial Hospitalization
- Medicaid Behavioral Health Services: Psychosocial Rehabilitation (e.g. “Clubhouse model”)
- Medicaid Behavioral Health Services: Intensive Outpatient Treatment
- Medicaid Behavioral Health Services: Mental Health Rehabilitation
- Medicaid Behavioral Health Services: ADL/Skills Training
- Medicaid Behavioral Health Services: Assertive Community Treatment
- Medicaid Behavioral Health Services: Psychiatric Services – Evaluation
- Medicaid Behavioral Health Services: Psychiatric Services – Testing
- Medicaid Behavioral Health Services: Psychological Testing
- Medicaid Behavioral Health Services: Individual Therapy
- Medicaid Behavioral Health Services: Group Therapy
- Medicaid Behavioral Health Services: Family Therapy
Other Behavioral Health Services
Substance Use Disorder (SUD) Services
- Medicaid Behavioral Health Services: Inpatient Detoxification
- Medicaid Behavioral Health Services: Residential Rehabilitation
- Medicaid Behavioral Health Services: Outpatient Detoxification
- Medicaid Behavioral Health Services: Buprenorphine for Medication Assisted Treatment (MAT)
- Medicaid Behavioral Health Services: Oral Naltrexone for Medication Assisted Treatment (MAT)
- Medicaid Behavioral Health Services: Injectable Naltrexone for Medication Assisted Treatment (MAT)
- Medicaid Behavioral Health Services: Methadone for Medication Assisted Treatment (MAT)
- Medicaid Behavioral Health Services: Suboxone Treatment
- Medicaid Behavioral Health Services: Intensive Outpatient Treatment for Substance Use Disorder
- Medicaid Behavioral Health Services: Smoking and Tobacco Use Cessation Counseling (Excluding Mandatory Coverage for Pregnant Women)
Naloxone
- Medicaid Behavioral Health Services: Naloxone Available in at Least One Formulation Without Prior Authorization
- Medicaid Behavioral Health Services: Naloxone Nasal Spray Covered Without Prior Authorization
- Medicaid Behavioral Health Services: Naloxone Nasal Spray Atomizer Covered Without Prior Authorization
- Medicaid Behavioral Health Services: Naloxone Auto-Injectors Covered Without Prior Authorization
- Medicaid Behavioral Health Services: Naloxone Coverage Provided for Family Members or Friends Obtaining a Naloxone Prescription on Enrollee’s Behalf