·State program
Medicaid Redesign Team
New York's 1115 Waiver has been in effect since 1997.
Questions that decide eligibility
GiveCare prepares the questions; the program makes the decision. Bring these to the call or the application:
- 01
Does the person receiving care live in New York?
Residency is usually the first thing a program checks.
- 02
What counts as a qualifying disability or level of care need, and what documentation shows it?
- 03
Does the VA disability rating meet the program’s minimum (our record lists null%)?
- 04
Do the work hours meet the minimum (our record lists null hours)?
- 05
Is there a caregiver-specific department, coordinator, or support line? Ask for it by name.
Many agencies have one that isn’t advertised on the website.
- 06
What documents do you need from us to start an application?
- 07
Is there a waitlist right now, and how long is it?
Who qualifies, in the source’s words
Where our record has a direct quote from the official source, here it is — otherwise, this is our best reading of the rule.
Disability of the person receiving care
“Need at least limited assistance with physical maneuvering in more than two activities of daily living (ADL)”
health.ny.gov →Minimum VA disability rating
Minimum VA disability rating: null%.
Work hours
Minimum work hours: null.
How to apply
- 01
Individuals seeking Community Based Long-Term Care are a non-MAGI Medicaid eligibility group who apply through their Local Department of Social Services (LDSS) (in NYC, the Human Resources Administration), not through the NY State of Health marketplace, using the Medicaid Application for Non-MAGI Eligibility Group (DOH-4220).
Our record lists a decision timeline around 45 days — confirm the current timeline with the program.