To be eligible for New York's Medicaid program, a person's household income must fall beneath a designated threshold relative to the federal poverty level (FPL), and there are no further asset limits for children or non-elderly, non-disabled adults.1 Most adults aged 65 and older and persons with disabilities must meet both income and asset limits, though there are exceptions.
Non-disabled adults and non-disabled children make up the largest share of enrollment, representing nearly four out of five Medicaid enrollees. These groups include childless adults with incomes between 100% and 138% of FPL, who became newly eligible under New York's ACA Medicaid expansion in January 2014, as well as pregnant women and certain parents and lower-income childless adults who were eligible prior to the ACA.
This page includes two graphs:
Medicaid Enrollment by Eligibility Group Over Time
Percentage of Enrollment by Eligibility Group by Month
Medicaid Enrollment by Eligibility Group Over Time
The graph below shows total Medicaid enrollment broken down by eligibility category.2
Percentage of Enrollment by Eligibility Group by Month
This graph shows total Medicaid enrollment broken down by eligibility category within a single month.3 The most recent month of available data is displayed. The table below the graph shows the same information in numerals.
1. The FPL in 2022 was $13,590 for a single person and $23,030 for a family of three. The percent of FPL reported for people who are elderly or disabled is based on New York's 2022 Medicaid income standard, which is about 11,200 (annually) for an individual and which is determined based on federal guidelines.
New York State Department of Health. January 2022. GIS 22 MA/01 – 2022 Federal Poverty Levels (Attachment I).
2. Adults and children with disabilities are identified as those members with Social Security Disability for more than 25 consecutive months or receiving Supplemental Security Income (SSI).
The data displayed is the most recent available data publicly published by the New York State Department of Health with breakdowns by member eligibility category.
New York State Department of Health. Medicaid Program Enrollment by Month: Beginning 2009.
3. The data displayed is the most recent available data publicly published by the New York State Department of Health with breakdowns by member eligibility category.
New York State Department of Health. Medicaid Program Enrollment by Month: Beginning 2009.
