Medical Assistance (MEDICAID) provides essential medical services for persons receiving Public Assistance and other low-income persons. Services covered include inpatient and out patient hospital care, physician services, skilled nursing care, laboratory and X-ray services, early and periodic screening of children, home health care services and transportation services.
Persons With Ongoing Medicaid Only Case
Persons who already have an open Medicaid case (not Chronic Care), should call the Undercare Unit with any questions.
Riverhead Center - Medicaid East: (631) 852-3570
Smithtown Center - Medicaid West: (631) 853-8408
Medicaid Provider Referral Services: 1 (800) 541-2831
Persons with a Medicaid card can call to find out the names of primary care physicians and specialists who accept Medicaid.
To Look up Doctors in your area who accept Medicaid & Medicare: nydoctorprofile.com
To Look up Dentists (for Kids & Adults) in your area who accept Medicaid: insurekidsnow.gov
Medicaid Transportation: 1 (844) 678-1103
Persons with an active case and a medical need and with no means of transportation may get help with transportation to and from health care providers (doctor, clinic, hospital, etc.). All non-emergency trips require prior approval and must be requested at least 3 days prior to the date of the trip. Call the number provided above or visit: longislandmedicaidride.net. Medicaid recipients who provide their own transport, either by private vehicle or temporary transportation, should call for information on reimbursement.
Effective December 1, 2015, Managed Care plans will no longer provide Non-Emergency Medical Transportation as part of their benefit package. As of December 1, 2015, persons enrolled in Managed Care plans and in need of Non-Emergency Medical Transportation must access longislandmedicaidride.net and follow the instructions above to receive help with transportation.
Medicaid Home Care
Individuals with both Medicare and Medicaid, who are 21 years of age or older, seeking information on various Medicaid home care programs should call New York Medicaid Choice at 1 (888) 401-MLTC (6582).
Other individuals not enrolled in Medicaid Managed Care seeking information regarding non-institutional care such as personal care aide services, should call the Home Care Intake Unit at (631) 854-9585.
The Independent Consumer Advocacy Network (ICAN) is an independent, conflict-free entity providing Individuals free assistance in accessing care, filing grievances, appealing adverse decisions, and understanding and exercising rights and responsibilities. There are 60 physical locations throughout NYS for in-person assistance, a call center (1-844-614-8800) for the entire state, and a website icannys.org. ICAN currently serves MLTC plan enrollees and mainstream Medicaid managed care enrollees who receive long term care.
Consumer Directed Personal Assistance Program (CDPAP): (631) 854-9585
Personal Care Services: (631) 854-9585
Private Duty Nursing Services - New York State Dept. of Health: (518) 474-8161 or 1 (800) 342-3005
Immediate Need for PCS or CDPAS:
Click here for information regarding an Immediate Need for Personal Care Services (PCS) or Consumer Directed Personal Assistance Services (CDPAS)
MA/SSI and MA/OVERAGE
SSI recipients needing Medicaid information, please call: (631) 854-9904 or (631) 854-5823.
Persons who wish to "spend down" or pay an overage to qualify for Medicaid coverage, please call: (631) 854-5879.
Managed Care: 1 (800) 505-5678
All Temporary Assistance, Medicaid-only and SSI-Medicaid clients may choose from five managed care plans to receive the complete menu of Medicaid benefits.
here are no costs, no caps, and no co-payments. Each member has his/her own physician or pediatrician-OB/GYN, who will coordinate all their health needs.
Call New York Medicaid Choice at 1 (800) 505-5678 to receive a packet of informative brochures on each plan and an enrollment form.
Click here for additional LDSS/DOH Public Forms.