MEDICAID RECERTIFICATION
Keep Your Medicaid Benefits Intact
Medicaid recertification is an annual requirement for most people to confirm continued eligibility and maintain active coverage. People who receive Supplemental Security Income (SSI) do not complete a Medicaid recertification packet, as their Medicaid eligibility is renewed automatically through SSI. Anyone not receiving SSI must complete a recertification packet each year, making timely and accurate completion critical to avoiding a lapse in coverage.
Medicaid benefits support all of the disability services, including care management. To ensure you continue to receive Medicaid without interruption, it is important that accurate information gets relayed by the due date.
Changes in address, income amount, source of income, and amount of resources must be reported during the recertification process to ensure Medicaid always has the most updated information. Not reporting these changes in a timely manner can result in delays and case closure.
Step-by-Step Instructional Videos for Recertifying Medicaid in New York State
This Medicaid recertification process can feel complicated and overwhelming, but taking it one step at a time can make it more manageable. These videos break things down clearly, and your Care Manager is always available to help, answer questions, and work alongside you throughout the process.
For minors under 18 living within New York City, recertifying through the Human Resource Administration (HRA)
For adults 18+ living within New York City, recertifying through the Human Resource Administration (HRA)
For minors under 18 in New York State, living outside of New York City, recertifying through the Local Department of Social Services (LDSS)
For adults 18+ in New York State, living outside of New York City, recertifying through the Local Department of Social Services (LDSS)
What to Know About Medicaid Recertification
Do I need to recertify?
You must recertify for Medicaid on an annual basis, if you are not receiving SSI benefits. The following information is captured in the recertification packet, and any changes in these categories must be reported:
- Living arrangements (verify address, household members, rent, water bills)
- Income (provide pay stubs, tax forms)
- Important Note for children under the age of 18, who are waiver enrolled: Even though parental income will be disregarded, the information MUST still be submitted. Report gross figures in the income section of the packet and attach 4 weeks of pay.
- Resources (provide bank statements and other resources)
- Insurance (provide insurance card)
- Satisfactory Immigration Citizenship (provide birth certificate, naturalization certificate, green card, employment authorization card, I-94)
Unless you are receiving SSI, you will need to recertify. It does not depend on the points listed previously.
How Do I Recertify?
How do I know if I am approved for recertified Medicaid benefits I need?
You will receive an approval notice by mail and/or online for NYC residents. The new authorization dates will be listed in the notice.
Again, if a person receives SSI, they do not need to submit an annual recertification packet. As long as they continue to receive a cash benefit from SSI, this keeps their Medicaid automatically active.