Below is a general guide to the Medicaid application process. Be sure to contact your local Medicaid office for state-specific rules.
Note: Your Medicaid office may be called the Department of Health, the Department of Social Services, the Department of Insurance, or by another name.
- Contact your local Medicaid office to ask how you need to submit your application. Some states require you apply in person, while others may allow you to apply by mail, online, by telephone, or at locations in the community, such as health centers and community organizations.
- Find out which documents and forms of identification you may need in order to apply. Your Medicaid office may ask you to show the following:
- Proof of date of birth (e.g., birth certificate)
- Proof U.S. citizenship or lawful residence (e.g., passport, drivers license, birth certificate, green card, employment authorization card)
- Proof of all types of income, earned and unearned (e.g., paycheck stubs, retirement benefits, Supplemental Security Income)
- Proof of resources (e.g., bank or stock statements, life insurance policies, property)
- Proof of residence (e.g., rent receipt, landlord statement, deed)
- Medicare card Everyone who enrolls in Medicare receives a red, white, and blue Medicare card. It lists your name and the dates that your Original Medicare hospital insurance (Part A) and medical insurance (Part B) began. It also shows your Medicare number, which serves as an identification number in the Medicare system. If you get Medicare through the Railroad Retirement Board, your card will say “Railroad Retirement Board” at the bottom. If you are enrolled in a Medicare Advantage Plan, you will also have a card from that plan (see Medicare Advantage Plan Card). and any other insurance cards (you can also provide a copy of the insurance policy)
Note: Medicaid coverage is available, regardless of citizenship status, if you are pregnant or require treatment for an emergency medical condition. A doctor must certify that you are pregnant or had an emergency, and you must meet all other eligibility requirements.
Troubleshooting
- If you have any problems applying at a Medicaid office, ask to speak with a supervisor.
- If you do not receive a timely decision on your Medicaid application or are turned down for Medicaid, you can appeal An appeal is a formal request for review if you disagree with an official health care coverage or payment decision made by a Medicare Advantage Plan, a Medicare private drug plan (Part D), or Original Medicare. Federal regulations and law specify appeals deadlines, processes for handling appeals, what information must be included in a decision, and the levels of review in the appeals process. by asking for a state fair hearing (not a city or local one). Check with your Medicaid office to learn more about requesting a fair hearing.
- Once you have Medicaid, you must recertify (show that you remain eligible for Medicaid) to continue to get Medicaid coverage. When you submit your Medicaid application, be sure to ask when and how you will need to recertify. In many states, recertification is an annual process.