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Financial Assistance

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Emergency Medicaid

Emergency Medicaid is temporary Medicaid assistance for emergency medical costs. It is intended to provide health insurance for:

  • low-income pregnant women
  • individuals with a disability
  • non-citizens and children under 19 who can’t afford healthcare coverage

Emergency Medicaid can cover undocumented immigrants. Since February 2013, DOH-4471 is no longer needed for the application. A standard Medicaid application must be submitted. Keep in mind that Emergency Medicaid is now just under Medicaid and therefore will look like a normal Medicaid card.

In 2023, New York extended state-funded Medicaid coverage to individuals ages 65 and older regardless of immigration status.

Guide the patient through the following steps to apply for Medicaid.

Medicaid Income Eligibility Levels

Medicaid Documents Checklist

Schedule an appointment with REAP.

REAP Referral form

Email ACT Benefits Manager (contact information available in EHHOP Roster).

REAP Office 212-423-2800
1403-5 Madison Avenue, New York, NY 10029
[East side of Madison Ave. between 97th and 98th]

Please advise the patient to bring the following documents to their appointment:

  • Proof of Birth such as a birth certificate, naturalization certificate, passport, Permanent Resident Card, Employment Authorization
  • Proof of Residence such as a current postmarked envelope, rent receipt, gas or electric bill, telephone bill
  • Proof of Income such as most recently filed tax return OR if you don’t file taxes, pay stubs (last 4 weeks worked), social security award letter, pension letter, unemployment insurance statement
  • Proof of Resources such as most current bank statement(s), current tax return, life insurance policy, retirement account statement
  • Proof of Health Insurance such as Medicaid, Child Health Plus, Essential Plan, Medicare, commercial health insurance

Charity Care

Charity care is a “safety net” care offered at a sliding-scale discount, usually in the absence of other options. The new Charity Care policy is that a patient automatically gets Charity Care Level 1 when applying for Emergency Medicaid. The only time that a patient will be assessed for Charity Care of another level is if the patient is working. Then REAP/FS will assess the patient and give the patient a set Charity Care Level. Otherwise, if a patient just gets EMC, assume the patient has CCL1. If the patient is approved, this now works at all Mount Sinai Health System Hospitals.

More information is available online

Guide the patient through the following steps to apply for EMC/Charity Care.

FS Charity Care Documents Checklist - English and Spanish

REAP Charity Care Documents Checklist - English

REAP Charity Care Documents Checklist - Spanish

New Mount Sinai Health System Application for EMC/CCL1

Schedule an appointment with REAP, if first time applying, or arrange for a time to go into FS, if they are renewing, with the patient.

REAP Referral form

REAP Office 212-423-2800
1403-5 Madison Avenue, New York, NY 10029
[East side of Madison Ave. between 97th and 98th]

Financial Services 212-824-7280
17 E. 102nd St (between Madison and 5th Ave), 1st floor

Rent and Utility Assistance

In certain circumstances, we can provide rent assistance via the the Patient Assistance Fund (PAF).

Please refer to the Rent Protocol to determine if this would be appropriate and what must happen to approve the expense.

Otherwise, make a REAP referral or schedule a social work appointment.