Skip to main content

Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Medical Programs Brochures

Children

Long Term Care

Dental

General Information about Medical Enrollment

Seniors and Persons with Disabilities

Medicaid Payment of Medicare Cost Sharing Expenses HFS 3120 (Spanish) (pdf)
Notice Regarding Medicare Cost Sharing HFS 3132 (pdf)
Notice Regarding Medicare Cost Sharing (Spanish) HFS 3132S (pdf)
Property Lien and Estate Claims HFS 3419B
Property Lien and Estate Claims (Spanish) HFS 3419BS
Special Information for Persons Receiving/Applying for Community Care Program Services Through the Department on Aging HFS 2538A (pdf)
Special Information for Persons Receiving/Applying for Community Care Program Services Through the Department on Aging (Spanish) HFS 2538AS (pdf)
Using Department on Aging (DoA) Community Care Program (CCP) Services to Meet Spenddown HFS 2538C (pdf)
Using Department on Aging (DoA) Community Care Program (CCP) Services to Meet Spenddown (Spanish) HFS 2538CS (pdf)

Non-Citizens