Can I Join a FIDA Plan?

You can join FIDA if you are:

  • Age 21 or older
  • Living in New York City or Nassau, Suffolk, or Westchester Counties
  • Receiving Medicare and Medicaid benefits
  • In need of long term care like home health or nursing home care

Some people, however, may not able to join a FIDA plan. Please call New York Medicaid Choice or Independent Consumer Advocacy Network (ICAN) to find out if you can join a FIDA plan.

Exclusions to FIDA Eligibility

  • Under the age of 21.
  • Residents in an Assisted Living Program.
  • In the Foster Family Care Demonstration.
  • Residents of a NYS Office of Mental Health (OMH) facility or of a psychiatric facility.
  • Receiving services from the NYS Office for Persons With Developmental Disabilities (OPWDD) system.
  • Authorized for only Medicaid eligibility for less than six months.
  • Eligible for Medicaid benefits only for tuberculosis-related services.
  • With a "county of fiscal responsibility" code 97, 98 or 99.
  • Residents of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDD).
  • Eligible to live in an ICF/ IIDD, but choose not to.
  • Residents of Alcohol/substance abuse long-term residential treatment programs.
  • Eligible for Emergency Medicaid.
  • In the OPWDD Home and Community Based Services waiver program.
  • In the Traumatic Brain Injury (TBI) waiver program.
  • Receiving hospice services (at time of enrollment).
  • Eligible for the family planning expansion program.
  • Under 65 (screened and require treatment) in the Centers for Disease Control and Prevention Breast or Cervical Cancer Early Detection program and need treatment for breast or cervical cancer, and are not otherwise covered under creditable health coverage.