Medicaid and Human Services

New York’s 57 counties and New York City help administer the state’s Medicaid program through local Departments of Social Services which help determine eligibility for Medicaid, assist clients in finding health insurance and other social services for which they may qualify.  

The counties and City also are required to spend $7.6 billion annually to pay for the state Medicaid program. The counties’ contribution to pay for the state’s Medicaid program is the largest of its kind in the nation and estimated to be larger than all other counties in the country combined are mandated to pay for a state designed and controlled Medicaid program. In addition, counties and New York City provide hundreds of millions more annually in voluntary payments to support publicly owned and operated health facilities.