This one application can be used to apply for Child Health Plus A and B, Family Health Plus, Medicaid, Prenatal Care Assistance Program (PCAP), and Women, Infants and Children (WIC) nutritional programs. Based upon the information you provide you will be told which program you and/or your child(ren) are eligible for.

Please Note: To apply for Family Health Plus, you must meet with an enrollment facilitator or with staff from your local social services district. This Application will help you determine the kind of information that is needed to see if you are eligible. 

The Access NY Application is available as an Adobe Acrobat Portable Document Format file. Click here for help with PDF files.

You can get a hardcopy of this application by e-mailing fhplus@health.state.ny.us