Find Out if You are Eligible

You are eligible to join Montefiore Emerald Care FIDA Plan as long as:

  • You live in the Bronx;
  • You are entitled to Medicare Part A, enrolled in Medicare Part B, and eligible for Medicare Part D;
  • You are eligible for Medicaid;
  • You are age 21 or older at the time of enrollment; and
  • You require 120 or more days of community-based or facility-based long term services and supports (LTSS), are nursing facility clinically eligible and receive facility-based LTSS, or are eligible for the Nursing Home Transition and Diversion (NHTD) 1915(c) waiver.

You are excluded from joining Montefiore Emerald Care FIDA Plan if:

  • You are a resident of a New York State Office of Mental Health (OMH) facility or a psychiatric facility;
  • You are receiving services from the State Office for People with Developmental Disabilities (OPWDD) system – whether receiving services in an OPWDD facility or treatment center, receiving services through an OPWDD Waiver, whether you could be receiving services in an ICF/IID but you have chosen not to, or otherwise;
  • You are expected to be Medicaid eligible for less than six months;
  • You are eligible for Medicaid benefits only for tuberculosis related services, breast cancer services, or cervical cancer services;
  • You are receiving hospice services (at time of enrollment);
  • You are eligible for the family planning expansion program;
  • You are a resident of an alcohol/substance abuse long-term residential treatment program;
  • You are eligible for Emergency Medicaid;
  • You are enrolled in the 1915(c) waiver program for Traumatic Brain Injury (TBI);
  • You participate in and reside in an Assisted Living Program; or
  • You are in the Foster Family Care Demonstration.
This web page was last updated on Oct 31, 2014

H9795_MKT15_03 Pending