People or organizations that help complete Medicaid applications and answer questions about public health insurance programs.

A formal procedure provided by the Office of Administrative Hearings, upon request of a recipient, to determine whether a decision to deny, terminate or reduce services by a local district was correct.

A type of health insurance where doctors and other health care providers receive a fee for each service they perform such as tests or office visits.

Family Health Plus - A comprehensive New York State health insurance program for low-income adults ages 19 – 64 who have income above the current Medicaid levels, and who do not have other health insurance coverage.  See Family Health Plus website.

Federal Poverty Level.  This is a commonly-used income benchmark used to calculate income eligibility limits for various Federal and State public benefit programs.  The FPL is calculated and published by the U.S. Department of Health and Human Services each year.  In New York, most Medicaid categories are not based upon the FPL.  However, eligibility for many programs is based upon FPL, including the Medicare Savings Programs, Family Health Plus, Child Health Plus, Family Planning Benefit Program, and the Medicaid Buy-In for Working People with Disabilities.  FPL is also used as part of determining eligibility for SNAP (aka Food Stamps).  After the official FPL is determined by the Federal government, New York State must adopt them separately for use in the various State-administered programs.  Updated State program income limits can be found on the Department of Health website.