N.Y. Comp. Codes R. & Regs. tit. 9, § 9600.3 – Information concerning application/coverage.

(a) the eligibility requirements of the program under which he/she is applying;
(b) his/her responsibility for reporting all facts material to a proper determination of eligibility;
(c) the applicant's responsibility for securing, wherever possible, records or documents to support his/her statements concerning eligibility;
(d) the kinds of verification needed;
(e) the fact that an investigation to determine eligibility may be undertaken;
(f) the cost-sharing responsibilities of the program.

Any person shall be entitled to receive information concerning: