Medicaid Eligibility

The New York State Budget that was passed makes dramatic changes in the eligibility rules for Medicaid Home Care, which makes it more in line with rules for Medicaid nursing home care. This includes a "look back" and a penalty period imposed for any transfers of assets.

When the new "look back" is implemented, gifts or uncompensated transfers made on or after October 1, 2020 will result in a "penalty period" of ineligibility for benefits.

Medicaid Resource (Asset) Levels
Medicaid Recipient - one person (Community and Nursing Home)
$32,396
Medicaid Recipient - household of two persons (Community and Nursing Home)
$43,781
Maximum Federal Community Spouse Resource Allowance (CSRA)
$154,140
Minimum NYS CSRA
$74,820
SSI Resource Level for an individual
$2,000
SSI Resource Level for a couple
$3,000
Home Equity excluded as a Medicaid resource
$1,071,000
Medicaid Income Levels
One recipient (Community)
$1,800
Household of two recipients (Community)
$2,433
Community Spouse Minimum Monthly Maintenance Needs Allowance (MMMNA) (Nursing Home)
$3,853.50