2018 MEDICAID REGIONAL NURSING HOME RATES – New York

The following rates are to be used for calculating penalty periods for uncompensated transfers by institutionalized individuals applying for Medicaid coverage on or after January 1, 2018:

NEW RATES

• Regional Rates January 1, 2018
• New York City $12,319
• Long Island $13,053
• Northern Metropolitan $12,428
• Northeastern $10,719
• Central $ 9,722
• Rochester $11,692
• Western $10,239

The NY State Department of Health issued these rates, used to determine penalty periods for institutionalized individuals who apply for Medicaid on or after January 1, 2018.

Note: The rates have increased in all regions. Higher rates will result in shorter waiting periods for Medicaid eligibility (nursing home care).

The following is an example of how to use these rates: if a NYC applicant gifted $123,190 in January 2018, he or she will be ineligible for Medicaid nursing home benefits for 10 months ($123,190/$12,319).

Note: The penalty period will not commence until the applicant is in a nursing home, has assets of no more than the allowable resource limit (plus other exempt assets) and has applied for Medicaid nursing home benefits.

Note: Medicaid districts will use the rate for the region in which the facility is located.

For more information on Medicaid, Elder Law, Trusts and Estates, and Special Needs in New York State visit Ronald Fatoullah under Elder Law Attorneys in the Wellness Village. Member since December 15, 2011.