Medicaid Rates & Figures (2025)

Resources & Allowances

The New York State Department of Health has issued resource and income allowances for the year 2025. All figures are effective as of January 1, 2025.

Institutional/
Nursing Home Care

Applicant Resource Allowance
$32,396
$32,396
Community Spouse* Resource Allowance (min)
$74,820
$74,820
Community Spouse* Resource Allowance (max)
$157,920
$157,920
Applicant Income Allowance (monthly)
$50
$50
Community Spouse Income Allowance (monthly)
$3,948
$3,948

Community-Based Care
(Home Care, etc.)

Applicant Resource Allowance
$32,396
$32,396
Community Spouse* Resource Allowance (min)
$74,820
$74,820
Community Spouse* Resource Allowance (max)
$157,920
$157,920
Applicant Income Allowance (monthly)
$1,800
$1,800
Community Spouse Income Allowance (monthly)
$3,948
$3,948

*With a properly executed Spousal Refusal, a Community Spouse can typically retain assets in excess of these limits.

Medicaid Regional Rates (2025)

The following figures represent the Department of Health's assessment as to the average cost of nursing home care in each region. These figures are used to calculate Medicaid penalty periods for gifts and asset transfers.

Long Island
$14,914

 (Nassau/Suffolk)

$14,914
New York City
$14,582

(5 Boroughs)

$14,582
Central
$13,042

(Syracuse, Broome, Cayuga, Oswego, etc.)

$13,042
Northeastern
$13,916

(Albany, Rensselaer, Saratoga, Schenectady, etc.)

$13,916
Northern Metropolitan
$14,569

(Westchester, Orange, Dutchess, Rockland, Putnam, Ulster & Sullivan)

$14,569
Rochester
$15,127

(Monroe, Ontario, Seneca, etc.)

$15,127
Western
$12,842

(Buffalo, Erie, Niagara, Genesee, etc.)

$12,842

To speak with one of our experienced professionals, contact Blustein, Shapiro, Frank & Barone, LLP.

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