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Medicaid Rates & Figures (2021)

Resources & Allowances

The New York State Department of Health has issued resource and income allowances for the year 2021. All figures are effective as of January 1, 2021.

Institutional/
Nursing Home Care

Applicant Resource Allowance
$15,900
$15,900
Community Spouse* Resource Allowance (min)
$74,820
$74,820
Community Spouse* Resource Allowance (max)
$130,380
$130,380
Applicant Income Allowance (monthly)
$50
$50
Community Spouse Income Allowance (monthly)
$3,259.50
$3,259.50

Community-Based Care
(Home Care, etc.)

Applicant Resource Allowance
$15,900
$15,900
Community Spouse* Resource Allowance (min)
$74,820
$74,820
Community Spouse* Resource Allowance (max)
$130,380
$130,380
Applicant Income Allowance (monthly)
$884
$884
Community Spouse Income Allowance (monthly)
$3,259.50
$3,259.50

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

Medicaid Regional Rates

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
$13,834

 (Nassau/Suffolk)

$13,834
New York City
$13,037

(5 Boroughs)

$13,037
Central
$10,857

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

$10,857
Northeastern
$11,689

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

$11,689
Northern Metropolitan
$13,206

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

$13,206
Rochester
$13,020

(Monroe, Ontario, Seneca, etc.)

$13,020
Western
$11,054

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

$11,054

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

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Medicaid Planning Team