Medicaid Desk Reference
2009 Medicaid Desk Reference
Resources:
Resource Allowance for an Individual
$13,800
Resource Allowance for a Couple
$20,100
Some of the General Resource Disregards
Homestead up to $750,000 in equity (although there is the potential for an Estate Recovery against the value of the home), Retirement Accounts in pay status, Personal Property, $1,500 Burial Allowance (by bank account or life insurance), Burial Space, Pre-Paid Burial and Funeral under an Irrevocable Contract
Services Provided and Budgeting:
Community Based Home Care Program
Care in home (or the community), based upon a person's medical and custodial needs. Includes but is not limited to medically necessary care not covered by Medicare, and aides for custdial care.
Look Back Period, but no Transfer Penalty Rule
Income Allowance for an Individual: $767 + $20 if recipient is over age 65
Income Allowance for a Couple: $1,117 + $20 if recipients are over age 65
No guaranteed level of assets or income to be retained by spouse not on Medicaid.
Spousal Refusal Required.
Nursing Home Care
All levels of custodial and skilled care in a nursing facility.
Income Allowance for an Individual, the "Monthly Personal Needs Allowance": $50.
Spousal Monthly Minimum Maintenance Needs Allowance ("MMMNA"): $2,739
Minimum Community Spouse Resource Allowance ("CSRA"): $74,820
Maximum Community Spouse Resource Allowance ("CSRA"): $109,560
Look Back Period and Transfer Penalty Rules apply.
Local Regional Rates: Long Island $10,852 New York City $9,838
Spousal Refusal Required if Non-Applying Community Spouse Has Assets or Income over the allowable MMMNA or CSRA.
Lombardi (Nursing Homes Without Walls)
Care at home (or in the community). Designed for persons who need a higher level of care than under Community Based Home Care, but who want to remain in the community. While Lombardi recipients typically receive less hours of care at home than recipients under Community Based Home Care, there are currently better Spousal Allowances and Protection (the Allowances and Protections are under attack).
NOTE: The above is merely information and not legal advice. It is based upon New York and Federal Laws. You should contact us for any changes or updates in the law. Future changes in the law may render the above information inaccurate.
Information as of June 16, 2009