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2019 Medicaid Desk Reference


Resources:
Resource Allowance for an Individual:   $15,450.Resource Allowance for a Couple:  $22,800.Some of the General Resource Disregards: Homestead up to $878,000 in equity (2019 rate) 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:  The Medicaid Program offers many programs; the following is a sampling of the Programs.

Community Based Home Care Program
Care in the community (i.e., your home), 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 custodial care.

No Look Back Period or Transfer Penalty Rule.

Income Allowance for an Individual*: $859 + $20 if recipient is over age 65.

Income Allowance for a Couple: $1,267 + $20 if recipients are over age 65.

*No guaranteed level of assets or income to be retained by spouse not on Medicaid, unless Spousal Impoverishment Rules apply.

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”): $3,160.50.

Minimum Community Spouse Resource Allowance (“CSRA”): $74,820.

Maximum Community Spouse Resource Allowance (“CSRA”): $126,420.

Look Back Period and Transfer Penalty Rules apply.

2019 Local Regional Rates:
Long Island $13,407. New York City $12,419.

Spousal Refusal Required if Non-Applying Community Spouse Has Assets or Income over the allowable MMMNA or CSRA.

Lombardi (Nursing Homes Without Walls) OR Nursing Home Transition Diversion Waiver

Designed for persons who need a higher level of care at home than under Community Based Home Care.  Three Month Look Back Period, but no Transfer Penalty Rule. Same income budgeting as for Community Based Care.

Assisted Living Program
Only in participating Facilities that participate in the program. Three Month Look Back, no Transfer Penalty Rule.

PLEASE CONTACT US FOR MORE INFORMATION.

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 April 10, 2019.