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 prior to October 1, 2020.
Income Allowance for an Individual: $875 + $20 if recipient is over age 65.
Income Allowance for a Couple: $1,284 + $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”): $3,216.00.
Minimum Community Spouse Resource Allowance (“CSRA”): $74,820.
Maximum Community Spouse Resource Allowance (“CSRA”): $128,640.
Look Back Period and Transfer Penalty Rules apply.
Spousal Refusal Required if Non-Applying Community Spouse Has Assets or Income over the allowable MMMNA or CSRA.
2020 Local Regional Rates:
Long Island $13,407. New York City $12,884.
Nursing Home Transition Diversion Waiver
Designed for persons who need a higher level of care at home than under Community Based Home Care.
Assisted Living Program
Only in participating Facilities that participate in the program.
Applies to the assets of a deceased Medicaid Recipient over age 55, as to assets subject to Court intervention. Applies to the assets in a Payback Supplemental Needs Trust of a deceased Medicaid Recipient of any age.
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 September 3, 2020.