Medicaid Rates and Figures - Genser Cona Elder Law

Medicaid Rates and Figures

2020 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 (Nassau/Suffolk)$13,407
New York City (5 Boroughs)$12,844
Central (Syracuse, Broome, Cayuga, Oswego, etc.)$10,451
Northeastern (Albany, Rensselaer, Saratoga, Schenectady, etc)$11,295
Northern Metropolitan (Westchester, Dutchess, Orange, Rockland, etc.)$12,805
Rochester (Monroe, Ontario, Seneca, etc.)$12,460
Western (Buffalo, Erie, Niagra, Genesee, etc.)$10,720

2020 Medicaid Resource & Allowances

The New York State Department of Health has issued resource and income allowances for the year 2020. All figures are effective as of January 1, 2020.

Institutional/Nursing Home Care 
Applicant Resource Allowance$15,750
Community Spouse Resource Allowance$128,640 (maximum)
  
Applicant Income Allowance$50
Community Spouse Income Allowance$3,216
  
Community Based Care (Home Care, etc.) 
Applicant Resource Allowance$15,750
Community Spouse Resource Allowance$23,100
  
Applicant Income Allowance$875
Community Spouse Income Allowance$1,284

2020 Government Benefit Increases

As federal benefits increase this year, our Elder Law and Estate Planning attorneys are on hand to help you navigate these government programs, eligibility requirements and planning opportunities. Contact us at 631.390.5000.

Social Security Benefits

1.6% increase

2020 Veteran’s Benefits

Aid and Attendance Pension Benefit:

  • Single Veteran: $1,912
  • Married Veteran: $2,266
  • Surviving Spouse: $1,230

2020 Medicare Benefits

  • Hospital Deductible: $1,408
  • Co-insurance (days 61-90): $341/day (2019)
  • Skilled Nursing Facility Co-insurance (days 21-100*): $176/day
    *if medically eligible

Medicaid Benefits

Institutional Benefits:

  • Resource Allowance: $15,750
  • Income Allowance: $50
  • Community Spouse Resource Allowance: $128,640
  • Community Spouse Income Allowance: $3,216
  • Home Equity Limit: $878,000 

Community/Home Care Benefits

  • Resource Allowance: $15,750
  • Income Allowance: $875
  • Community Spouse Resource Allowance: $23,100
  • Community Spouse Income Allowance: $1,284

Estate and Gift Taxes

  • Federal Estate Tax Exemption: $11,580,000 
  • New York State Estate Tax Exemption: $5,740,000
  • Annual Gift Tax Exclusion: $15,000 (per year/per beneficiary)