Medicaid Rates and Figures - Genser Cona Elder Law

Medicaid Rates and Figures

2018 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)$13,053
New York City (5 Boroughs)$12,319
Central (Syracuse, Broome, Cayuga, Oswego, etc.)$9,722
Northeastern (Albany, Rensselaer, Saratoga, Schenectady, etc)$10,719
Northern Metropolitan (Westchester, Dutchess, Orange, Rockland, etc.)$12,428
Rochester (Monroe, Ontario, Seneca, etc.)$11,692
Western (Buffalo, Erie, Niagra, Genesee, etc.)$10,239

2018 Medicaid Resource & Allowances

The New York State Department of Health has issued resource and income allowances for the year 2018. All figures are effective as of January 1, 2018.

Institutional/Nursing Home Care 
Applicant Resource Allowance$15,150
Community Spouse Resource Allowance$123,600 (maximum)
  
Applicant Income Allowance$50
Community Spouse Income Allowance$3,090
  
Community Based Care (Home Care, etc.) 
Applicant Resource Allowance$15,150
Community Spouse Resource Allowance$22,200
  
Applicant Income Allowance$842
Community Spouse Income Allowance$1,233

2018 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

2% increase

2018 Veteran’s Benefits

Aid and Attendance Pension Benefit:

  • Single Veteran: $1,830
  • Married Veteran: $2,169
  • Surviving Spouse: $1,176

Medicare Benefits

  • Hospital Deductible: $1,340
  • Co-insurance (days 61-90): $335/day
  • Skilled Nursing Facility Co-insurance (days 21-100*): $167.50/day
    *if medically eligible

Medicaid Benefits

Institutional Benefits:

  • Resource Allowance: $15,150
  • Income Allowance: $50
  • Community Spouse Resource Allowance: $123,600
  • Community Spouse Income Allowance: $3,090
  • Home Equity Limit: $858,000

Community/Home Care Benefits

  • Resource Allowance: $15,150
  • Income Allowance: $842
  • Community Spouse Resource Allowance: $22,200
  • Community Spouse Income Allowance: $1,233

Estate and Gift Taxes

  • Federal Unified Credit (tax exemption): $11,200,000 (indexed for inflation) **Subject to determination by the Tax Cuts and Jobs Act 2017.
  • Annual Gift Tax Exclusion: $15,000 (per year/per beneficiary)