Legal News -> Medicaid -> New York Medicaid for SSI-Related Persons - 2004

A Medicaid applicant who is aged (65 or older), blind or disabled is an SSI-related person.   This does not mean the person is receiving SSI.   New York's Medicaid program covers   SSI-related persons with too much income and/or resources to receive SSI if medical expenses will impoverish them

Resource Allowance:

One Person Household $3,950
Two Person Household $5,700
   
Community Spouse $74,820
*or spousal share up to $92,760
*or higher adjusted allowance after Fair Hearing or Family Court Order  

 

Medicaid exempts certain resources such as the homestead; a car; a $1,500 burial fund (per person)   and an irrevocable burial trust for exempt items & services.

Monthly Income Allowance:

One Person Household $659
For Person 65 or over $679
   
Two Person Household Income Allowance $950
With one or both 65 or over $970
   
Institutionalized Person $50
   
Community Spouse MMNA $2319
*or higher adjusted allowance  
   
Allowance for Other Family Members $521
Source: 04 OMM/ADM 2 (March 26, 2004)

 

Transfers:

You must report transfers made up to 36 months before the Medicaid application. (36 month look-back period).                                                    

2004 Regional Rates determine the period of restricted Medicaid coverage for applications made this year, after a transfer of your assets for less than fair market value, done for the purpose of qualifying for Medicaid.   Medicaid divides the amount transferred by the regional rate to calculate the number of months Medicaid will not cover nursing home care.   The restricted coverage begins the month after the transfer is made.   The 2004 rates are:

Western (Buffalo) $5,854 / month Northeast $6,254 / month
Central $5,842 / month NYC $8,695 / month
North'n Metro $7,902 / month Nassau/Suffolk $9,296 / month
Rochester $6,672 / month    
Source: 04 OMM/ADM 3 (March 30, 2004)

 

 

Legal Services for the Elderly, Disabled or Disadvantaged of WNY, Inc.
237 Main Street, Buffalo, NY 14203, Telephone (716)853-3087
Last Updated : January 2012