WNY Legal Services for the Elderly - Legal News -> Medicaid -> New York Medicaid for SSI-Related Persons

Legal News -> Medicaid -> New York Medicaid for SSI-Related Persons - 2006

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		$4,150
Two Person Household		$5,400
Community Spouse		$74,820
	* or spousal share up to	$99,540
	* or higher adjusted allowance after Fair Hearing or Family Court Order

Source: GIS 05 MA/045 (November 29, 2005)

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		$692
	For Person 65 or over	$712
Two Person Household Income Allowance		$900
	With one or both 65 or over	$920
Institutionalized Person		$50
Community Spouse MMMNA		$2,489
	* or higher adjusted allowance
Allowance for Other Family Members		$557 (est)

Source: GIS 05 MA/045 (November 29, 2005)

TRANSFERS - You must report transfers made up to 36 months before the Medicaid application. (36 month look-back period). This may change if the Deficit Reduction Act passes.

2006 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 2006 rates are:

Western (Buffalo) $6,540/mo Rochester $7,375/mo Nassau/Suffolk $9,842/mo

Central $6,232/mo Northeast $6,872 mo

North'n Metro $8,724/mo NYC $9,132/mo

Source: GIS 06 MA/001 (January 5, 2006)