December 2021

Regional Rates for 2022

Transfer of Assets (Gifting) /

The 2022 regional rates for calculating Medicaid penalty periods are found in GIS 21 MA/26, which is dated 12/30/2021. They are:

CENTRAL: $11,328
Broome, Cayuga, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Tioga and Tompkins.

NORTHEASTERN: $12,560
Albany, Clinton, Columbia, Delaware, Essex, Franklin, Fulton, Greene, Hamilton, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington.

WESTERN: $11,884
Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming.

NORTH METROPOLITAN: $13,399
Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester.

NEW YORK CITY: $13,415
Bronx, Kings (Brooklyn), New York (Manhattan), Queens and Richmond (Staten Island).

LONG ISLAND: $14,012
Nassau and Suffolk.

ROCHESTER: $13,376
Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne and Yates.

Posted 12/31/2021

Income Levels for 2022

Income /

Medicaid income levels for the year 2022 are shown in GIS 21 MA/25, which is dated 12/28/21, and its Attachment I.

Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:

INCOME LEVEL FOR 2022 – MONTH ONE – PERSON IN A NURSING HOME WHO DOES NOT HAVE A COMMUNITY SPOUSE
The Medically Needy Income Level for a household of one for 2022 is $934 per month. GIS 21 MA/25 and its Attachment I.

INCOME LEVEL FOR 2022 – MONTH ONE – PERSON IN A NURSING HOME WHO DOES HAVE A COMMUNITY SPOUSE
The Medically Needy Income Level for a household of one for 2022 is $934 per month. GIS 21 MA/25 and its Attachment I.

INCOME LEVEL FOR 2022 – AFTER MONTH ONE – PERSON IN A NURSING HOME WHO DOES NOT HAVE A COMMUNITY SPOUSE
The person in the nursing home is allowed to keep a Personal Needs Allowance of $50 per month for 2022 if they do not have a community spouse. GIS 21 MA/25, Attachment I.

INCOME LEVEL FOR 2022 – AFTER MONTH ONE – PERSON IN A NURSING HOME WHO DOES HAVE A COMMUNITY SPOUSE
The person in the nursing home is allowed to keep a Personal Needs Allowance of $50 per month for 2022 if they have a community spouse. GIS 21 MA/25, Attachment I.

INCOME LEVEL FOR 2022 – COMMUNITY SPOUSE
The community spouse is allowed to keep a Minimum Monthly Maintenance Needs Allowance of $3,435 per month for 2022. GIS 21 MA/25 and its Attachment I.

Posted 12/29/2021

Resource Levels for 2022

Resources /

Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:

RESOURCE LEVEL FOR THE MEDICAID APPLICANT FOR 2022:
The resource level for the Medicaid applicant is $16,800. GIS 21 MA/25 and its Attachment I.

RESOURCE LEVEL FOR THE COMMUNITY SPOUSE FOR 2022:
The minimum resource level for the community spouse is $74,820 and the maximum is $137,400. GIS 21 MA/25 and its Attachment I. For an explanation of how this rule works, see page 9 of Medicaid Financial Eligibilty Rules for Nursing Home Care in New York State.

Posted 12/29/2021

New Medicaid Application Form

Finding Documents & Information Online /

GIS 21 MA/22, dated 12/15/2021, advises that the Medicaid application form has been revised.

The new form, DOH-4220 (8/21) is attached to the GIS.  The new form also may be found by going to the New York State Department of Health website at: www.health.ny.gov

Click on Individuals/Families

Health Topics A-Z

M

Medicaid

Scroll down past What do I need to apply for Medicaid?

Under DOH-4220, click on the appropriate language

The old form had 4 photos on the front and was dated 3/15.  It was called, \”Access NY Health Care Health Insurance Application for Children, Adults and Families.\”

The new form has 3 photos on the front and is dated 8/21.  It is called, \”Access NY Health Care Health Insurance for Older Adults, People With Disabilities and Certain Other Populations Application.\”

Posted 12/19/2021

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