January 2013 – Nancy E Kline

Income Levels for 2013

Income Comments Off

Jan 282013

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

INCOME LEVEL FOR 2013 – 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 2013 is $800 per month. GIS 13 MA/02, at 2.

INCOME LEVEL FOR 2013 – MONTH ONE – PERSON IN A NURSING HOME WHO DOES HAVE A COMMUNITY SPOUSE
The Medically Needy Income Level for a household of one for 2013 is $800 per month. GIS 13 MA/02, at 2.

INCOME LEVEL FOR 2013 – 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 2013 if he does not have a community spouse. GIS 13 MA/02, Attachment I.

INCOME LEVEL FOR 2013 – 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 2013 if he does have a community spouse. GIS 13 MA/02, Attachment I.

INCOME LEVEL FOR 2013 – COMMUNITY SPOUSE
The community spouse is allowed to keep $2,898 per month of income during 2013. GIS 13 MA/02, Attachment I.

Resource Levels for 2013

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Jan 282013

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

RESOURCE LEVEL FOR THE MEDICAID APPLICANT FOR 2013:
The resource level for the Medicaid applicant is $14,400 for the year 2013. GIS 13 MA/02, Attachment I.

COMMUNITY SPOUSE RESOURCE ALLOWANCE FOR 2013:
For 2013, the minimum is $74,820 and the maximum is $115,920. The community spouse may keep $74,820 or the amount of the spousal share, up to $115,920, whichever is greater. The “spousal share” is the amount equal to one-half of the total value of the couple’s countable resources as of the beginning of the most recent continuous period of institutionalization of the institutionalized spouse. GIS 03 MA/02, Attachment I.

Regional Rates for 2013

Transfer of Assets (Gifting) Comments Off

Jan 072013

Page 54 of Medicaid Financial Eligibility Rules for Nursing Home Care in New York State describes how to calculate a penalty period when someone has made a gift. You need to know the regional rates in order to calculate the penalty period. The regional rates for 2013 are found in GIS 13 MA/01. The GIS tells you which counties are in which region. It reminds you to use the rate for the region in which the nursing home is located. The GIS may be found at the New York State Department of Health website: health.ny.gov

The 2013 rates by region are as follows:
Central: $8,432
Northeastern: $8,950
Western: $8,682
Northern Metropolitan: $10,737
New York City: $11,350
Long Island: $12,034
Rochester: $9,782

New Life Expectancy Table

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Jan 042013

There is a new life expectancy table to use when determining if an annuity, promissory note, loan or mortgage is actuarially sound. GIS 12 MA/025 states that the life expectancy table in its attachment is to be used in place of the life expectancy table at 06 OMM/ADM-5.