Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:
HOME EQUITY LIMIT FOR 2014:
The home equity limit for Medicaid coverage of nursing facility services is $814,000 for 2014. GIS 13 MA/022, page 3.
Note that it was $803,000 for the year 2013. GIS 13 MA/02, page 3.
For an explanation of how this rule works, see pages 13-14 of Medicaid Financial Eligibility Rules for Nursing Home Care in New York State.
Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:
RESOURCE LEVEL FOR THE MEDICAID APPLICANT FOR 2014:
The resource level for the Medicaid applicant is $14,550 for the year 2014. GIS 13 MA/022, page 2 and Attachment 2. Note that Attachment 1 lists the amount as $14,400, which was the 2013 amount; I assume this is a typo.
RESOURCE LEVEL FOR THE COMMUNITY SPOUSE FOR 2014:
For 2014, the minimum is $74,820 and the maximum is $117,240. GIS 13 MA/022, page 3 and Attachment 1.
For an explanation of how this rule works, see page 9 of Medicaid Financial Eligibility Rules for Nursing Home Care in New York State.
Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:
INCOME LEVEL FOR 2014 – 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 2014 is $809 per month. GIS 13 MA/022, page 2 and Attachment 2.
INCOME LEVEL FOR 2014 – MONTH ONE – PERSON IN A NURSING HOME WHO DOES HAVE A COMMUNITY SPOUSE
The Medically Needy Income Level for a household of one for 2014 is $809 per month. GIS 13 MA/022, page 2 and Attachment 2.
INCOME LEVEL FOR 2014 – 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 2014 if he does not have a community spouse. GIS 13 MA/022, Attachment 1.
INCOME LEVEL FOR 2014 – 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 2014 if he does have a community spouse. GIS 13 MA/022, Attachment 1.
INCOME LEVEL FOR 2014 – COMMUNITY SPOUSE
The community spouse is allowed to keep $2,931 per month of income for 2014. GIS 13 MA/022, page 3 and Attachment 1.
INCOME LEVEL FOR 2014 – LONG TERM HOME HEALTH CARE PROGRAM PARTICIPANT
The participant in a Long Term Home Health Care Program (also referred to as the “Lombardi Program” and “The Nursing Home Without Walls Program”) is allowed to keep a Personal Needs Allowance for Certain Waiver Participants Subject to Spousal Impoverishment Budgeting of $383 per month for 2014. GIS 13 MA/022, page 3.
GIS 13 MA/06 advises that GIS 12 MA/001 has the correct method for calculating the value of a life estate, but the IRS website addresses provided in GIS 12 MA/001 are incorrect. This problem has already been noted on this website.
Unfortunately, GIS 13 MA/06 also contains an incorrect web address.
GIS 13 MA/06 does note that the IRS website can be changed at any time. Thus, GIS 13 MA/06 suggests that interest rates can be found by going to the IRS website and typing the following term in the search box: “Section 7520 Interest Rates”
GIS 13 MA/06 suggests that Table S can be found by going to the IRS website and typing the following term in the search box: “Table S”
As previously noted on this website, GIS 12 MA/001 changed the method of calculating the value of a life estate. Page 40 of Medicaid Financial Eligibility Rules for Nursing Home Care in New York State describes the old rule which was changed by GIS 12 MA/001.