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 rate in order to calculate the penalty period. The regional rates for 2015 are found in GIS 15 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 facility is located.
The 2015 regional rates are:
CENTRAL: $8,768
Broome, Cayuga, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Tioga and Tompkins counties.
NORTHEASTERN: $9,414
Albany, Clinton, Columbia, Delaware, Essex, Franklin, Fulton, Greene, Hamilton, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington counties.
WESTERN: $9,422
Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans and Wyoming counties.
NORTHEASTERN METROPOLITAN:$11,455
Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster and Westchester counties.
NEW YORK CITY: $11,843
Bronx, Kings (Brooklyn), New York (Manhattan), Queens and Richmond (Staten Island).
LONG ISLAND: $12,390
Nassau and Suffolk counties.
ROCHESTER: $10,660
Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne and Yates counties.
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