Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:
RESOURCE LEVEL FOR THE MEDICAID APPLICANT FOR 2025:
The resource level for the Medicaid applicant remains at $31,175 for now. GIS 25 MA/01 and its Attachment.
RESOURCE LEVEL FOR THE COMMUNITY SPOUSE FOR 2025:
The minimum resource level for the community spouse is $74,820 and the maximum is $157,920. GIS 25 MA/01 and its Attachment. For an explanation of how this rule works, see page 9 of Medicaid Financial Eligibility Rules for Nursing Home Care in New York State.
CHANGE IS COMING: GIS 25 MA/01 is dated 01/08/2025. It advises that the Medically Needy resource level is based on a percentage of the Medically Needy income level, and the Medically Needy income level is based on a percentage of the Federal Poverty Level. When the 2025 Federal Poverty Level is announced, the Medically Needy resource level will be updated.
Posted 01/09/2025
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