Medicaid Financial Eligibility Rules for Nursing Home Care in New York State should be updated as follows:
RESOURCE LEVEL FOR THE MEDICAID APPLICANT FOR 2026:
The resource level for the Medicaid applicant remains at $32,396 for now. GIS 26 MA/03 and its Attachment. In the first Non-MAGI Population page of the Attachment, look for Resources for a Household Size of one in the chart at the top. Also look for the Institutionalized Spouse’s resources in the Spousal Impoverishment chart on the same page. In the second Non-MAGI Population page of the Attachment, look for the SSI-Related amount for Resources.
RESOURCE LEVEL FOR THE COMMUNITY SPOUSE FOR 2026:
The minimum resource level for the community spouse is $74,820 and the maximum is $162,660. GIS 26 MA/03 and its Attachment. In the first Non-MAGI Population page of the Attachment, look for the Community Spouse resources in the Spousal Impoverishment chart. 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 26 MA/03 is dated 01/23/2026. 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 2026 Federal Poverty Level is published in the Federal Register, the Medically Needy resource level will be updated.
Posted 01/24/2026
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