Medicaid Rate Levels

NYS Income and Resource Standards 2018 Levels:

Household Size:                                   Income Level                                            Resources

One:                                     ($10,344  yearly)     ($842 monthly plus $20 disregard)      $ 15,150

Two:                                    ($14,796 yearly)      ($1,233  monthly)                                      $ 22,200

Three:                                 ($17,016 yearly)       ($1,418 monthly)                                        $ 25,014

Four:                                   ($19,236 yearly)      ($1,603 monthly)                                       $ 28,275

  • The SSI resource level is $2,000 for individuals and $3,000 for couples.
  • The State supplement is $87 for an individual and $104 for a couple living alone.
  • The Maximum federal Community Spouse Resource Allowance is $123,600.
  • The Minimum State Community Spouse Resource Allowance is $74,820.
  • The community spouse Minimum Monthly Maintenance Needs Allowance (MMMNA) is $3,090.00.
  • The home equity limit for both Medicaid coverage of nursing facility and community-based long term is $840,000

Monthly Regional Nursing Home Rates

  • NEW YORK CITY                                   $ 12,319     (All 5 boroughs)
  • LONG ISLAND                                       $ 13,053      (Nassau, Suffolk)
  • NORTHEASTERN                                 $ 10,719      (Albany, Clinton, Columbia, Delaware, Essex, Franklin, Fulton, Greene,     Hamilton, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington)
  • NORTHERN METROPOLITAN            $  12,428     (Duchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester)
  • WESTERN                                              $  10,239     (Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming)
  • ROCHESTER                                         $ 11,692     (Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne, Yates)
  • CENTRAL                                               $   9,722     (Broome, Cayuga, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Tioga, Tompkins)