Nursing Home Medicaid Eligibility

Income and Resource Limits for New York State Public Health Insurance Programs

INTRODUCTION AND NEWS ALERTS Feb. 13, 2026 UPDATE - NYS DOH announced the 2026 limits are in effect for Medicaid GIS 26 MA/05 - 2026 Federal Poverty Levels (PDF) GIS 26 MA/05 - 2026 Federal Poverty Levels Chart Since Jan. 1, 2023, the income limit for the Aged, Blind and...

Nursing Home Medicaid Coverage - Basic Financial Eligibility Rules about Income, Resources, and Spousal Protections

Medicaid rules are different for people living in the "community" than people living in institutions. For this article, the word "institution" means nursing home care. If you live in your home, someone else's home, or an Assisted Living Program, you are considered to live in the "community." ...

Transfer of Asset Rules in Medicaid -- The Deficit Reduction Act of 2005

The Deficit Reduction Act of 2005 (DRA, enacted in 2006, made major changes to the transfer penalty rules for eligibility for Medicaid to pay for nursing home care. At the time, and until now, nursing home care was the only Medicaid service that had a lookback and transfer penalty.See GIS 06...

Special Income Standard for Housing Expenses: If Discharged from Nursing Homes or Adult Homes & Enroll in or Remain Enrolled in MLTC Plan

A huge barrier to people returning to the community from nursing homes is the high cost of housing. One way New York State is trying to address that barrier is with the Special Housing Disregard that allows certain members of Managed Long Term Care or FIDA plans to keep more of their income to pay...

2026 UPDATE: Elimination of Requirement to Apply for Social Security and Maximize Other Benefits for Medicaid & MSP

As of December 23, 2025, Medicaid and Medicare Savings Program (MSP) applicants and recipients are no longer required to pursue potentially available income, including Social Security and IRA distributions, as a condition of receiving Medicaid and MSP. This is from an amendment to federal Medicaid...

Maintaining Community Medicaid Budgeting and SSI Benefits During Temporary Nursing Home Stays

Many Medicaid recipients are admitted to nursing homes but plan to return to their homes in their community. Financially, they need to maintain income so that they can continue to pay rent, utility, and other living expenses to preserve their apartment or home for their return. However, both...

How to use funeral planning to become eligible for Medicaid (updated fact sheet - 2015)

Download Fact Sheet on Pre-Paid Funeral Planning as Method to Qualify for Medicaid in New York State BACKGROUND: One common reason why people are ineligible for Medicaid or SSI is if their assets are over the resource limit. Rather than give money away to make yourself eligible, which can cause...

Holocaust or Nazi Victim Reparations -- Effect on Medicaid, SSI and other Federally Funded and New York State Benefits

Under a 1994 federal law, (h.r. 1873 or public law 103-286), known as the Victims of Nazi Persecution Act of 1994, Holocaust compensation payments made to individuals based on their status as victims of Nazi persecution are excluded from being counted as income and resources in determining both...

Medicaid Alerts & Other Protocols published by the NYC HRA Medicaid Program

HRA Medicaid Alerts are periodic announcements of policy, staff and office changes published by the HRA Medicaid Progarm (MAP) (formerly called the "Medical Insurance and Community Services Administration (MICSA)". The Medicaid Program is the part of New York City’s Human Resource Administration...