2012 Medicaid Regional Rates for Calculating Transfer Penalty Periods
Long Island: $11,849
(Nassau, Suffolk)
New York City: $10,957
(Bronx, Brooklyn, Manhattan, Queens, Staten Island)
Northern Metropolitan: $10,335
(Duchess, Orange, Putnam, Rockland, Sullivan, Ulster, Westchester)
Rochester: $9,363
(Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne, Yates)
Northeastern / Albany: $8,540
(Albany, Clinton, Columbia, Delaware, Essex, Franklin, Fulton, Greene, Hamilton, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington)
Western / Buffalo: $8,337
(Alleghany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, Wyoming)
Central / Syracuse: $8,015
(Broome, Cayuga, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Tioga, Tompkins)
The Medicaid Regional Rates are based on average nursing home costs in each of the seven regions in New York State. When one gives money or property away, that individual and their spouse will be ineligible for institutional (nursing home) Medicaid for a certain number of months, known as the “penalty period”. A penalty period will be imposed on any gifts or transfers of assets within the previous five years (ie. 5 year lookback period). Medicaid will calculate the period of ineligibility by dividing the dollar value of the transfer by the Medicaid regional rate for the region in which the facility is located.
Other 2012 Medicaid & Medicare Updates: Due to a 3.6% cost of living adjustment (COLA) for SSA payments effective January 1, 2012, several figures used in determining Medicaid eligibility have be updated. With an increase to the SSI benefit levels, the medically needy income and resource levels will be adjusted accordingly. In addition, an increase in the Consumer Price Index (CPI) requires an adjustment to the Medicaid Income Standards used for Singles/Childless Couples and Low Income Families.
For More Information - Download the 2012 NY MEDICAID INCOME & RESOURCE LEVELS
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