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In 2024, a single Nursing Home Medicaid applicant must meet the following criteria: 1) Income under $1,732 / month 2) Assets under $30,182 3) Require a Nursing Home Level of Care. The following table provides a quick reference to allow seniors to determine if they might be immediately eligible for long-term care from a New York Medicaid program.
Section 503 of Public Law 94-566, referred to as the Pickle Amendment, protects Medicaid eligibility for all recipients of Retirement Survivors and Disability Insurance (RSDI) who were previously eligible for SSI benefits concurrently.
How do I know if my income and resources qualify me for Medicaid? The chart below shows how much income you can receive annually and still qualify for Medicaid.* The income levels are based on how many family members live with you.
2023 Income Levels for Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans. This chart is effective starting November 16, 2023 during Open Enrollment for QHP determinations for QHP coverage starting in 2024.
Income Requirements: 538. 597. 619. 673. Medicaid Adults: Up to 138% FPL Children Age 1 through 18: Up to 154% FPL 19 - 20 Year-Old Living with Parent: Up to 155% FPL Pregnant Women and Children under Age 1: Up to 223% FPL. 691.
For new Medicaid applications submitted between January 1, 2024, seeking community Medicaid benefits, an individual is allowed to keep non-exempt resources of $31,175 (up from $30,182 in 2023) and income of $1,732 plus a $20 unearned income credit (up from $1,677 plus a $20 unearned income credit in 2023).
Yearly Household Income Effective January 2024; subject to annual income updates. Source: 2024 NYS Income and Resources Standards and Federal Poverty Levels (FPL)
For 2024, the Medicaid non-MAGI limit is higher than the Congregate Care Level III limit, so the higher limit is used as the Medicaid limit for ALP residents. See GIS 24 MA/01 . Their income exceeding that limit is " excess income " or a spenddown.
New York's Medicaid program provides comprehensive health coverage to more than 7.5 million New Yorkers (as of December 2023.) Medicaid pays for a wide-range of services, depending on your age, financial circumstances, family situation, or living arrangements. These services are provided through a large network of health care providers that you ...
Income-based (MAGI) Medicaid in New York is available to the following populations (including a built-in 5% income disregard that’s used for income-based eligibility determinations): 1 Adults under age 65 with household income up to 138% of the poverty level.