This Fact Sheet (updated 01/2023 with 2023 figures) is intended for New Yorkers who are age 65+ or who have disabilities, or their family members and caregivers. It explains the basic financial rules on eligibility for Medicaid in the community for this category of people, and explains how to apply for Medicaid if you are seeking home care.
Community Medicaid includes all hospital and doctors' care, and the various home care programs. The rules for eligibility for Medicaid to pay for nursing home care are different, such as the rules on transfer of assets. These are explained very briefly here but more extensively in these articles.
This fact sheet explains how to calculate the "spend down" if you have excess income above the Medicaid income limits. See this article for tips on special strategies to reduce or eliminate the spend-down.
The reason this Fact Sheet is only for people who are Disabled, Aged 65+ and Blind ("DAB")(a/k/a "SSI-related) is that the rules are very different for people under age 65 who are not disabled.
HEADS UP - Thanks to Gov. Hochul and the NYS Legislature, big increases in the Medicaid income and asset limits are coming in 2023 - amounts in updated Fact Sheet.
WEBINARS on Medicaid Eligibility and 2023 Changes
Meanwhile the current rules in 2023:
This article was authored by the Evelyn Frank Legal Resources Program of New York Legal Assistance Group.