Who in New York Is Eligible for Community Medicaid?

Generally speaking, New Yorkers who need long-term care services and fulfill certain income and asset restrictions might be eligible for community Medicaid. They may also transfer assets to a trust or another person to qualify for the program. They will be allowed Community Medicaid benefits the month after the transfer once they have satisfied these conditions. A person may utilize a trust for preserving their income if their assets surpass the income thresholds.

On April 1, 2021, the revised guidelines for Community Medicaid eligibility in New York were expected to go into effect. Clients will have time to plan for these changes and implement any necessary measures, which may improve their chances of being approved for benefits. Even though the modifications are anticipated to impact many New Yorkers significantly, they are expected to benefit from the program. As long as the new regulations are followed precisely, community Medicaid will continue to be accessible to more individuals than previously.

Applicants for Community Medicaid must be disabled and 65 years of age or older. Additionally, they must have a verified need for the services. Further, they must be capable of at least two fundamental everyday tasks (ADLs). Additionally, candidates must be financially qualified. The government will assess their income and assets to establish whether they can afford to pay for services.

Those with less money should profit from the scheme. Medicaid is a means-tested program as a result. It is aimed at persons with low incomes and little wealth. People with impairments might also get additional Social Security payments. Residential care and community Medicaid are the two components of the scheme. Community Medicaid covers nursing homes and assisted living institutions. The majority of Medicaid-eligible New Yorkers get their treatment in these institutions.

Assisted living, adult day care, home health care, and personal care assistance are all options for those who meet the requirements for Community Medicaid in New York. The earlier of thirty months (2.5 years) or two years will determine the lookback period. Community Medicaid will be implemented gradually as part of the changeover. Probably starting on October 1, 2022, the first phase will be followed by the second phase starting on April 1, 2023.

Although modifications to the Community Medicaid program are possible, the current Coronavirus outbreak has already affected eligibility. Even though community Medicaid cannot be instantly terminated, the COVID Public Health Emergency (COVID) has prohibited the government from reducing Medicaid or boosting "spend-down." Therefore, you need to consider alternatives if you or a loved one is aging. You may negotiate the new Community Medicaid program with the advice of an elder law attorney.

Cash, stocks, investments, second residences, savings, and checking accounts are countable assets. Many assets, meanwhile, are exempt from these requirements. These possessions include non-refundable pre-paid funeral contracts, personal property, and IRAs with payout status. In addition, a principal residence that the applicant resides in and has an ownership interest of less than $955,000 is excluded from the countable asset restrictions.

In New York, community Medicaid is intended to assist those who need in-home care. Aged and handicapped persons are eligible to apply for the program in New York State. Before, donations of assets were not subject to a "lookback period," thus, if you gave away your purchases in the month before qualifying for Community Medicaid in New York, you may still get home care benefits in the month after. New state legislation, however, will make it more difficult for individuals to enroll in the program.

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