Approximately 4.68 million NY state residents are covered under Medicaid, a government-funded health plan for low-income Americans and qualified immigrants. Medicaid’s mandatory benefits include inpatient and outpatient hospital services, doctor visits and long-term care in a nursing facility. Additional optional benefits may be provided by each state, such as prescription drug coverage, dental and vision care, hospice and community-based support services.
To qualify for New York State Medicaid, seniors aged 65 and older must:
- Be U.S. citizens or qualified immigrants
- Earn no more than $859 per month
- Own no more than $15,450 worth of countable assets
- Be permanent residents of the state of New York
- Have a valid Social Security number
If a married couple is applying together, the joint income limit is $1,267 per month and the asset limit is $22,800. If only one spouse requires Medicaid, the income of the non-applicant is disregarded and the individual limits apply.
Managed Medicaid Long-Term Care Plan Medicaid-enrolled seniors who require the level of care provided in a nursing home and prefer to remain in a community setting may qualify for services through the
Managed Medicaid Long-Term Care Plan.
This nursing home diversion program provides seniors with medical and nonmedical support that may be delivered in an assisted living setting. These services may include personal care, adult day health programming, transportation and specialty care in addition to all of the mandatory Medicaid benefits.
Assisted Living Program The
ALP provides similar services and supports as the MMLTCP, however, this program is limited to approximately 4,200 participants state wide and seniors must reside in a participating assisted living facility.
To qualify for the ALP, seniors must either have Medicaid coverage or be able to cover costs on a private-pay basis. Participants must also meet the clinical criteria for nursing home placement and be able to live safely in an assisted living facility with the support available through the ALP.
Note: Seniors may participate in either the MMLTCP or the ALP, but not both.
For more information on Medicaid enrollment, the ALP or the MMLTCP, contact the
Chemung County Department of Human Services at (607) 737-5302.