New Yorkers aged 65 and over may qualify for Medicaid if they meet certain financial requirements. If single, the applicant’s income must not exceed $859 a month with an asset limit of $15,450. For married couples, the income limit is $1,267 monthly with $22,800 in assets. All sources of income, including but not limited to, wages, pensions, social security and alimony are counted in these amounts. Seniors are not required to meet a specific level-of-care need to be eligible for Medicaid.
Older residents who do not meet Medicaid’s financial requirements may still qualify for assistance through New York’s Medicaid Excess Income Program, which is designed for individuals with high medical bills. The program exists as a means to spend down people’s income on medical bills until they reach Medicaid eligibility levels, at which time Medicaid kicks in.
New York State also offers Medicaid planning programs, which pair over-income or over-asset individuals with a Medicaid professional who can guide them toward Medicaid eligibility.
For those who qualify, Medicaid covers a comprehensive array of services, including preventative health care, inpatient hospital care, ambulance transportation and nursing home care.
New York Medicaid also offers several specific waivers for seniors in need of assisted living services.
The New York Managed Long-Term Care Program Waiver is for individuals who need a skilled nursing facility level of care but who would prefer to receive care in an assisted living facility instead. MLTC helps with needed services such as personal care assistance that enable seniors to maintain more independence.
The New York Assisted Living Program provides financial assistance to seniors in assisted living programs who may need additional care, such as skilled nursing, housecleaning or personal emergency alert systems.
For more information on Medicaid and its associated waivers or to connect with a Medicaid planner, interested New Yorkers can visit the American Council on Aging’s Medicaid Planning Assistance page or New York State’s Department of Health. To apply for Medicaid, they can visit their Local Departments of Social Services or call the Medicaid Helpline at (800) 541-2831.