NEW YORK STATE MEDICAID
FINANCIAL THRESHOLD CHECKLIST
AND PENALTY PERIOD CALCULATIONS -- 2006

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Benef its Incom e Limits RESOURCE LIMIT REGION MONTHLY REGIONAL RATE Comprehensive health care benefits, including coverage for prescription drugs, physician services, hospitals, nursing homes and home care Community spouse allowances when other spouse is institutionalized: Income: $2,378 Resources: $74,820 or the amount of spousal share, up to $95,100. Amounts of income and or resources may be able to be increased through a Fair Hearing, Court Order or other forms of Medicaid planning. Individual: $692.00 + $20* Couples: $900.00 + $20* *FIRST $20 INCOME IN ADDITIO N TO THE ALLOWA BLE INCOME IS EXEMPT FOR EACH PERSON AGE 65 OR MORE. Individual: $4,150.00 Couples: $5,400.00 Exemptions: $1,500 per person for burial fund or unlimited amount in irrevocable pre-need funeral agreements; home; car; health insurance premiums. Central Long Island New York City Northeastern North Metropolitan Rochester Western   $6,232 $9,842 $9,132 $6,872 $8,724 $7,375 $6,540

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