IMPORTANT UPDATE: Medicaid Eligibility Criteria (Resource/Income Levels) and Other Benefits Updates for 2025
The New York State Department of Health has released updated information regarding resource and income allowances for Medicaid and other benefits programs. The following figures are effective as of January 1, 2025:
Institutional/Nursing Home Medicaid Levels
| Resource/Asset Allowance Limit (Single/Individual) |
$32,396 |
| Resource/Asset Allowance Limit (Married Couple) |
$43,781 |
| Community Spouse Resource Allowance (Maximum)* | $157,920 |
| Income Allowance | $50/month |
| Community Spouse Minimum Monthly Maintenance Needs Allowance (MMMNA) | $3,948/month |
| Home Equity Limit | $1,097,000 |
*In determining the Community Spouse Resource Allowance, on and after January 1, 2025, the “community spouse” is permitted to retain resources in an amount equal to the greater of the following $74,820 or the amount of the spousal share up to $157,920. The spousal share is the amount equal to one-half of the total value of the countable resources of the couple, as of the beginning of the most recent continuous period of institutionalization of the institutionalized spouse.
Community (Home Care) Medicaid Levels
| Resource/Asset Allowance Limit (Single/Individual) |
$32,396 |
| Resource/Asset Allowance Limit (Married Couple) |
$43,781 |
| Income Allowance (Single/Individual) |
$1,800/month |
| Income/Allowance (Married Couple) |
$2,433/month |
Regional Rates (Nursing Home Care)
| Westchester/Northern Metropolitan | $14,569 |
| New York City | $14,582 |
| Long Island | $14,914 |
| Rochester | $15,127 |
| Central | $13,042 |
| Northeastern | $13,916 |
| Western | $12,842 |
Social Security, Veterans & Medicare Benefits
| Social Security Benefits | 2.5% increase for 2025 |
| Medicare Hospital Deductible | $1,676 |
| Medicare Co-Insurance (Hospital) *For days 61-90 of admission |
$419/day |
| Medicare Co-Insurance (Skilled Nursing Facility) *For days 21-100 post-admission, if medically eligible |
$209.50/day |
| Veteran's Aid & Attendance Pension Benefit | $2,358/mo. (Single Veteran) $2,795/mo. (Married Veteran) $1,515/mo. (Surviving Spouse) |
Estate and Gift Tax Exemptions
| Annual Gift Tax Exclusion (per year, per beneficiary) | $19,000 |
| New York Estate Tax Exemption | $7,160,000 |
| Federal Estate Tax Exemption | $13,990,000 (Single) $27,980,000 (Married) |
Please contact us to speak with the Elder Law attorneys at Falcon Rappaport & Berkman LLP if you have questions regarding the updated 2025 government benefit rates, Medicaid eligibility, or any other elder law needs you or your family may have!