Zuvich Law Logo
  • Nicole J. Zuvich

How to qualify for Medicaid to pay for long-term care

Updated: Sep 27

The Department of Human Services states that most adults over 65 can benefit from long-term care services and support. Many adults worry about covering care costs or depleting their savings and assets.

These are helpful answers to questions about qualifying for Medicaid to help cover the long-term care costs many adults require.

What is the Medicaid asset limit?

In New York, the current qualifying limit for Medicaid is $18,085 for individuals and $24,353 for married couples. However, households exceeding these limits do not automatically forfeit eligibility.

What is the lookback period?

New York law requires Medicaid to review applicants’ assets over 30 months to five years before submitting their applications, depending on whether they need nursing or in-home care. The look-back process determines whether applicants legitimately meet the financial eligibility requirements. Those who gift or transfer assets they could otherwise use to pay for their long-term care costs may be subject to extended waiting periods or disqualification for benefits. However, transferring assets into an irrevocable pre-need funeral account is an example of an acceptable solution.

How can you qualify with excess income?

Seniors can also obtain Medicaid benefits by applying the difference between the state’s asset limit and their gross monthly income to medical expenses that Medicaid does not cover. Thus, they can reduce their assets to the qualifying amount, and Medicaid may pay for subsequent medical services relating to their long-term care needs.

Making spend-down payments to a managed long-term home care plan provider is also acceptable. Although plan participants will not lose their Medicaid benefits for non-payment, they risk losing eligibility for their managed care plans.

It is essential and practical to create a plan for addressing your long-term care to protect your future and that of your loved ones.

Recent Posts

See All

Deciding to move your loved one into a care facility in New York might cause uncertainty and even guilt. However, this transition might be the answer to your concerns of overwhelm and burnout. You mig

Whether you make the plan for yourself or for another loved one facing his or her later years, it is important to understand what options you have for long-term care. There are many questions to tackl

As one of the largest generations by population, the Baby Boomers are between 58 and 76 years old. This means more of them may require long-term care as the years go by. Regardless of how healthy and

Connect With Us

Disclaimer

Attorney Advertising. Prior results do not guarantee future outcomes.  Interaction with this site or contacting us via email, phone, or online forms does not establish an attorney-client relationship.  Do not send personal private information.  The attorneys of The Law Offices of Nicole J. Zuvich, P.C. practice primarily in the State of New York and may not be licensed in your jurisdiction.  The information on this website is for information purposes only and is presented "as is."  The law frequently changes. Information on this site may be incomplete or out of date.   See full DISCLAIMER here.

Zuvich Law Logo

400 West Main Street, Suite 332

Babylon, NY 11702

PHONE: (631) 840-6580
FAX: (631) 840-0084

1050 Franklin Avenue, Suite 308

Garden City, NY 11530

©2022 The Law Offices of Nicole J. Zuvich. All Rights Reserved.