GIS 11 MA/001: Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2011

To: Local District Commissioners, Medicaid Directors

From: Judith Arnold, Director - Division of Health Reform and Health Insurance Exchange Integration

Subject: Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2012

Effective Date: January 1, 2011

Contact Person: Local District Support Unit - Upstate (518) 474-8887, New York City (212) 417-4500

This is to inform local departments of social services of the year 2011 Medicaid regional rates which must be used to determine a transfer of assets penalty period.

This is in accordance with 96 ADM-8, "OBRA '93 Provisions on Transfers and Trusts" and 06 OMM/ADM-5, "Deficit Reduction Act of 2005 - Long-Term Care Medicaid Eligibility Changes." These rates are based on average nursing home costs in each of the seven regions in the State.

Central $7,688

  • Broome
  • Cayuga
  • Chenango
  • Cortland
  • Herkimer
  • Jefferson
  • Lewis
  • Madison
  • Oneida
  • Onondaga
  • St. Lawrence
  • Tioga
  • Tompkins

Northeastern $8,323

  • Albany
  • Clinton
  • Columbia
  • Delaware
  • Essex
  • Franklin
  • Fulton
  • Greene
  • Hamilton
  • Montgomery
  • Otsego
  • Rensselaer
  • Saratoga
  • Schenectady
  • Schoharie
  • Warren
  • Washington

Western $7,863

  • Allegany
  • Cattaraugus
  • Chauatauqua
  • Erie
  • Genesee
  • Niagara
  • Orleans
  • Wyoming

Northern Metropolitan $10,105

  • Dutchess
  • Orange
  • Putnam
  • Rockland
  • Sullivan
  • Ulster
  • Westchester

New York City $10,579

  • Bronx
  • Kings (Brooklyn)
  • New York (Manhattan)
  • Queens
  • Richmond (Staten Island)

Long Island $11,445

  • Nassau
  • Suffolk

Rochester $8,942

  • Chemung
  • Livingston
  • Monroe
  • Ontario
  • Schuyler
  • Seneca
  • Steuben
  • Wayne
  • Yates

Reminder: Districts must use the rate for the region in which the facility is located.