GIS 17 MA/019 - Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2018

The purpose of this General Information System (GIS) message is to inform local departments of social services of the year 2018 Medicaid regional nursing home rates which must be used when calculating a transfer of assets penalty period for coverage of nursing facility services. 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 private pay nursing home costs in each of the seven regions in the State. Districts must use the regional rate in effect as of the date of application or the date of request for an increase in coverage for the region in which the facility is located.

Central $9,722
Broome	Jefferson	Oswego
Cayuga	Lewis	St. Lawrence
Chenango	Madison	Tioga
Cortland	Onedia	Tompkins
Herkimer	Onondaga
Northern Metropolitan $12,428
Dutchess	Orange	Putnam
Rockland	Sullivan	Ulster
Westchester
Northeastern $10,719
Albany	Fulton	Saratoga
Clinton	Greene	Schenectady
Columbia	Hamilton	Schoharie
Delaware	Montgomery	Warren
Essex	Otsego	Washington
Franklin	Rensselaer
New York City $12,319
Bronx	Kings (Brooklyn)	New York (Manhattan)
Queens	Richmond (Staten Island)
Long Island $13,053
Nassau	Suffolk
Western $10,239
Allegany	Cattaraugus	Chautauqua
Erie	Genesee	Niagara
Orleans	Wyoming
Rochester $11,692
Chemung	Livingston	Monroe
Ontario	Schuyler	Seneca
Steuben	Wayne	Yates