GIS 10 MA/001: Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2010

To: Local District Commissioners, Medicaid Directors

From: Judith Arnold, Director, Division of Coverage and Enrollment

Subject: Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2010

Effective Date: Medicaid Regional Rates for Calculating Transfer Penalty Periods for 2010

Contact Person: Local District Liaison Upstate: (518)474-8887, NYC: (212) 417-4500

This is to inform local districts of the year 2010 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.

The regional rates are:

Region Monthly Regional Rate
Central $7,264
Long Island $11,227
New York City $10,285
Northeastern $7,927
Northern Metropolitan $10,163
Rochester $9,058
Western $7,694

Reminder: Districts must use the rate for the region in which the facility is located. The Attachment to 06 OMM/ADM-2 contains a listing of counties by region.