Some really big changes to New York State Medicaid that may impact people who are over 65 or disabled! Too long, didn’t read: The income cap has gone up, which means some people may no longer need to use a pooled trust. Also, the resource cap has gone up, which means people may accumulate more money in their bank accounts. This does NOT mean that your family or friends should transfer money into your name to bring you up to your new resource limit!!!
Details:
Effective January 1, 2023, for SSI-related consumers (this is for people who are over 65 or disabled/blind):
Increase in the income level to $1,563 for an individual and $2,106 for a couple.
Increase in the resource level to $28,133 for an individual and $37,902 for a couple.
The Medical Assistance Program/ Homecare/ Nursing Home division are sending a one-time mailing with the attached documents required for a new budget.
For current Medicaid consumers who do not contact the Medicaid (or reply to the mailing) for a recalculation of their income, the Medical Assistance Program will redetermine the consumer eligibility at the next consumer contact or at renewal, whichever comes first.
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The New York Medicaid program is an essential lifeline for low-income individuals and families in the state, providing access to vital healthcare services for those who otherwise may not be able to afford it. However, the income limits for Medicaid eligibility in New York are subject to change each year, and 2023 will see some significant updates.

The income limits for Medicaid in New York typically depend on factors such as family size and type of coverage needed. For example, in the past, a single person could qualify for Medicaid with an income up to $17,774 per year, while a family of four could qualify with an income up to $36,570. These income limits are set by the state government and can change annually.

In 2023, the income limits for Medicaid in New York are expected to increase slightly to reflect changes in the cost of living. This means that more individuals and families may be eligible for Medicaid coverage in the coming year.

However, one issue that many Medicaid recipients in New York face is the issue of excess income. Excess income refers to any income that exceeds the Medicaid income limits, making individuals ineligible for Medicaid coverage. This can be a significant barrier to healthcare access for those who earn just above the income limits.

To address this issue, many individuals turn to pooled trusts as a way to qualify for Medicaid coverage despite having excess income. Pooled trusts, also known as supplemental needs trusts, are a type of trust that allows individuals with disabilities to set aside income and assets for their care while still qualifying for Medicaid. These trusts pool the resources of several beneficiaries, allowing them to qualify for Medicaid while still maintaining some control over their assets.

In New York, pooled trusts are a valuable tool for individuals with disabilities who have excess income but still need access to Medicaid benefits. By placing their excess income into a pooled trust, individuals can qualify for Medicaid coverage without having to spend down their assets or forego necessary healthcare services.

Overall, the changes in Medicaid income limits and the availability of pooled trusts in New York in 2023 will likely have a significant impact on the healthcare access of low-income individuals and families in the state. By staying informed about these changes and utilizing resources like pooled trusts, individuals can ensure they have access to the healthcare services they need.