Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in New York?
Last verified October 17, 2026 · All New York resources
In New York, the income limit is $1,836/month and the asset limit is $33,038 single. New York's 2026 Medicaid levels for people who are 65 or older or disabled are $1,836 a month in income and $33,038 in resources for one person ($2,489 and $44,796 for a couple). People with income above the level can still qualify for community or nursing home care through a spenddown, paying the excess toward care each month. The home equity limit for nursing facility and community-based long-term care is $1,130,000, the highest the federal government allows.
| Program | NY Medicaid community-based long-term care (home care, personal care, Managed Long Term Care, CDPAP) and nursing facility care |
|---|---|
| Income limit (single applicant) | $1,836/month for a single applicant ($2,489 for a couple), with a spenddown for income above it |
| How income is counted | medically needy spend-down |
| Medically needy spend-down | Yes |
| Asset limit (single) | $33,038 single |
| Asset limit (couple, both applying) | $44,796 couple |
| Home equity limit | $1,130,000 |
| Look-back period | 60 months for nursing home care |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the New York Medicaid waivers that pay for home care.
How to apply in New York (New York State Department of Health, Office of Health Insurance Programs; local departments of social services (HRA in NYC))
What should you confirm with the state?
Rules on the look-back period for community-based care have changed over time, so ask your local department of social services (HRA in New York City) what applies when you apply.
More for New York
Medicaid eligibility by state: other states
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